临床护理路径用于妊娠期高血压子痫前期价值  

The Value of Clinical Nursing Pathway in Preeclampsia With Gestational Hypertension

作　　者：张鑫[1] 陈海英[1] 庄悦 ZHANG Xin;CHEN Haiying;ZHUANG Yue(Obstetrics Department, The First Affiliated Hospital of China Medical University, Shenyang Liaoning 110001, China)

机构地区：[1]中国医科大学附属第一医院产科

出　　处：《中国继续医学教育》2019年第15期183-186,共4页China Continuing Medical Education

基　　金：2018年辽宁省自然科学基金项目(20180530005)

摘　　要：目的探讨早期临床护理路径用于妊娠期高血压子痫前期护理的价值。方法选取2016年5月-2017年10月我院收治的120例妊娠期高血压子痫前期妊娠者作为研究对象。按照患者意愿分为对照组和试验组,每组各60例。对照组采用常规护理,试验组采用早期临床护理路径干预。比较两组的疾病不确定感、依从性、护理满意度、健康知识掌握程度、ICU停留时间、住院时间和并发症发生率。结果护理前,两组患者的疾病不确定感、依从性评分比较,差异无统计学意义(P>0.05);护理后,试验组各指标优于对照组,差异均具有统计学意义(P<0.05);试验组患者的护理满意度、健康知识掌握率、ICU停留时间、住院时间和并发症发生率优于对照组,差异均具有统计学意义(P<0.05)。结论早期临床护理路径用于妊娠期高血压子痫前期护理能够减少患者的疾病不确定感,提高依从性、健康知识掌握程度和护理满意度,减少并发症发生率,缩短康复时间。Objective To explore the value of early clinical nursing pathway in preeclampsia nursing of pregnancy induced hypertension. Methods 120 pregnant women with pregnancy-induced hypertension and preeclampsia admitted to our hospital from May 2016 to October 2017 were selected as the study subjects. According to patients’ wishes, they were divided into control group and experimental group, 60 cases in each group. The control group received routine nursing. The experimental group was treated with early clinical nursing pathway intervention. The uncertainty of disease,compliance, nursing satisfaction, mastery of health knowledge, ICU stay time, hospitalization time and incidence of complications were compared between the two groups. Results Before nursing, there was no significant difference in the scores of disease uncertainty and compliance between the two groups(P > 0.05). After nursing, each index of the experimental group was better than that of the control group, and the difference was statistically significant(P < 0.05). The nursing satisfaction, health knowledge mastery rate, ICU stay time, hospitalization time and complication rate of the experimental group were better than those of the control group, and the difference was statistically significant(P < 0.05). Conclusion Early clinical nursing pathway used in preeclampsia care of pregnancy induced hypertension can reduce the uncertainty of disease, improve compliance,health knowledge and nursing satisfaction, reduce the incidence of complications and shorten the recovery time.

关 键 词：妊娠期高血压 子痫前期 临床护理路径 价值 依从性 护理满意度 

分 类 号：R473[医药卫生—护理学]