五行音乐干预联合循证护理对妊娠期高血压患者血压和心理状态的影响

Influence of five elements music intervention combined with evidence-based nursing on blood pressure and mental state of patients with gestational hypertension

目的探讨五行音乐干预联合循证护理对妊娠期高血压患者血压和心理状态的影响。方法选取2018年3月至2020年6月徐州市妇幼保健院收治的80例妊娠期高血压患者为研究对象,采用随机数字表法分为两组,各40例。对照组患者采用常规护理,观察组患者在常规护理基础上采用五行音乐干预联合循证护理。比较两组患者干预前后的血压、心理状态和睡眠质量,以及妊娠结局。结果干预后,观察组的收缩压和舒张压均显著低于对照组(P值均<0.05),焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分和匹斯堡睡眠质量指数(PSQI)评分均显著低于对照组(P值均<0.05)。观察组的不良妊娠结局发生率为7.50%,显著低于对照组的22.50%(P<0.05)。结论五行音乐干预联合循证护理可有效降低妊娠期高血压患者的血压水平,缓解其焦虑和抑郁情绪,改善睡眠质量和妊娠结局。

Objective To explore the influence of five elements music intervention combined with evidence-based nursing on the blood pressure and mental state of patients with gestational hypertension.Methods 80 patients with gestational hypertension who were admitted to Xuzhou Maternity and Child Health Care Hospital from March 2018 to June 2020 were selected as the research subjects.They were divided into two groups by random number table method,with 40 cases in each group.The control group was given routine nursing,and the observation group was given five elements music intervention combined with evidence-based nursing on the basis of routine nursing.The blood pressure,mental state and sleep quality before and after the intervention,as well as the pregnancy outcomes were compared between the two groups.Results After the intervention,the systolic and diastolic blood pressure of the observation group were significantly lower than those of the control group(both P<0.05).The scores of Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)and Pittsburgh Sleep Quality Index(PSQI)were significantly lower than those of the control group(all P<0.05).The incidence of adverse pregnancy outcomes in the observation group was 7.50%,which was significantly lower than 22.50% in the control group(P<0.05).Conclusion The combination of five elements music intervention combined with evidence-based nursing can effectively reduce the blood pressure level,reduce anxiety and depression,and improve sleep quality and pregnancy outcomes of patients with gestational hypertension.