循证护理在妊娠高血压患者早期护理中的应用效果

The Application Effect of Evidence-based Nursing in the Early Care of Patients with Gestational Hypertension

目的:探讨循证护理在妊娠高血压患者早期护理中的应用效果。方法:选取2022年5月—2023年5月玉林市卫生学校附属医院收治的妊娠高血压患者100例作为研究对象,根据随机数字表法分为观察组(循证护理)、对照组(常规护理),各50例。比较两组患者血压水平、不良分娩结局、生活质量评分。结果:护理前,两组收缩压(SBP)、舒张压(DBP)水平比较,差异无统计学意义(P>0.05);护理后,两组SBP、DBP水平均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组不良分娩结局总发生率低于对照组,差异有统计学意义(P=0.027)。护理前,两组健康调查简表(SF-36)评分比较,差异无统计学意义(P>0.05);护理5、10、15d后,两组SF-36评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:循证护理在妊娠高血压患者早期护理中的应用效果较好,可改善患者血压水平,减少不良分娩结局,提高生活质量。

Objective:To explore the application effect of evidence-based nursing in the early care of patients with gestational hypertension.Methods:One hundred patients with gestational hypertension admitted to Yulin Health School Attached to Yulin Campus of Guangxi Medical University from May 2022 to May 2023 were selected as the study subjects,and were divided into an observation group(evidence-based nursing)and a control group(conventional nursing),each with fifty cases,according to the method of randomized numerical table.Blood pressure levels,adverse birth outcomes,and quality of life scores were compared between the two groups.Results:Before nursing,the levels of systolic blood pressure(SBP)and diastolic blood pressure(DBP)in the two groups were compared,and the difference was not statistically significant(P>0.05);after nursing,the levels of SBP and DBP in the two groups were lower than those before nursing,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05).The total incidence of adverse birth outcomes in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.027).Before care,the scores on the Short Form of the Health Survey(SF-36)were compared between the two groups,and the difference was not statistically significant(P>0.05);after 5,10 and 15 days of care,the SF-36 scores of both groups were higher than those before care,and the observation group was higher than the control group,and the difference was statistically significant(P<0.05).Conclusion:The application of evidence-based nursing in the early care of patients with gestational hypertension is more effective,which can improve the patients'blood pressure level,reduce adverse birth outcomes and improve the quality of life.