摘要
目的探讨综合护理干预对妊娠高血压综合征（PIH）患者血压的影响。方法将2013年2月-2015年1月期间收治的122例PIH孕妇随机分为观察组与对照组,每组61例,对照组采用一般常规护理,观察组则在对照组常规护理的基础上实施综合护理干预,比较两组孕妇收缩压、舒张压、平均动脉压、抑郁、焦虑情绪变化以及妊娠结局。结果观察组患者在实施综合护理干预后2周与4周收缩压、舒张压及平均动脉压均显著低于对照组,差异有统计学意义（P〈0.01）;两组患者SAS、SDS评分护理前比较差异无统计学意义（P〉0.05）,护理干预后两组评分均显著降低,差异有统计学意义（P〈0.01）,且观察组显著低于对照组（P〈0.01）;观察组先兆子痫、子痫、产后出血发生率均显著低于对照组,差异有统计学意义（P〈0.05或P〈0.01）。结论综合护理干预可有效提高PIH患者的治疗效果,利于血压的控制,降低并发症发生率,改善妊娠结局,值得推广。
Objective To discuss the influence on blood pressure of comprehensive nursing intervention in patients with PIH. Methods 122 patients with PIH from February 2013 to January 2015 were randomly divided into the observation group（n=61） and the control group（n=61）,the control group were given routine nursing care,and the observation group were given comprehensive nursing intervention based on the control group,then the systolic pressure,diastolic pressure,mean arterial pressure,depression,anxiety,pregnancy outcome were contrasted between the two groups. Results The systolic pressure,diastolic pressure,mean arterial pressure in the observation group 2 weeks and 4 weeks after the nursing intervention were significantly lower than the control group（P〈0.01）;there was no significantly difference in SAS and SDS score before the nursing intervention between the two groups（P〉0.05）,but after the nursing intervention,SAS and SDS score were significantly reduced in the two groups（P〈0.01）,and the observation group significantly lower than the control group（P〈0.01）;the incidence of pre-eclampsia,eclampsia,postpartum hemorrhage in the observation group were significantly lower than the control gorup（P〈0.05 or P〈0.01）. Conclusion Comprehensive nursing intervention can effectively improve the treatment effects in patients with PIH,contribute to blood pressure control,and can reduce the incidence of complications,improve the pregnancy outcome,it′s worthy of promotion.
出处
《中国当代医药》
2015年第33期181-183,187,共4页
China Modern Medicine
关键词
综合护理干预
妊娠高血压
血压
Comprehensive nursing intervention
PIH
Blood pressure
