基于导入式健康教育模式的妊娠高血压患者精细化护理策略的构建及应用效果  

Construction and application effect of a refined nursing strategy for patients with gestational hypertension based on imported health education mode

作　　者：康宁 刘建建 高月 宋新荣 胡露露 KANG Ning;LIU Jianjian;GAO Yue;SONG Xinrong;HU Lulu(Qilu Hospital of Shandong University,Jinan,Shandong,250000,China)

机构地区：[1]山东大学齐鲁医院,山东济南250000

出　　处：《中西医结合护理(中英文)》2025年第1期5-8,共4页Journal of Clinical Nursing in Practice

摘　　要：目的在导入式健康教育模式的基础上构建妊娠高血压患者精细化护理策略,并探讨其应用效果。方法选择2021年1月至2023年1月山东大学齐鲁医院收治的100例妊娠高血压患者,根据随机数字表法将其分为2组,各50例。其中对照组给予常规护理及导入式健康教育模式,观察组在对照组的基础上构建精细化护理策略进行干预。比较2组患者的舒张压(DBP)、收缩压(SBP)、心理状态[汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评分]、生活质量[生活质量综合评定问卷(GQOLI-74)评分]及不良妊娠结局。结果产前1 d、产后3 d和产后6周,观察组的DBP和SBP水平均明显低于同期对照组(P均<0.05),且与干预前比较均更低(P均<0.05)。干预4周后和产后6周,观察组的HAMD及HAMA得分均明显低于同期对照组,GQOLI-74得分均明显高于同期对照组(P均<0.05),且2组均优于干预前(P均<0.05)。观察组产后出血、胎儿窘迫及子痫的发生率均低于对照组(P均<0.05)。结论对妊娠高血压患者在导入式健康教育模式的基础上构建精细化护理策略进行干预,可缓解其不良情绪,改善其血压水平和生活质量,减少不良妊娠结局。Objective To construct a refined nursing strategy for patients with gestational hypertension based on the imported health education mode,and to explore its application effects.Methods A total of 100 patients with gestational hypertension admitted to Qilu Hospital of Shandong University from January 2021 to January 2023 were selected and divided into two groups using a random number table method,with 50 cases in each group.The control group received routine care and an imported health education mode,while the observation group constructed a refined nursing strategy for intervention based on the control group.The diastolic blood pressure(DBP),systolic blood pressure(SBP),psychological status[Hamilton Depression Rating Scale(HAMD)score,Hamilton Anxiety Rating Scale(HAMA)score],Quality of Life[Generic Quality of Life Inventory-74(GQOLI-74)],and adverse pregnancy outcomes were compared between the two groups.Results On the day before delivery,three days after delivery,and six weeks after delivery,the DBP and SBP levels in the observation group were significantly lower than those in the control group during the same period(all P<0.05),and were lower compared to before intervention(all P<0.05).After 4 weeks of intervention and 6 weeks after delivery,the HAMD and HAMA scores of the observation group were significantly lower than those of the control group during the same period.The GQOLI-74 scores in the observation group were significantly higher than those in the control group during the same period(all P<0.05),and the scores of both groups were better than before intervention(all P<0.05).The incidence of postpartum hemorrhage,fetal distress,and eclampsia in the observation group was lower than that in the control group(all P<0.05).Conclusion Based on the imported health education mode, constructing a refined nursing strategy for intervention in patients with gestationalhypertension can alleviate their negative emotions, improve their blood pressure levels and quality oflife, and reduce the occurrence of adverse pregna

关 键 词：妊娠高血压 导入式健康教育模式 精细化护理策略 不良妊娠结局 

分 类 号：R473.71[医药卫生—护理学]