优质护理模式在妊娠期糖尿病合并妊娠期高血压产妇中的应用

发布时间：2018-02-19 21:29

本文关键词： 优质护理妊娠期糖尿病妊娠期高血压依从性　出处：《实用临床医药杂志》2016年06期 　论文类型：期刊论文

【摘要】：目的探讨优质护理模式对减少妊娠期糖尿病合并妊娠期高血压产妇的不良事件的效果。方法选取本院确诊为妊娠期糖尿病合并妊娠期高血压的孕产妇150例,随机均分为2组,观察组实施优质护理干预模式,对照组实施常规护理干预。观察2组的病理妊娠和并发症情况、血压等指标的改善情况、心血管事件的发生率以及患者依从性。结果观察组羊水过多、过少、早产、产后感染等病理妊娠的发生率显著低于对照组(P0.05);干预后观察组巨大儿、死胎、胎儿窘迫、畸形儿等并发症发生率显著低于对照组(P0.05);2组收缩压均降较治疗前降低,观察组的血压控制效果优于对照组(P0.05);干预后观察组依从性显著优于干预前及对照组(P0.05),对照组干预前后依从性无统计学差异(P0.05)。结论对妊娠期糖尿病及妊娠期高血压孕产妇实施优质护理模式干预,可以明显降低病理妊娠和并发症的发生率,提高依从性,效果优于常规护理干预。
[Abstract]:Objective to explore the effect of high quality nursing mode on reducing adverse events of pregnant women with gestational diabetes complicating hypertension. Methods 150 pregnant women diagnosed as gestational diabetes complicating hypertension complicating pregnancy were randomly divided into two groups. The quality nursing intervention model was applied in the observation group and the routine nursing intervention was performed in the control group. The pathological pregnancy and complications and the improvement of blood pressure were observed in the two groups. Results the incidence of amniotic fluid excess, oligohydramnios, premature delivery and postpartum infection in the observation group was significantly lower than that in the control group (P 0.05), and the incidence of macrosomia, stillbirth and fetal distress in the observation group after intervention was significantly lower than that in the control group. The incidence of complications such as deformity was significantly lower than that in the control group (P 0.05) and the systolic blood pressure (SBP) of the two groups was lower than that before treatment. The effect of blood pressure control in the observation group was better than that in the control group (P 0.05), the compliance of the observation group was significantly better than that of the control group before and after intervention, and there was no significant difference in compliance between the control group and the control group. Conclusion there is no significant difference in compliance between the observation group and the control group before and after intervention. Conclusion there is no significant difference in compliance between the observation group and the control group. The intervention of high quality nursing mode in pregnant and parturient women, It can significantly reduce the incidence of pathological pregnancy and complications, improve compliance, the effect is better than routine nursing intervention.
【作者单位】：海南省三亚市人民医院产科;
【分类号】：R473.71

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