强化产前护理干预对妊娠期高血压疾病患者血压控制、心理状态及分娩结局的影响

Effect of intensive prenatal care intervention on blood pressure control,psychological state and delivery outcomes of patients with hypertensive diseases during pregnancy

目的探讨强化产前护理干预对妊娠期高血压疾病(HDCP)产妇血压水平控制效果、心理状态和分娩结局的影响。方法选取78例HDCP待产妇为研究对象,采用随机数字表法分为两组,对照组39例予以常规护理,观察组39例予以强化产前护理干预。比较两组血压水平、心理状态、分娩结局。结果干预后观察组收缩压、舒张压水平均比对照组低(P<0.05);干预后两组心理状态评分均较干预前降低,且观察组心理状态评分比对照组低(P<0.05);观察组自然分娩率高于对照组(P<0.05);观察组不良妊娠结局总发生率低于对照组(P<0.05)。结论HDCP采用强化产前护理干预能够有效控制产妇血压水平,改善其心理状态,提高自然分娩率,降低不良妊娠结局发生率,值得临床推广与应用。

Objective To investigate the effects of intensive prenatal care on blood pressure control,psychological status and delivery outcomes of Hypertensive disorder complicating pregnancy(HDCP)parturients.Methods A total of 78 pregnant women with HDCP were selected and divided into 2 groups by random number table method.39 cases in the control group received routine nursing and 39 cases in the observation group received intensive prenatal nursing intervention.Blood pressure level,psychological state and delivery outcome were compared between the two groups.Results After the intervention,the systolic blood pressure and diastolic blood pressure in the observation group were lower than those in the control group(P<0.05).After intervention,the psychological status scores of the two groups were lower than before intervention,and the psychological status scores of the observation group were lower than those of the control group(P<0.05).The rate of natural childbirth in the observation group was higher than that in the control group(P<0.05).The total incidence of adverse pregnancy outcomes in the observation group was lower than that in the control group(P<0.05).Conclusion HDCP with intensive prenatal care intervention can effectively control the level of maternal blood pressure,improve their psychological state,increase the rate of natural delivery,reduce the incidence of adverse pregnancy outcomes,worthy of clinical promotion and application.