妊娠高血压产妇应用整体护理模式对其疾病控制程度及胎儿结局的影响
|
摘要
目的探讨整体护理模式对妊娠高血压产妇疾病控制情况以及胎儿结局的影响。方法选取妊娠高血压产妇120例,分为观察组和对照组,对照组患者接受常规护理,观察组在常规护理基础上接受整体护理模式,对比分析2组患者疾病控制程度和胎儿结局。结果 2组患者护理前收缩压、舒张压以及平均动脉压差异不具统计学意义(P>0.05);护理后,2组患者血压均较护理前显著改善,但观察组患者收缩压、舒张压和平均动脉压改善情况显著优于对照组患者(P<0.05);护理后2组患者SAS和SDS评分均有所改善,尤以观察组患者改善最为显著,差异具统计学意义(P<0.05)。2组患者妊娠结局比较结果显示,观察组患者子痫、宫缩乏力、胎儿窘迫、剖宫产以及产后出血发生率均低于对照组患者,差异具统计学意义(P<0.05);2组患者胎盘早剥发生率差异不显著(P>0.05)。观察组患者新生儿Apgar评分、胎儿窘迫以及新生儿窒息发生率均优于对照组患者,差异具统计学意义(P<0.05);2组患者围生儿死亡率差异不显著(P>0.05)。结论整体护理模式能有效改善妊娠高血压产妇血压,降低胎儿不良结局发生率,具备较好临床应用价值。
Objective To analyze the effect of holistic nursing care model on disease control and fetal outcomes in pregnant women with hypertension. Methods A total of 120 pregnant women with hypertension in our hospital were selected and divided into observation group and control group,patients in the control group received routine nursing,and the observation group received whole nursing mode on the basis of routine nursing,and the disease control degree and fetal outcomes of the two groups were compared and analyzed. Results The difference between two groups in systolic pressure,diastolic pressure and mean arterial pressure before nursing showed no significant difference( P > 0. 05); After nursing,blood pressure of two groups was significantly improved than nursing before,but improvement degree of systolic blood pressure,diastolic pressure and mean arterial pressure in the observation group was significantly better than that in the control group,and the difference was statistically significant( P < 0. 05). The SAS and SDS scores of two groups were improved after nursing,and the observation group improved more,the differences were statistically significant( P <0. 05). Eclampsia,uterine atony,fetal distress,cesarean section,postpartum hemorrhage in the observation group were lower than that in the control group,and the difference was statistically significant( P < 0. 05). There was no significant difference between two groups in the incidence of placental abruption and perinatal mortality( P > 0. 05). Neonatal Apgar score,incidence rate of fetal distress and neonatal asphyxia in the observation group were better than of the control group,the difference was statistically significant( P < 0. 05). Conclusion Holistic nursing can effectively improve blood pressure in the pregnancy with hypertension,reduce the incidence of adverse fetal outcomes.
Objective To analyze the effect of holistic nursing care model on disease control and fetal outcomes in pregnant women with hypertension. Methods A total of 120 pregnant women with hypertension in our hospital were selected and divided into observation group and control group,patients in the control group received routine nursing,and the observation group received whole nursing mode on the basis of routine nursing,and the disease control degree and fetal outcomes of the two groups were compared and analyzed. Results The difference between two groups in systolic pressure,diastolic pressure and mean arterial pressure before nursing showed no significant difference( P > 0. 05); After nursing,blood pressure of two groups was significantly improved than nursing before,but improvement degree of systolic blood pressure,diastolic pressure and mean arterial pressure in the observation group was significantly better than that in the control group,and the difference was statistically significant( P < 0. 05). The SAS and SDS scores of two groups were improved after nursing,and the observation group improved more,the differences were statistically significant( P <0. 05). Eclampsia,uterine atony,fetal distress,cesarean section,postpartum hemorrhage in the observation group were lower than that in the control group,and the difference was statistically significant( P < 0. 05). There was no significant difference between two groups in the incidence of placental abruption and perinatal mortality( P > 0. 05). Neonatal Apgar score,incidence rate of fetal distress and neonatal asphyxia in the observation group were better than of the control group,the difference was statistically significant( P < 0. 05). Conclusion Holistic nursing can effectively improve blood pressure in the pregnancy with hypertension,reduce the incidence of adverse fetal outcomes.
引文
[1]张丽萍.妊娠高血压综合征患者的产程观察及护理[J].中国实用护理杂志,2011,27(29):37-38.
[2]郑绮雯,丁小容,于兰芳,等.心理护理对妊娠高血压综合征合并阻塞性睡眠呼吸暂停低通气综合征患者的影响[J].中国实用护理杂志,2012,28(25):3-4.
[3]王秀娣.综合护理干预对妊娠高血压综合征患者血压及妊娠结局的影响[J].临床护理,2011,49(12):75-76,82.
[4]乐杰.妇产科学[M].第7版,北京:人民卫生出版社,2008:113-116.
[5]王远芝,祁元琴,李鹤.综合护理干预在妊娠高血压患者中的效果观察[J].世界最新医学信息文摘,2015,60(15):233.
[6]陈尚轩.心理护理及行为干预对妊娠高血压综合征患者血压水平和妊娠结局的影响[J].护理实践与研究,2013,10(5):128-129.
[7]徐碧芳.对妊娠高血压综合征患者实施综合护理干预的效果[J].白求恩军医学院学,2011,25(2):176-178.
[8]王益群.妊娠期高血压疾病相关影响因素及对妊娠结局影响的研究[J].中华全科医学,2015,13(4):602-604.
[9]谢爱群.护理干预对妊娠高血压分娩结局的影响[J].国际护理学杂志,2012,31(5):93-96.
[10]陈明珠.产前护理干预对妊娠高血压综合征患者焦虑及生活质量影响的效果分析[J].实用临床医药杂志,2015,18(12):149-151.
[11]刘玉琳.ICU护士压力研究进展[J].国际护理学杂志,2011,30(6):801-802.
[12]朱春迎.综合护理干预在妊娠期高血压患者中的应用效果观察[J].中国当代医药,2015,22(1):138-139,142.
[2]郑绮雯,丁小容,于兰芳,等.心理护理对妊娠高血压综合征合并阻塞性睡眠呼吸暂停低通气综合征患者的影响[J].中国实用护理杂志,2012,28(25):3-4.
[3]王秀娣.综合护理干预对妊娠高血压综合征患者血压及妊娠结局的影响[J].临床护理,2011,49(12):75-76,82.
[4]乐杰.妇产科学[M].第7版,北京:人民卫生出版社,2008:113-116.
[5]王远芝,祁元琴,李鹤.综合护理干预在妊娠高血压患者中的效果观察[J].世界最新医学信息文摘,2015,60(15):233.
[6]陈尚轩.心理护理及行为干预对妊娠高血压综合征患者血压水平和妊娠结局的影响[J].护理实践与研究,2013,10(5):128-129.
[7]徐碧芳.对妊娠高血压综合征患者实施综合护理干预的效果[J].白求恩军医学院学,2011,25(2):176-178.
[8]王益群.妊娠期高血压疾病相关影响因素及对妊娠结局影响的研究[J].中华全科医学,2015,13(4):602-604.
[9]谢爱群.护理干预对妊娠高血压分娩结局的影响[J].国际护理学杂志,2012,31(5):93-96.
[10]陈明珠.产前护理干预对妊娠高血压综合征患者焦虑及生活质量影响的效果分析[J].实用临床医药杂志,2015,18(12):149-151.
[11]刘玉琳.ICU护士压力研究进展[J].国际护理学杂志,2011,30(6):801-802.
[12]朱春迎.综合护理干预在妊娠期高血压患者中的应用效果观察[J].中国当代医药,2015,22(1):138-139,142.