宛愈 程誠
【摘要】目的:研究集束化護(hù)理在妊娠高血壓護(hù)理中的應(yīng)用效果。方法:回顧性分析2021年1月—2022年10月本院收治的64例妊娠高血壓患者臨床資料,按照護(hù)理模式分為基礎(chǔ)組(32例,基礎(chǔ)護(hù)理)與集束組(32例,集束化護(hù)理),通過血壓水平、不良情緒、遵醫(yī)行為、妊娠結(jié)局等觀察比對,評價(jià)兩組護(hù)理措施應(yīng)用效果。結(jié)果:集束組收縮壓(128.52±8.16)、舒張壓(83.14±5.27)、焦慮(35.61±6.48)分、抑郁(37.53±4.61)分、剖宮產(chǎn)率6.25%、母嬰不良事件發(fā)生率6.25%,均低于基礎(chǔ)組(P<0.05),醫(yī)囑遵從率93.75%,高于基礎(chǔ)組(P<0.05)。結(jié)論:產(chǎn)科護(hù)理中集束化護(hù)理措施的有效運(yùn)用可有效提高妊娠高血壓患者血壓控制效果,且對其情緒調(diào)節(jié)與遵醫(yī)行為、妊娠結(jié)局改善存在促進(jìn)作用,值得臨床推廣使用。
【關(guān)鍵詞】集束化護(hù)理;妊娠高血壓;不良情緒;血壓水平
Study on the application effect of cluster nursing in pregnancy hypertension
WAN Yu, CHENG Cheng
Department of obstetrics ,East district of Anhui Maternal and Child Health Care Hospital, Hefei, Anhui 230000, China
【Abstract】Objective: To study the application effect of cluster nursing in pregnancy hypertension. Methods: Clinical data of 64 patients with pregnancy-induced hypertension admitted to our hospital from January 2021 to October 2022 were retrospectively analyzed. According to the nursing mode, they were divided into basic group (32 cases, basic nursing) and cluster group (32 cases, cluster nursing). The effects of nursing measures applied in the two groups were evaluated through observation and comparison of blood pressure level, adverse mood, compliance behavior, pregnancy outcome, etc. Results: Systolic blood pressure (128.52±8.16), diastolic blood pressure (83.14±5.27), anxiety (35.61±6.48), depression (37.53±4.61), cesarean section rate 6.25%, maternal and infant adverse events rate 6.25%, all lower than the base group (P<0.05), the doctors order compliance rate 93.75%. It was higher than that in basal group (P<0.05). Conclusion: The effective use of cluster nursing measures in obstetric care can effectively improve the blood pressure control effect of pregnant hypertension patients, and promote their emotional regulation and compliance behavior, pregnancy outcome improvement, worthy of clinical promotion.
【Key Words】Cluster nursing; Gestational hypertension; Bad mood; Blood pressure level
妊娠高血壓是臨床常見妊娠期并發(fā)癥,其形成與年齡、體重、遺傳、情緒、孕前疾病等多種因素相關(guān),患病率約為5%~10%[1]。妊娠高血壓可在一定程度上增加不良妊娠結(jié)局發(fā)生率,是引起產(chǎn)婦死亡、胎兒圍產(chǎn)期死亡的重要原因之一[2]。因此,有效預(yù)防與控制妊娠高血壓對母嬰健康保障具有非常重要的意義。產(chǎn)科將集束化護(hù)理模式應(yīng)用到妊娠高血壓護(hù)理中獲得較好效果,以下是基于64例患者臨床資料的探究報(bào)道,希望能夠?yàn)榧膊【茸o(hù)提供指導(dǎo),促進(jìn)產(chǎn)科護(hù)理質(zhì)量持續(xù)改進(jìn)。
1.1 一般資料
以妊娠高血壓患者為本次研究對象,從本院產(chǎn)科2021年1月—2022年10月收治患者中選取,共納入樣本64例。納入標(biāo)準(zhǔn):①經(jīng)病史分析、血壓測定等確診為妊娠期高血壓;②知曉臨床干預(yù)方案且簽署相關(guān)文件;③臨床資料易收集且可滿足研究需求。排除標(biāo)準(zhǔn):①伴有其他妊娠期并發(fā)癥;②存在神經(jīng)癥、癌癥、傳染病等;③具有溝通障礙。32例實(shí)施基礎(chǔ)護(hù)理用基礎(chǔ)組表示,32例實(shí)施集束化護(hù)理用集束組表示,對比兩組一般資料,差異較?。≒>0.05),見表1。