摘要
[目的]研究综合护理对妊娠期高血压产妇的作用及母婴结局的影响。[方法]选取收治的妊娠期高血压疾病孕产妇94例,按照随机数字表法分成观察组和对照组各47例。对照组行常规护理,而观察组则行综合护理干预,对比两组护理效果。[结果]护理后观察组收缩压、舒张压分别为120.9mmHg±9.5mmHg、80.1mmHg±7.4mmHg(1mmHg=0.133kPa),均显著低于对照组的146.3mmHg±12.6mmHg、94.5mmHg±10.4mmHg,差异有统计学意义(均P<0.05)。两组胎儿胎心率对比,观察组高于对照组,而胎动次数对比观察组低于对照组,差异有统计学意义(均P<0.05)。观察组子痫、难产发生率均显著低于对照组,具有显著性差异(均P<0.05)。观察组新生儿体重及Apgar评分分别为3.3kg±0.5kg、9.2分±0.6分,均显著高于对照组的2.3kg±0.3kg、7.8分±0.4分,差异均有统计学意义(均P<0.05)。观察组病人满意度为93.62%,高于对照组的78.72%,差异有统计学意义(P<0.05)。[结论]综合护理干预可有效控制妊娠期高血压疾病产妇的血压水平,保证胎儿的胎心率及胎动次数,同时减少不良妊娠结局的发生,提高新生儿身体素质,并提高病人满意度。
Objective：To study the effect of comprehensive nursing on pregnancy induced hypertension and maternal and child outcomes.Methods：A total of 94 patients with pregnancy induced hypertension were selected and divided into observation group and control group with 47 cases each according to random number table.The control group received routine nursing,while the observation group received comprehensive nursing intervention,then two groups of nursing effect were compared.Results：The systolic and diastolic blood pressure respectively（120.9±9.5）mmHg,（80.1±7.4）mmHg in observation group after nursing were significantly lower than（146.3±12.6）mmHg,（94.5±10.4）mmHg in the control group,the difference was statistically significant（P〈0.05）.The fetal heart rate of observation group was higher than the control group,while the number of quickening of observation group was lower than the control group,the difference were statistically significant（P〈0.05）.The incidence of eclampsia,dystocia in observation group were significantly lower than control group,the difference was statistically significant（P〈0.05）.Neonatal weight and Apgar score respectively were（3.3±0.5）kg and（9.2±0.6）in observation group were significantly higher than（2.3±0.3）kg and（7.8±0.4）in the control group,the difference was statistically significant（P〈0.05）..Patients’ satisfaction was 93.62%in observation group,which was higher than 78.72%in control group,the difference was statistically significant（P〈0.05）.Conclusion：Comprehensive nursing intervention can effectively control blood pressure levels of pregnant with gestational hypertension,ensure the rate of fetal heart and quickening number,reduce the occurrence of adverse pregnancy outcomes,improve the quality of the newborn body and improve patients’ satisfaction.
出处
《全科护理》
2017年第27期3350-3352,共3页
Chinese General Practice Nursing
关键词
妊娠期高血压
综合护理
新生儿
妊娠结局
身体素质
gestational hypertension
comprehensive nursing
newborn
pregnancy outcomes
physical quality
