风险管理应用于妊娠期高血压患者血压控制及妊娠结果的影响  

Risk management applied to blood pressure control and its influence on pregnancy outcome in patients with hypertensive disorder complicating pregnancy

作　　者：唐在君 丁宁[1] TANG Zai-jun(Obstetrical department,hospital for gynaecology and obstetrics affiliated to Nanjing Medical University(Nanjing Maternal and Child Health Hospital),Nanjing,Jiangsu,210000,China)

机构地区：[1]南京医科大学附属妇产医院(南京市妇幼保健院)产科,江苏南京210000

出　　处：《齐齐哈尔医学院学报》2020年第14期1825-1828,共4页Journal of Qiqihar Medical University

基　　金：南京医科大学科技发展基金(2017NJMUZD100)。

摘　　要：目的探究护理风险管理对妊娠期高血压患者血压控制及妊娠结果的影响。方法选择2016年9月—2018年9月本院收治的106例妊娠期高血压患者作为研究对象,随机数表法分为实验组和对照组两组,每组各53例。对照组患者采用常规护理方案,实验组患者采用护理风险管理方案。记录两组护理前后血压的变化情况,统计两组妊娠结局及护理质量满意度。结果干预前两组血压比较无统计学意义(P>0.05),干预后较干预前比较均具有显著性差异(P<0.05),与同期对照组比较,实验组降低更明显,比较存在显著性差异(P<0.05);实验组阴道分娩率明显高于对照组且产后出血、羊水异常、胎膜早破、胎儿宫内窘迫发生率均明显低于对照组,差异均具有统计学意义(P<0.05);实验组护理满意率显著高于对照组(P<0.05)。结论实施护理风险管理可有效降低妊娠期高血压患者血压水平,改善母婴妊娠结果,提高护理质量满意度。Objective To explore the effect of nursing risk management on blood pressure control and pregnancy outcome in patients with gestational hypertension.Methods 106 patients with gestational hypertension those who were hospitalized and delivered in our hospital from September 2016 to September 2018 were selected as study subjects.They were divided into experimental group and control group by random number table method,53 cases each.Patients in the control group were treated with routine nursing plan,while patients in the experimental group were treated with nursing risk management plan.Blood pressure changes before and after nursing were recorded in the two groups,and pregnancy outcomes and nursing quality satisfaction in the two groups were counted.Results There was no significant difference in blood pressure between the two groups before intervention(P>0.05),but there were significant difference after intervention(P<0.05),the decrease of blood pressure in intervention group was more obviously than the control group(P<0.05).The rate of vaginal delivery in the experimental group was significantly higher than that in the control group,and the incidence of postpartum hemorrhage,amniotic fluid abnormalities,premature rupture of membranes,and fetal distress were significantly lower than that in the control group,with statistically significant differences(P<0.05).The satisfaction rate on nursing in the experimental group was significantly higher than that of the control group(P<0.05).Conclusions The implementation of nursing risk management could effectively reduce the blood pressure of patients with gestational hypertension,improve maternal and infant pregnancy results,and improve nursing quality satisfaction.

关 键 词：护理风险管理 妊娠期高血压 血压 妊娠结果 护理满意度 

分 类 号：R473.71[医药卫生—护理学]