孕期宣教对妊娠高血压综合征患者妊娠结局的影响  

Effect of Pregnancy Education on Pregnancy Outcome in Pregnancyinduced Hypertension Syndrome

作　　者：杨亚妹 陈冰 

机构地区：[1]福建省莆田市解放军第九五医院产科,福建莆田351100

出　　处：《中国卫生标准管理》2017年第26期146-149,共4页China Health Standard Management

摘　　要：目的观察孕期宣教对妊娠高血压综合征患者妊娠结局的影响。方法选取2015年1月—2016年5月我院收治的妊娠高血压综合征患者106例,随机分为观察组和对照组,各53例,两组均进行药物治疗,对照组采用常规产前检查,观察组在产前检查的同时采用孕期宣教进行干预。比较两组干预后血压控制情况及对疾病认知程度,统计两组妊娠结局。结果干预后两组收缩压和舒张压均较干预前下降,且观察组下降幅度较对照组更为显著(P<0.05)。与干预前相比,干预后观察组中对疾病认知和宣教知识执行优秀的患者数量增多,且多于对照组(P<0.05);良和差的患者数量降低(P<0.05)。观察组自然分娩率高于对照组,剖宫产率低于对照组(P<0.05);观察组新生儿Apgar评分0~3分的比例低于对照组,8~10分的比例高于对照组,早产儿发生率低于对照组(P<0.01)。结论在药物治疗的基础上联合孕期宣教可降低妊娠高血压综合征患者血压,提高患者对疾病的认知和执行度,并有效改善妊娠结局。Objective To observe the effect of prenatal education on pregnancy outcome in patients with pregnancy-induced hypertension syndrome. Methods 106 cases of patients with pregnancy-induced hypertension syndrome were enrolled in our hospital from January 2015 to May 2016, and randomly divided into observation group and control group, each group had 53 cases. The two groups were treated with drugs. The control group was treated with routine prenatal care, the observation group was treated with prenatal education at the same time. The control of blood pressure and the degree of cognition of disease were compared between the two groups after intervention, pregnancy outcome was recorded of the two groups. Results The systolic and diastolic blood pressure of the two groups were lower than those before intervention, and the decrease of the observation group was more significant than that of the control group （P 〈 0.05）. Compared with before intervention, the number of patients with excellent knowledge of disease cognition and mission significantly increased in the observation group, and higher than that of the control group （P 〈 0.05）, the number of patients with good and poor significantly decreased in the observation group （P 〈 0.05）. The rate of natural delivery was higher in the observation group than in the control group, the rate of cesarean section was significantly lower than that of the control group （P 〈 0.05）. The proportion of neonatal Apgar score of 0 - 3 points in the observation group was lower than that in the control group, the ratio of 8 - 10 points was higher than that of the control group, the incidence of premature infants was lower than that of the control group （P 〈 0.01）. Conclusion On the basis of drug therapy, prenatal education can significantly reduce blood pressure in patients with pregnancy-induced hypertension syndrome, improve the patient＇s awareness and implementation of the disease, and effectively improve the outcome of pregnancy.

关 键 词：妊娠高血压综合征 孕期宣教 妊娠结局 

分 类 号：R473[医药卫生—护理学]