多学科联合模式对妊娠期高血压孕妇的管理效果研究  

Study on effect of multidisciplinary cooperation mode in management of pregnant women with gestational hypertension

作　　者：赵小艳[1] 曹松梅[2] 夏青[3] 戴爱华[3] ZHAO Xiaoyan;CAO Songmei;XIA Qing;DAI Aihua(Department of Cardiology,Affiliated Hospital of Jiangsu University,Zhenjiang,Jiangsu 212000,China;Department of Nursing,Affiliated Hospital of Jiangsu University,Zhenjiang,Jiangsu 212000,China;Department of Obstetrics,Affiliated Hospital of Jiangsu University,Zhenjiang,Jiangsu 212000,China)

机构地区：[1]江苏大学附属医院心内科,江苏镇江212000 [2]江苏大学附属医院护理部,江苏镇江212000 [3]江苏大学附属医院产科,江苏镇江212000

出　　处：《重庆医学》2020年第21期3604-3608,共5页Chongqing medicine

基　　金：江苏省镇江市社会发展重点项目(SH2017030)。

摘　　要：目的探讨多学科联合模式在妊娠期高血压(GH)孕妇管理中的应用效果。方法将该院2018年2月至8月收治的50例GH孕妇设为对照组,接受常规护理;2018年9月至2019年3月收治的50例GH孕妇设为干预组,实施多学科联合干预模式。比较两组孕妇血压变化情况、自我管理行为得分、妊娠并发症及分娩结局的发生情况。结果干预组收缩压、舒张压下降幅度及血压达标率均明显高于对照组(-9.10±7.38 vs.-5.65±6.81、-7.77±6.42 vs.-4.71±7.17、78.72%vs.56.25%,P<0.05);干预组高血压自我管理行为量表总分及各维度得分均高于对照组(P<0.05);干预组产后出血发生例数低于对照组(P<0.05)。结论多学科联合干预模式可有效提高GH孕妇的血压达标率和自我管理行为,并改善临床结局。Objective To explore the application effect of multidisciplinary cooperation mode in the management of pregnant women with gestational hypertension(GH).Methods Fifty pregnant women with GH admitted and treated in this hospital from February 2018 to August 2018 were set as the control group and received the routine nursing;fifty pregnant women with GH from September 2018 to March 2019 were set as the intervention group and complemented the multidisciplinary cooperation intervention mode.The change situation of blood pressure,self-management scores,pregnancy complications and pregnancy outcomes were compared between the two groups.Results The decreasing range of systolic and diastolic blood pressures and rate of blood pressure reaching the standard in the intervention group were significantly higher than those in the control group(-9.10±7.38 vs.-5.65±6.81,-7.77±6.42 vs.-4.71±7.17,78.72%vs.56.25%,P<0.05);the total score and dimensional scores of the hypertension self-management behavior scale in the intervention group were higher than those in the control group,and the differences were statistically significant(P<0.05).The case number of postpartum hemorrhage in the study group were lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion The multidisciplinary cooperation intervention mode can effectively improve the blood pressure reaching standard rate and self-management behaviors,and improve the clinical outcome in pregnant women with GH.

关 键 词：多学科联合 干预 高血压 妊娠性 自我管理行为 血压达标率 

分 类 号：R473.71[医药卫生—护理学]