摘要
目的探讨全程系统性护理干预结合积极心理护理对妊娠合并高血压性心脏病患者应对方式及分娩结局的影响。方法选取2017年3月至2020年3月收治的妊娠合并高血压性心脏病患者86例进行观察,随机将其分为对照组和观察组,各43例。对照组实施常规护理,观察组在对照组基础上加以全程系统性护理干预结合积极心理护理。比较两组干预前、后的血压、应对方式评分及分娩结局。结果干预后,两组的收缩压及舒张压均较干预前降低,且观察组低于对照组(P<0.05)。干预后,两组的面对评分较干预前升高,回避和屈服评分均较干预前降低,且观察组优于对照组(P<0.05)。观察组的早产率、新生儿窒息率、低体重儿出生率均低于对照组(P<0.05)。结论给予妊娠合并高血压性心脏病患者全程系统性护理干预结合积极心理护理,能够有效降低血压,促进患者应对方式的改善,降低不良分娩结局的发生率。
Objective To explore the effects of whole course systematic nursing intervention combined with positive psychological nursing on coping style and delivery outcome of patients with pregnancy complicated with hypertensive heart disease.Methods Eighty-six patients with pregnancy complicated with hypertensive heart disease enrolled from March 2017 to March 2020 were randomly divided into control group and observation group,with 43 cases in each group.The control group was given routine nursing,while the observation group was given whole course systematic nursing intervention combined with positive psychological nursing on the basis of the control group.The blood pressure,coping style scores and delivery outcomes before and after intervention were compared between the two groups.Results After intervention,the systolic and diastolic blood pressure of the two groups were lower than those before intervention,and those of the observation group were lower than the control group(P<0.05).After intervention,the face scores of the two groups were higher than those before intervention,the avoidance and yield scores were lower than those before intervention,and those of the observation group were better than the control group(P<0.05).The preterm birth rate,neonatal asphyxia rate and birth rate of low birth weight infants of the observation group were lower than those of the control group(P<0.05).Conclusion The whole course systematic nursing intervention combined with positive psychological nursing for patients with pregnancy complicated with hypertensive heart disease can effectively reduce blood pressure,promote the improvement of coping style,and reduce the incidences of adverse delivery outcomes.
作者
王静萍
宋晓娜
WANG Jingping;SONG Xiaona(Ninth Hospital of Xi'an,Xi'an 710054,China)
出处
《临床医学研究与实践》
2021年第10期150-152,共3页
Clinical Research and Practice
关键词
全程系统性护理干预
积极心理护理
妊娠
高血压性心脏病
应对方式
分娩结局
whole course systematic nursing intervention
positive psychological nursing
pregnancy
hypertensive heart disease
coping style
delivery outcome
