循证护理联合饮食规划对妊娠高血压患者的影响

Influence of Evidence-based Nursing Combined with Dietary Planning on Gestational Hypertension

目的探讨循证护理联合饮食规划对妊娠高血压患者的影响。方法选取郑州市第三人民医院2020年1月至2021年1月收治的52例妊娠高血压患者作为对照组,对照组患者在接受常规护理的基础上联合饮食规划,选取郑州市第三人民医院2021年2月至2022年2月收治的52例妊娠高血压患者作为观察组,在对照组基础上进行循证护理。比较两组患者护理前后血压变化、最终分娩方式、生活质量及不良妊娠结局发生情况。结果两组患者血压水平同干预前比较,均有降低,观察组血压水平低于对照组(P<0.05);观察组剖宫产率低于对照组(P<0.05);两组患者生活质量评分同干预前均有提高,观察组高于对照组(P<0.05);观察组和对照组不良妊娠结局总发生率分别为5.77%、51.15%,观察组不良妊娠结局总发生率低于对照组(P<0.05)。结论循证护理联合饮食规划应用于妊娠高血压患者中,能有效改善患者血压水平,降低剖宫产率,提高生活质量,减少不良妊娠结局的出现。

Objective To explore the effects of evidence-based nursing combined with dietary planning on gestational hypertension.Methods Fifty-two patients with gestational hypertension admitted to the Third People’s Hospital of Zhengzhou from January 2020 to January 2021 were selected as the control group.The patients in the control group were combined with dietary planning on the basis of routine nursing.Fifty-two patients with gestational hypertension admitted to the Third People’s Hospital of Zhengzhou from February 2021 to February 2022 were selected as the observation group,and received evidence-based nursing on the basis of the control group.Blood pressure changes,final delivery mode,quality of life and adverse pregnancy outcomes were compared between the two groups before and after care.Results Compared with before intervention,the blood pressure of both groups was improved,and the blood pressure of observation group was lower than that of control group(P<0.05).The cesarean section rate of observation group was lower than that of control group(P<0.05).The quality of life scores in two groups were improved compared with before intervention,and the observation group was higher than the control group(P<0.05).The total incidence of adverse pregnancy outcome was 5.77%in the observation group and 51.15%in the control group.The total incidence of adverse pregnancy outcome in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Evidence-based nursing combined with dietary planning can effectively improve the level of blood pressure,reduce the rate of cesarean section,improve the quality of life,reduce the incidence of adverse pregnancy outcomes,worthy of clinical application.