家庭跟进式护理干预结合个体化生活方式指导对妊娠期高血压患者血压控制、妊娠结局及心理弹性的影响

Effects of family follow-up nursing intervention combined with individualized lifestyle guidance on blood pressure control, pregnancy outcome and psychological elasticity in patients with gestational hypertension

目的 探讨家庭跟进式护理干预结合个体化生活方式指导在妊娠期高血压患者中的应用效果。方法 选取2019年1月至2021年1月我院收治的180例妊娠期高血压患者作为研究对象,采用抽签法将其随机分为对照组(90例)和观察组(90例)。对照组实施常规护理干预,观察组在此基础上实施家庭跟进式护理干预结合个体化生活方式指导。比较两组的干预效果。结果 干预后,观察组的收缩压、舒张压均低于对照组(P<0.05)。观察组患者的各项不良妊娠结局发生率低于对照组,新生儿的不良结局总发生率低于对照组(P<0.05)。干预后,观察组坚韧、自强、乐观评分均高于对照组(P<0.05)。结论 家庭跟进式护理干预结合个体化生活方式指导有助于提高妊娠期高血压患者血压控制效果,改善妊娠结局,提高患者的心理弹性,值得推广。

Objective To explore the application effect of family follow-up nursing intervention combined with individualized lifestyle guidance in patients with gestational hypertension.Methods A total of 180 patients with gestational hypertension admitted in our hospital from January 2019 to January 2021 were selected as the research objects,and the patients were randomly divided into control group(90 cases)and observation group(90 cases)by lottery method.The control group was given routine nursing intervention,and the observation group was given family follow-up nursing intervention combined with individualized lifestyle guidance on this basis.The intervention effects of the two groups were compared.Results After intervention,the systolic blood pressure and diastolic blood pressure in the observation group were lower than those in the control group(P<0.05).The incidences of adverse pregnancy outcomes of patients in the observation group was lower than that in the control group,and the total incidence of adverse neonatal outcomes was lower than that in the control group(P<0.05).After intervention,the scores of tenacity,self-improvement and optimism in the observation group were higher than those in the control group(P<0.05).Conclusion Family follow-up nursing intervention combined with individualized lifestyle guidance is helpful to improve the effect of blood pressure control in patients with gestational hypertension,ameliorate pregnancy outcome and improve the psychological resilience,which is worthy of promotion.