探讨预见性护理联合临床护理路径对妊娠期高血压疾病孕产妇产后护理的效果

To explore the effect of predictive nursing combined with clinical nursing path on postpartum nursing of pregnant women with hypertensive diseases during pregnancy

目的探讨预见性护理联合临床护理路径对妊娠期高血压疾病孕产妇产后护理的效果。方法选取64例妊娠期高血压疾病孕产妇,按照随机数字表法分为对照组与观察组,每组32例。对照组予以常规护理,观察组在对照组基础上予以预见性护理联合临床护理路径干预。比较两组护理效果。结果干预前,两组血压水平比较,无显著差异(P>0.05);产后,经干预,收缩压、舒张压水平比较观察组均明显比对照组低,差异显著(P<0.05)。观察组不良母婴结局总发生率6.25%显著低于对照组的28.13%,差异显著(P<0.05)。干预前,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较,无显著差异(P>0.05);干预后,两组SAS评分、SDS评分均低于干预前,且观察组明显低于对照组,差异显著(P<0.05)。结论妊娠期高血压疾病孕产妇采取预见性护理联合临床护理路径干预能够有效控制血压,降低不良母婴结局发生率,同时还能改善孕产妇负性情绪。

Objective To explore the effect of predictive nursing combined with clinical nursing path on postpartum nursing of pregnant women with hypertensive diseases during pregnancy.Methods 64 pregnant women with hypertensive diseases during pregnancy were selected and divided into control group and observation group according to random number table method,with 32 cases in each group.The control group was given routine nursing,and the observation group was given predictive nursing combined with clinical nursing pathway intervention on the basis of the control group.The nursing effect of the two groups was compared.Results Before intervention,there was no signifi cant difference in blood pressure between the two group(P>0.05).After postpartum intervention,systolic blood pressure and diastolic blood pressure in the observation group were signifi cantly lower than those in the control group,with statistical signifi cance(P<0.05).The total incidence of adverse maternal and infant outcomes in the observation group was significantly lower than 28.13%in the control group(6.25%),with statistical signifi cance(P<0.05).Before intervention,there was no signifi cant diff erence in self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores between the two groups(P>0.05).After intervention,SAS score and SDS score of both groups were lower than before intervention,and observation group was signifi cantly lower than control group,with statistical significance(P<0.05).Conclusion Expectant nursing combined with clinical nursing can effectively control blood pressure,reduce the incidence of adverse maternal and infant outcomes,and improve the negative emotions of pregnant women with hypertensive diseases during pregnancy.