妊娠期高血压疾病患者出院后给予延续护理的效果及对康复的影响

Effect of extended nursing care for patients with pregnancy-induced hypertension after discharge and its influence on rehabilitation

目的 探讨妊娠期高血压疾病患者出院后采取延续护理的效果。方法 选取88例妊娠期高血压疾病患者,采用奇偶数分为对照组与观察组,每组44例。对照组给予常规出院指导,观察组在对照组基础上采用延续性护理。比较两组健康知识认知度、护理前后的焦虑自评量表(SAS)评分、护理前后的舒张压与收缩压、护理后的生活质量评分以及并发症发生率。结果 观察组健康知识认知度各项评分均高于对照组,差异有统计学意义(P<0.05)。护理前,两组SAS评分比较,差异无统计学意义(P>0.05);护理后,两组SAS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05)。护理前,两组血压水平比较,差异无统计学意义(P>0.05);护理后,观察组收缩压、舒张压均低于对照组,差异有统计学意义(P<0.05)。护理前,两组血压水平比较,差异无统计学意义(P>0.05);护理后,观察组收缩压、舒张压均低于对照组,差异有统计学意义(P<0.05)。观察组生活质量各项评分均高于对照组,差异有统计学意义(P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论 妊娠期高血压疾病患者的护理中实施延续护理,可减轻患者负性情绪,稳定其血压水平,提升患者生活质量,降低并发症发生率,值得临床推广与应用。

Objective To explore the effect of continuing nursing for patients with pregnancy-induced hypertension after discharge. Methods A total of 88 patients with hypertensive diseases during pregnancy were selected and divided into control group and observation group by odd and even numbers, 44 cases in each group. The control group was given routine discharge guidance,and the observation group was given continuity of care based on the control group. Health knowledge awareness, self-rating anxiety scale(SAS) score before and after nursing, diastolic blood pressure and systolic blood pressure before and after nursing, quality of life score after nursing and incidence of complications were compared between the two groups. Results The scores of health knowledge awareness in the observation group were higher than those in the control group, the difference was statistically significant(P<0.05). Before nursing, there was no significant difference in SAS score between the two groups(P>0.05). After nursing, SAS scores in both groups were lower than before nursing, and observation group was lower than control group, the difference was statistically significant(P<0.05). Before nursing, there was no significant difference in blood pressure between the two groups(P>0.05). After nursing, the systolic blood pressure and diastolic blood pressure in the observation group were lower than those in the control group, and the difference was statistically significant(P<0.05). Before nursing, there was no significant difference in blood pressure between the two groups(P>0.05). After nursing, the systolic blood pressure and diastolic blood pressure in the observation group were lower than those in the control group, and the difference was statistically significant(P<0.05). The life quality scores of the observation group were higher than those of the control group, and the difference was statistically significant(P<0.05). The incidence of complications in the observation group was lower than that in the control group, and the difference was statistically significant(P<0.05). Conclusion The implementation of extended nursing in the nursing of hypertensive diseases in pregnancy can reduce the negative emotions of patients, stabilize the level of blood pressure, improve the quality of life of patients,reduce the incidence of complications, worthy of clinical promotion and application.