摘要
目的观察前瞻性护理对妊娠高血压合并轻度子痫前期(MPE)患者血压,以及自我管理能力的影响。方法选取2018年1月-2021年1月我院产科收治的50例妊高症并MPE患者,通过随机数余数分组法分为对照组与观察组,各25例。对照组采用常规护理,观察组实施前瞻性护理,比较两组孕妇干预前后的血压水平、24h尿蛋白定量、自我管理能力、并发症情况及围产结局。结果两组收缩压、舒张压水平均低于干预前,且观察组低于对照组(P<0.05);两组24h蛋白尿定量均低于干预前,且观察组低于对照组(P<0.05);两组自我管理能力评分均高于干预前,且观察组高于对照组(P<0.05);观察组并发症总发生率为4.00%,低于对照组的12.00%(P<0.05);观察组经阴道分娩率为80.00%,高于对照组的56.00%;剖宫产率为20.00%,低于对照组的40.00%(P<0.05)。结论前瞻性护理在妊高症并MPE患者中的应用效果确切,有助于降低血压及蛋白尿定量水平,提高其自我管理能力,降低并发症风险,改善围产结局。
Objective To study the influence of prospective nursing on blood pressure and self-management ability of patients with gestational hypertension complicated with mild preeclampsia(MPE).Methods A total of 50 patients with pregnancy induced hypertension complicated with MPE admitted to our hospital from January 2018 to January 2021 were randomly divided into control group and observation group,with 25 cases in each group.The control group was given routine nursing,while the observation group was given prospective nursing.The blood pressure level,24-hour urinary protein quantification,self-management ability,complications and perinatal outcomes were compared between the two groups before and after intervention.Results The systolic and diastolic blood pressure levels of the two groups were lower than those before intervention,and the observation group was lower than the control group(P<0.05).The 24-hour proteinuria of the two groups was lower than that before intervention,and the observation group was lower than the control group(P<0.05).The self-management ability scores of the two groups were higher than those before intervention,and the observation group was higher than the control group(P<0.05).The total incidence of complications in the observation group was4.00%,which was lower than 12.00%in the control group(P<0.05).The vaginal delivery rate of the observation group was 80.00%,which was higher than 56.00%of the control group;the cesarean section rate was 20.00%,which was lower than 40.00%in the control group(P<0.05).Conclusion Prospective nursing has a definite intervention effect in patients with preeclampsia and MPE,which helps to reduce the blood pressure and proteinuria quantitative level,improve their self-management ability,reduce the risk of complications,and improve perinatal outcomes.
作者
车莹
杨丽
孙昊
CHE Ying;YANG Li;SUN Hao(Department of Infection Management,Haibin People's Hospital of Binhai New Area,Tianjin 300280,China)
出处
《医学信息》
2022年第2期190-192,共3页
Journal of Medical Information
关键词
妊娠高血压
子痫前期
前瞻性护理
血压水平
自我管理能力
Pregnancy hypertension
Preeclampsia
Prospective nursing
Blood pressure level
Self-management ability
