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产前护理干预对妊娠期高血压疾病患者分娩结局心理状态及生活质量的影响研究 被引量:12

Study on the Influence of Prenatal Care Intervention on the Psychological State and Quality of Life of Pregnant Hypertensive Patients
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摘要 目的探讨产前护理干预对妊娠期高血压疾病患者分娩结局心理状态及生活质量的影响。方法选择我院2018年1~12月收治的100例妊娠期高血压疾病患者作为研究对象,根据随机原则进行分组,每组50例,对照组患者采用常规护理措施,观察组患者在常规护理措施的前提下,加强产前护理措施。比较两组患者的负面心理状态评分、生活质量评分、护理满意度、产后并发症发生率、新生儿Apgar评分和NBNA评分。结果①两组HAMA评分、HAMD评分护理后明显比护理前降低(P<0.05),且观察组HAMA评分、HAMD评分护理后明显比对照组更低,P<0.05。②两组患者护理后生活质量评分明显比治疗前提高,P<0.05,且观察组护理后生活质量评分明显高于对照组,P<0.05。③观察组护理满意度明显比对照组更高,P<0.05。④观察组产后并发症发生率明显比对照组更低,P<0.05。⑤观察组新生儿出生后1 min、5 min的Apgar评分和出生后30 min、24 h的NBNA评分明显高于对照组,P<0.05。结论对妊娠期高血压疾病患者加强产前护理措施,可以有效地改善患者的负面心理状态,减少其产后并发症,有利于改善分娩结局和产妇的生活质量,为母婴安全提供了重要的保障。 Objective To explore the impact of prenatal care intervention on the psychological state and quality of life of pregnant hypertensive patients.Methods One hundred cases of patients with hypertension during pregnancy admitted to our hospital from January 2018 to December 2018 were selected as research objects.50 cases in each group were divided into groups according to the random principle.Patients in the control group were given routine nursing measures,and patients in the observation group were given enhanced prenatal care measures under the premise of routine nursing measures.The scores of negative psychological state,quality of life,nursing satisfaction,incidence of postpartum complications,Apgar score and NBNA score were compared between the two groups.Results(1)HAMA score and HAMD score of the two groups were significantly lower after nursing than before nursing,P<0.05.HAMA scores and HAMD scores in the observation group were significantly lower than those in the control group after nursing,P<0.05.(2)The quality of life score of patients in the two groups after nursing was significantly higher than that before treatment,P<0.05;the life quality score of observation group was significantly higher than that of control group,P<0.05.(3)Nursing satisfaction in the observation group was significantly higher than that in the control group,P<0.05.(4)The incidence of postpartum complications in the observation group was significantly lower than that in the control group(P<0.05).(5)Apgar scores at 1 min and 5 min after birth and NBNA scores at 30 min and 24 h after birth in the observation group were significantly higher than those in the control group(P<0.05).Conclusion Strengthening prenatal care measures for patients with hypertension during pregnancy can effectively improve the negative psychological state of patients,reduce postpartum complications,improve the outcome of childbirth and maternal life quality,and provide an important guarantee for maternal and infant safety.
作者 王晓婷 WANG Xiaoting(Shenyang Maternity and Infant Hospital,Shenyang 110000,China)
机构地区 沈阳市妇婴医院
出处 《中国医药指南》 2021年第23期10-12,共3页 Guide of China Medicine
关键词 妊娠期高血压疾病 产前护理干预 分娩结局 心理状态 生活质量 Hypertension during pregnancy Prenatal care intervention Birth outcome Mental state The quality of life
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