妊娠期高血压疾病护理中产科护理干预的应用效果分析

Application effect analysis of obstetric nursing intervention in the nursing of hypertensive diseases in pregnancy

目的观察妊娠期高血压疾病护理中产科护理干预的应用效果。方法选取66例妊娠期高血压疾病患者,根据随机数字表法分为观察组与对照组,各33例。对照组采用常规护理,观察组采用产科护理干预。比较两组患者血压水平、不良情绪评分及分娩方式。结果干预前,两组患者收缩压、舒张压水平比较,差异无统计学意义(P>0.05);干预后,两组患者收缩压、舒张压水平均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。干预前,两组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05);干预后,两组患者SAS、SDS评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组患者自然分娩率60.61%高于对照组的36.36%,剖宫产率39.39%低于对照组的63.64%,差异有统计学意义(P<0.05)。结论妊娠期高血压疾病危害性较大,而且患者所面对的危险因素较多,在其护理过程中应用产科护理干预,能降低血压水平,减轻不良情绪,有利于自然分娩率的提升,值得临床推广.

Objective To observe the effect of obstetric nursing intervention in the nursing of hypertensive diseases in pregnancy.Methods 66 hypertensive patients during pregnancy were selected and divided into observation group and control group according to random number table method,33 cases in each group.The control group received routine nursing,and the observation group received obstetric nursing intervention.Blood pressure level,negative mood score and delivery mode were compared between the two groups.Results Before intervention,there was no significant dfference in systolic and diastolic blood pressure between 2 groups(P>0.05).After intervention,the systolic blood pressure and diastolic blood pressure levels in 2 groups were lower than before intervention,and the observation group was better than the control group,the difference was statistically significant(P<0.05).Before intervention,there was no significant difference in self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores between the two groups(P>0.05).After intervention,the scores of SAS and SDS in 2 groups were lower than before intervention,and the observation group was better than the control group,with statistical significance(P<0.05).The natural delivery rate of the observation group was 60.61%higher than that of the control group(36.36%),and the cesarean section rate was 39.39%lower than that of the control group(63.64%),with statistical significance(P<0.05).Conclusion Pregnancy-induced hypertension is of great harm,and the patients are faced with many risk factors.The application of obstetric nursing intervention in the nursing process can reduce blood pressure,reduce adverse emotions,and help improve the rate of natural childbirth,which is worthy of clinical promotion.