基于预见性护理的临床护理路径对妊娠期高血压疾病患者的影响  

Effect of Clinical Nursing Pathway Based on Predictive Care on Patients with Hypertensive Disorders of Pregnancy

作　　者：陈玲 卢凌香 CHEN Ling;LU Lingxiang(Yangzhou Maternal and Child Health Hospital,Yangzhou 225002,China)

机构地区：[1]扬州市妇幼保健院,江苏扬州225002

出　　处：《中外医学研究》2023年第31期87-90,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨基于预见性护理的临床护理路径对妊娠期高血压疾病患者的影响。方法:选取2021年2月—2023年2月扬州市妇幼保健院收治的100例妊娠期高血压疾病患者作为研究对象,按照1∶1的比例将其随机分为对照组与观察组,各50例。对照组采用常规护理干预,观察组采用基于预见性护理的临床护理路径,比较两组护理前后血压水平[收缩压(SBP)、舒张压(DBP)]、心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、胎儿不良结局及产妇并发症发生情况。结果:两组护理前SBP、DBP、SAS评分、SDS评分比较,差异无统计学意义(P>0.05);观察组护理后SBP、DBP、SAS评分、SDS评分低于对照组,差异有统计学意义(P<0.05)。观察组胎儿不良结局发生率、产妇并发症发生率显著低于对照组,差异有统计学意义(P<0.05)。结论:基于预见性护理的临床护理路径为妊娠期高血压疾病患者提供了有效的护理策略,不仅有助于改善血压水平和心理状态,还可减少胎儿不良结局和降低产妇并发症风险。Objective:To explore the effect of the clinical nursing pathway based on predictive care on patients with hypertensive disorders of pregnancy.Method:A total of 100 patients with hypertensive disorder of pregnancy admitted to Yangzhou Maternal and Child Health Hospital from February 2021 to February 2023 were selected as the research objects,They were randomly divided into the control group and the observation group according to the ratio of 1∶1,with 50 cases in each group.The control group was given conventional nursing interventions,while the observation group was given the clinical nursing pathway based on predictive care.The blood pressure levels[systolic blood pressure(SBP),diastolic blood pressure(DBP)],psychological status[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]before and after nursing,fetal adverse outcomes and maternal complications were compared between two groups.Result:There were no significant difference in SBP,DBP,SAS score and SDS score between two groups before nursing(P>0.05);the SBP,DBP,SAS score and SDS score in the observation group after nursing were lower than those in the control group,the differences were statistically significant(P<0.05).The incidence of fetal adverse outcomes and maternal complications in the observation group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:The clinical nursing pathway based on predictive care provides an effective nursing strategy for pregnant women with hypertensive disorder of pregnancy,it not only helps to improve blood pressure levels and psychological status,but also reduces adverse fetal outcomes and reduces the risk of maternal complications.

关 键 词：基于预见性护理的临床护理路径 妊娠期高血压疾病 血压控制 心理状态 妊娠结局 

分 类 号：R473.71[医药卫生—护理学]