精细化干预应用于妊娠期高血压疾病患者中的效果观察

Observation on the effect of fine intervention applied to hypertensive diseases in pregnancy

目的 探究精细化干预在妊娠期高血压疾病患者中的应用效果。方法 选取128例妊娠期高血压疾病患者,根据随机数字表法分为对照组与观察组,每组64例。对照组给予常规干预,观察组给予精细化干预。比较两组血压水平、负性情绪及不良妊娠结局。结果 干预前,两组收缩压、舒张压水平比较,差异无统计学意义(P>0.05);观察组干预后收缩压、舒张压水平均明显低于对照组(P<0.05)。干预前,两组广泛性焦虑量表(GAD-7)、病人健康问卷(PHQ-9)评分比较,差异无统计学意义(P>0.05);观察组干预后GAD-7评分(10.22±2.98)分、PHQ-9评分(14.02±3.21)分均明显低于对照组的(13.25±3.10)分、(16.57±3.49)分(P<0.05)。观察组干预后产妇不良结局发生率、围生儿不良结局发生率均明显低于对照组(P<0.05)。结论 精细化干预应用于妊娠期高血压疾病患者中,能够改善患者血压水平,缓解其负性情绪,改善妊娠结局。

Objective To explore the application effect of refined intervention in patients with hypertensive diseases during pregnancy.Methods 128 patients with hypertensive diseases during pregnancy were selected and divided into control group and observation group according to random number table method,with 64 cases in each group.The control group was given routine intervention,and the observation group was given refined intervention.Blood pressure levels,negative emotions and adverse pregnancy outcomes were compared between the two groups.Results Before intervention,there was no significant difference in systolic and diastolic blood pressure between the two groups(P>0.05).The systolic blood pressure and diastolic blood pressure in the observation group were significantly lower than those in the control group after intervention(P<0.05).Before intervention,there was no significant difference in the scores of GAD-7 and patient health questionnaire(PHQ-9)between the two groups(P>0.05).After intervention,GAD-7 score(10.22±2.98)points and PHQ-9 score(14.02±3.21)points in the observation group were significantly lower than those in the control group(13.25±3.10)points and(16.57±3.49)points(P<0.05).After intervention,the incidence of maternal adverse outcomes and perinatal adverse outcomes in observation group were significantly lower than those in control group(P<0.05).Conclusion The application of refined intervention in patients with hypertensive diseases during pregnancy can improve the blood pressure level of patients,relieve their negative emotions,and improve the pregnancy outcome.