综合护理干预对妊娠期高血压患者母婴结局的影响

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摘要目的观察综合护理干预对妊娠期高血压患者母婴结局的影响。方法将2019年5月—2020年12月本院产科病房收治的160例妊娠期高血压孕妇作为研究对象,采用随机数字表法分为干预组和对照组,每组各80例。对照组给予常规护理,干预组给予综合护理干预,比较两组母体及新生儿不良结局的发生情况。结果干预组母体胎盘早剥、子痫前期及子痫、脏器功能损害的发生率分别为1.25%、15.0%、5.0%,均比对照组(8.75%、31.25%、15.0%)低,两者差异均有统计学意义(χ2=4.737、5.942、4.444,P<0.05);干预组胎儿生长受限、宫内窘迫、早产、新生儿窒息的发生率分别为5.0%、2.50%、10.0%、1.25%,均比对照组(21.25%、11.25%、31.25%、8.75%)低,两者差异均有统计学意义(χ2=9.263、4.783、11.033、4.737,P<0.05)。结论综合护理干预可有效降低孕妇发生妊娠期高血压相关疾病的概率,对改善母婴结局具有积极作用。　

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	陈明珠
	宋晴
	姚慧

关键词 ：妊娠期高血压, 综合护理干预, 母婴结局

Abstract：Objective To evaluate the effect of comprehensive nursing intervention on maternal and infant outcomes of patients with gestational hypertension. Methods From May 2019 to December 2020, 160 pregnant women with gestational hypertension in our hospital obstetric ward were randomly divided into an intervention group (80 cases) and a control group (80 cases). The control group was given routine nursing, and the intervention group was given comprehensive nursing intervention. The incidence of maternal adverse outcomes and neonatal adverse outcomes in the two groups were compared. Results The incidences of maternal placental abruption, pre-eclampsia and eclampsia, and organ function damage in the intervention group were 1.25%, 15.0%, and 5.0% respectively, which were lower than those in the control group (8.75%, 31.25%, and 15.0%), and the differences were statistically significant (χ2=4.737, 5.942 and 4.444, P<0.05); the incidence of fetal growth restriction, intrauterine distress, preterm birth and neonatal asphyxia in the intervention group were 5.0%, 2.50%, 10.0%, and 1.25% respectively, which were lower than those in the control group (21.25%, 11.25%, 31.25%, and 8.75%), and the differences were statistically significant (χ2=9.263, 4.783, 11.033 and 4.737, P<0.05). Conclusion Comprehensive nursing intervention can effectively reduce the probability of pregnancy-induced hypertension-related diseases in pregnant women, and has a positive effect on improving maternal and infant outcomes.

Key words： gestational hypertension comprehensive nursing intervention maternal and infant outcomes

收稿日期: 2021-02-23

ZTFLH:

R711.75

作者简介: 陈明珠(1976-),女,江苏无锡人,副主任护师,本科学历,研究方向为妊娠期高血压的护理。

引用本文:

陈明珠,宋晴,姚慧. 综合护理干预对妊娠期高血压患者母婴结局的影响[J]. 中国校医, 2022, 36(7): 544-546.
CHEN Ming-zhu, SONG Qing, YAO Hui. Effect of comprehensive nursing intervention on maternal and infant outcomes of patients with gestational hypertension. Chinese Journal of School Doctor, 2022, 36(7): 544-546.

链接本文:

https://www.zgxyzz.org.cn/CN/ 或 https://www.zgxyzz.org.cn/CN/Y2022/V36/I7/544

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