产前护理干预对妊娠高血压综合征患者分娩结局及生活质量的影响

发布时间：2018-07-24 15:16

【摘要】：目的探讨产前护理干预对妊娠高血压综合征患者分娩结局及生活质量的影响。方法将南京大学医学院附属鼓楼医院妇产科2011年1月至2014年12月收治的90例妊娠高血压综合征患者随机分为观察组和对照组(各45例),对照组患者给予常规护理模式,观察组患者在对照组护理的基础上给予全面、规范的综合护理,观察2组患者护理效果,记录患者焦虑评分、血压变化情况、分娩方式以及分娩结局和2组患者的生活质量评分。结果对照组患者产前焦虑评分与入院时相比差异无统计学意义(P0.05),护理后,观察组患者焦虑评分显著下降,与对照组相比差异有统计学意义(P0.05);与治疗前相比,2组患者血压均有所下降(P0.05),其中观察组患者血压下降情况优于对照组(P0.05);观察组患者自然分娩率71%高于对照组患者42%(P0.05),同时产后出血率、胎盘早剥率、子痫率,胎儿的宫内窘迫率、新生儿窒息率、围生期胎儿病死率均低于对照组(P0.05);观察组患者的生活质量评分均优于对照组(P0.05)。结论产前综合护理干预可以改善妊娠期高血压患者的焦虑状态,降低血压、提高自然分娩率、改善患者的分娩结局以及患者的生活质量,值得临床推广。
[Abstract]:Objective to investigate the effect of prenatal nursing intervention on the delivery outcome and quality of life in patients with pregnancy induced hypertension syndrome. Methods 90 patients with pregnancy induced hypertension from January 2011 to December 2014, affiliated to the gynecology and obstetrics and Gynecology of the Affiliated Drum Tower Hospital of Nanjing University, were randomly divided into the observation group and the control group (45 cases each), and the control group was given the routine. Nursing mode, the patients in the observation group were given comprehensive and standardized comprehensive nursing on the basis of the control group, and observed the nursing effect of the 2 groups of patients, recorded the anxiety score of the patients, the change of blood pressure, the way of delivery, the outcome of delivery and the quality of life of the 2 groups of patients. Statistical significance (P0.05), after nursing, the anxiety score of the observation group decreased significantly, compared with the control group, the difference was statistically significant (P0.05). Compared with the pre treatment group, the blood pressure of the 2 groups decreased (P0.05), and the decrease of blood pressure in the observation group was better than that in the control group (P0.05); the natural childbirth rate of the observation group was higher than that of the control group (42). At the same time, the rate of postpartum hemorrhage, placental abruption, eclampsia, fetal distress, neonatal asphyxia, perinatal fetal mortality were lower than those of the control group (P0.05), and the quality of life of the patients in the observation group was better than that of the control group (P0.05). Conclusion antenatal combined nursing intervention could improve the anxiety state of hypertensive patients with pregnancy and decreased the state of anxiety in pregnancy. Hypotension, improve the natural delivery rate, improve the delivery outcome and quality of life of patients, is worthy of clinical promotion.
【作者单位】：南京大学医学院附属鼓楼医院妇产科;
【基金】：国家临床重点专科建设项目(zsc192)
【分类号】：R473.71

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