摘要
目的探讨量化评估引导的流程式护理模式对妊娠高血压患者妊娠结局的影响。方法采用简单随机抽样法抽取2019年1月至2021年12月江苏省淮安市第一人民医院收治的妊娠高血压患者91例作为研究对象,通过随机数字表法将其分为两组,对照组(46例)实施常规护理,观察组(45例)在常规护理基础上实施量化评估引导的流程式护理模式。观察两组入组时(T_(0))、干预3周(T_(1))、分娩前(T_(2))血压水平和妊娠结局。结果不同时间、分组两组收缩压(SBP)和舒张压(DBP)水平不同,且时间、分组存在交互作用,差异均有统计学意义(P<0.05)。进一步两两比较,组内比较:两组T_(1)和T_(2)时SBP和DBP水平均低于T_(0)时,T_(2)时SBP和DBP水平均低于T_(1)时(P<0.05);组间比较;观察组T_(1)和T_(2)时SBP水平均低于对照组,T_(2)时DBP水平低于对照组(P<0.05)。观察组早产发生率低于对照组(P<0.05)。结论量化评估引导的流程式护理模式有助于妊娠期高血压患者血压水平控制及妊娠结局的改善。
Objective To investigate the influence of quantitative assessment-guided flow nursing model on pregnancy outcomes in patients with gestational hypertension.Methods A total of 91 patients with pregnancy-induced hypertension admitted to Huaian First People’s Hospital,Jiangsu Province from January 2019 to December 2021 were selected by simple random sampling method as subjects.The patients were divided into two groups by random number table method.The control group(46 cases)received routine nursing,and the observation group(45 cases)received quantitative evaluation guided flow nursing mode based on routine nursing.At the time of enrollment(T_(0)),three weeks after intervention(T_(1)),before delivery(T_(2)),the blood pressure levels and pregnancy outcomes of the two groups were observed.Results Systolic blood pressure(SBP)and diastolic blood pressure(DBP)levels were different between the two groups at different time and groups,and there was an interaction between time and group,with statistical significances(P<0.05).Further pairwise comparison,intra-group comparison:SBP and DBP levels in T_(1)and T_(2)were lower than those in T_(0),and SBP and DBP levels in T_(2)were lower than those in T_(1)(P<0.05);comparison between groups:SBP level at T_(1)and T_(2)in observation group was lower than that in control group,DBP level at T_(2) was lower than that in control group(P<0.05).The incidence of preterm birth in observation group was lower than that in control group(P<0.05).Conclusion Quantitative assessment-guided flow nursing model can help control blood pressure levels and improve pregnancy outcomes in patients with gestational hypertension.
作者
郑琦
吴晓青
王波
蒋春怡
ZHENG QiWU Xiaoqing;WANG Bo;JIANG Chunyi(Department of Obstetrics,Huaian First People’s Hospital,Jiangsu Province,Huaian223300,China)
出处
《中国医药导报》
CAS
2022年第36期174-177,共4页
China Medical Herald
基金
江苏省妇幼保健协会科研项目(FYX2021112)。
关键词
妊娠高血压
量化评估
流程式护理模式
妊娠结局
Gestational hypertension
Quantitative assessment
Guided flow nursing mode
Pregnancy outcomes
作者简介
通讯作者:蒋春怡。
