个案管理模式对于妊娠合并慢性高血压患者的效果分析  

Effect of case management model for patients with pregnancy combined with chronic hypertension

作　　者：温洁红[1] 陈霖[1] 胡蕾[2] WEN Jie-hong;CHEN Lin;HU Lei(Department of Obstetrics,Maternal and Child Health of Jiangmen City,Jiangmen,Guangdong 529050,China;Women′s Health Department,The Second People′s Hospital of Jiangmen City,Jiangmen,Guangdong 529030,China)

机构地区：[1]江门市妇幼保健院产科,广东江门529050 [2]江门市第二人民医院妇女保健科,广东江门529030

出　　处：《岭南心血管病杂志》2021年第6期700-703,共4页South China Journal of Cardiovascular Diseases

摘　　要：目的讨论个案管理模式对于妊娠合并慢性高血压患者的效果,探讨更科学的妊娠合并慢性高血压患者的管理方法。方法将2019年1月至2020年12月在江门市妇幼保健院建卡产检及收治的140例妊娠合并慢性高血压患者按随机数字表法分为对照组与研究组,各70例。对照组70例患者按照传统的高危妊娠管理进行随访、治疗,研究组在对照组基础上,运用个案管理模式对妊娠期慢性高血压患者进行随访、治疗,比较两组患者的血压水平、焦虑量表变化、妊娠并发症。结果研究组患者干预后血压、焦虑量表分数降低明显低于对照组,差异有统计学意义(P<0.05)。研究组患者干预后并发症如子痫前期、胎盘早剥、羊水过少、新生儿窒息和胎儿生长受限发生率明显低于对照组,差异有统计学意义(18.57%vs.45.71%,P<0.05)。结论对妊娠合并慢性高血压患者进行个案管理、治疗,可降低患者的焦虑情绪,增强患者自我健康管理行为,促进血压控制更平稳,进一步降低慢性高血压合并妊娠患者发生子痫前期、羊水过少、胎盘早剥、新生儿窒息及胎儿生长受限等并发症风险,明显改善其妊娠结局。Objectives To discuss the effect of case management model on patients with chronic hypertension in preg⁃nancy consolidation,and to explore more scientific methods for managing patients with chronic hypertension in pregnancy.Methods Totally 140 patients in pregnancy with chronic hypertension were randomly divided into two groups:control group and study group,70 cases each.These patients were examined or admitted in Jiangmen Women′s and Children′s Health Hospital from January 2019 to December 2020.Patients in control group were treated and followed up with tradi⁃tional high-risk pregnancy management.Patients in study group were treated and followed up with case management model for chronic hypertension patients in pregnancy on the base treatment of control group.Blood pressure levels,anxi⁃ety scale changes and pregnancy complications between the two groups were compared.Results After intervention,blood pressure,blood pressure fluctuation range and anxiety scale score were significantly lower in study group than in control group(P<0.05).Complications such as pre-eclampsia,early placental peeling,low amniotic fluid,neonatal asphyxia and fetal growth restriction were significantly lower in study group than in control group(18.57%vs.45.71%,P<0.05).Conclusions Case management and treatment for patients in pregnancy with chronic hypertension can reduce anxiety,enhance patients′self-health management behavior,help stable blood pressure control,then furtherly,reduce the risk of complications such as pre-eclampsia,low amniotic fluid,early placental peeling,neonatal asphyxia and limited fetal growth,thus significantly improve the outcome of pregnancy.

关 键 词：高血压 个案管理模式 妊娠 

分 类 号：R544.1[医药卫生—心血管疾病]