[1]车 莹,杨 丽,孙 昊.前瞻性护理对妊娠高血压轻度子痫前期患者血压及自我管理能力的影响[J].医学信息,2022,35(02):190-192.[doi:10.3969/j.issn.1006-1959.2022.02.051]
 CHE Ying,YANG Li,SUN Hao.Effect of Prospective Nursing on Blood Pressure and Self-management Ability of Patientswith Mild Preeclampsia of Pregnancy-induced Hypertension[J].Medical Information,2022,35(02):190-192.[doi:10.3969/j.issn.1006-1959.2022.02.051]
点击复制

前瞻性护理对妊娠高血压轻度子痫前期患者血压及自我管理能力的影响()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年02期
页码:
190-192
栏目:
护理研究
出版日期:
2022-01-15

文章信息/Info

Title:
Effect of Prospective Nursing on Blood Pressure and Self-management Ability of Patientswith Mild Preeclampsia of Pregnancy-induced Hypertension
文章编号:
1006-1959(2022)02-0190-03
作者:
车 莹杨 丽孙 昊
天津市滨海新区海滨人民医院感染管理部,天津 300280
Author(s):
CHE YingYANG LiSUN Hao
Department of Infection Management,Haibin People’s Hospital of Binhai New Area,Tianjin 300280,China
关键词:
妊娠高血压子痫前期前瞻性护理血压水平自我管理能力
Keywords:
Pregnancy hypertensionPreeclampsiaProspective nursingBlood pressure levelSelf-management ability
分类号:
R473.71
DOI:
10.3969/j.issn.1006-1959.2022.02.051
文献标志码:
A
摘要:
目的 观察前瞻性护理对妊娠高血压合并轻度子痫前期(MPE)患者血压,以及自我管理能力的影响。方法 选取2018年1月-2021年1月我院产科收治的50例妊高症并MPE患者,通过随机数余数分组法分为对照组与观察组,各25例。对照组采用常规护理,观察组实施前瞻性护理,比较两组孕妇干预前后的血压水平、24h尿蛋白定量、自我管理能力、并发症情况及围产结局。结果 两组收缩压、舒张压水平均低于干预前,且观察组低于对照组(P<0.05);两组24h蛋白尿定量均低于干预前,且观察组低于对照组(P<0.05);两组自我管理能力评分均高于干预前,且观察组高于对照组(P<0.05);观察组并发症总发生率为4.00%,低于对照组的12.00%(P<0.05);观察组经阴道分娩率为80.00%,高于对照组的56.00%;剖宫产率为20.00%,低于对照组的40.00%(P<0.05)。结论 前瞻性护理在妊高症并MPE患者中的应用效果确切,有助于降低血压及蛋白尿定量水平,提高其自我管理能力,降低并发症风险,改善围产结局。
Abstract:
Objective To study the influence of prospective nursing on blood pressure and self-management ability of patients with gestational hypertension complicated with mild preeclampsia (MPE).Methods A total of 50 patients with pregnancy induced hypertension complicated with MPE admitted to our hospital from January 2018 to January 2021 were randomly divided into control group and observation group, with 25 cases in each group. The control group was given routine nursing, while the observation group was given prospective nursing. The blood pressure level, 24-hour urinary protein quantification, self-management ability, complications and perinatal outcomes were compared between the two groups before and after intervention.Results The systolic and diastolic blood pressure levels of the two groups were lower than those before intervention, and the observation group was lower than the control group (P<0.05). The 24-hour proteinuria of the two groups was lower than that before intervention, and the observation group was lower than the control group(P<0.05). The self-management ability scores of the two groups were higher than those before intervention, and the observation group was higher than the control group(P<0.05). The total incidence of complications in the observation group was 4.00%, which was lower than 12.00% in the control group(P<0.05). The vaginal delivery rate of the observation group was 80.00%, which was higher than 56.00% of the control group ; the cesarean section rate was 20.00%, which was lower than 40.00% in the control group(P<0.05).Conclusion Prospective nursing has a definite intervention effect in patients with preeclampsia and MPE, which helps to reduce the blood pressure and proteinuria quantitative level, improve their self-management ability, reduce the risk of complications, and improve perinatal outcomes.

参考文献/References:

[1]李卫,岳晓静,鲁之中,等.妊娠高血压患者子痫前期发病的危险因素分析[J].实验与检验医学,2018,36(3):403-405.[2]朱君花,雷侠.高风险子痫前期孕妇妊娠期高血压疾病影响因素的临床研究[J].中国实验诊断学,2017,21(2):250-253.[3]陈鹏,史琳,杨红梅,等.妊娠期高血压、子痫前期及子痫与孕前和孕期体质量及其他因素的相关性研究[J].实用妇产科杂志,2017,33(11):848-852.[4]许宝莹,朱剑兰,黄敏燕,等.全程护理干预对妊娠高血压轻度子痫前期患者血压和尿蛋白的影响[J].中外医学研究,2019,17(31):73-75.[5]苏梅凤,邱小莲,洪素夜.前瞻性助产护理对初产妇分娩方式及不良妊娠结局的影响[J].基层医学论坛,2020,24(33):4763-4765.[6]中华医学会妇产科学分会妊娠期高血压疾病学组.妊娠期高血压疾病诊治指南(2020)[J].中华妇产科杂志,2020,55(4):227-238.[7]王娜娜,何晓娟.基于早期预警评分护理在子痫前期患者中的应用[J].齐鲁护理杂志,2019,25(24):56-58.[8]陈敏利.系统护理对子痫前期患者心理应激反应及妊娠结局的治疗及预防作用[J].河北医药,2016,38(1):148-150.[9]王润梅,杨秋红,张芳,等.子痫前期患者远期预后及其后代发病风险的评估[J].山东大学学报(医学版),2017,55(12):31-35.[10]Banoo S,Makhdoomi TA,Mir S,et al.Incidence of Help syndrome in severe Pregnancy Induced Hypertension and its impact on maternal and fetal outcome[J].JK-Practitioner,2017,14(3):443-450.[11]谢小青.循证护理在预防早发型重度子痫前期患者不良妊娠结局中的应用[J].护理实践与研究,2017,14(7):1-4.[12]庞兴玲.早期护理措施对妊娠高血压轻度子痫前期患者的影响[J].吉林医学,2016,37(4):1003-1004.[13]王琳.产前护理干预对妊娠期高血压患者分娩结局、心理及生活质量的影响研究[J].心血管病防治知识,2020,10(35):88-90.[14]吴素蓉.优质护理在预防妊娠期高血压疾病产妇产后出血护理中的应用价值评价[J].中外医学研究,2019,17(5):107-108.[15]康秀花,蔺继霞,曹金凤.血压强化护理对妊娠高血压综合征患者的影响[J].齐鲁护理杂志,2021,27(13):58-61.[16]李玉霞,柯鑫,纪泽虹.早期护理干预对妊娠高血压轻度子痫前期患者血压与24h尿蛋白的影响[J].护理实践与研究,2017,14(9):73-74.[17]朱宏,孟涛,刘培燕.预见性护理对早发型重度子痫前期患者母婴结局及生存质量的影响[J].中国医药导报,2017,14(16):159-162.[18]符小英,余琪琪,陈文娟.靶向前瞻护理在妊娠高血压轻度子痫前期患者中的应用[J].中国临床护理,2020,12(5):419-421.

相似文献/References:

[1]宇英久,刘 杰.阿司匹林联合硫酸镁治疗妊娠高血压的疗效观察[J].医学信息,2018,31(06):133.[doi:10.3969/j.issn.1006-1959.2018.06.045]
 YU Ying-jiu,LIU Jie.Clinical Observation of Aspirin Combined with Magnesium Sulfate in the Treatment of Pregnancy-induced Hypertension[J].Medical Information,2018,31(02):133.[doi:10.3969/j.issn.1006-1959.2018.06.045]
[2]李仲均,黄丽姗,曾带娣,等.孕妇血清维生素A、维生素E、25-羟基维生素D与 子痫前期的相关性研究[J].医学信息,2019,32(11):63.[doi:10.3969/j.issn.1006-1959.2019.11.018]
 LI Zhong-jun,HUANG Li-shan,ZENG Dai-di,et al.Correlation between Serum Vitamin A,Vitamin E,25-hydroxyvitamin D and Pre-eclampsia in Pregnant Women[J].Medical Information,2019,32(02):63.[doi:10.3969/j.issn.1006-1959.2019.11.018]
[3]尤 鑫,崔洪艳.PDGF与子痫前期相关性的研究进展[J].医学信息,2019,32(17):53.[doi:10.3969/j.issn.1006-1959.2019.17.017]
 YOU Xin,CUI Hong-yan.Advances in Research on the Relationship between PDGF and Preeclampsia[J].Medical Information,2019,32(02):53.[doi:10.3969/j.issn.1006-1959.2019.17.017]
[4]王莎莎.孕期膳食指导改善血脂代谢预防妊娠期糖尿病与 妊娠高血压疾病的研究[J].医学信息,2019,32(18):89.[doi:10.3969/j.issn.1006-1959.2019.18.028]
 WANG Sha-sha.Dietary Guidance during Pregnancy Improves Blood Lipid Metabolism to Prevent Gestational Diabetes Mellitus and Pregnancy-induced Hypertension[J].Medical Information,2019,32(02):89.[doi:10.3969/j.issn.1006-1959.2019.18.028]
[5]蒋峰丽,马亚楠,乌 丽.胎盘生长因子在子痫前期早期诊断中的临床价值[J].医学信息,2019,32(16):160.[doi:10.3969/j.issn.1006-1959.2019.16.054]
 JIANG Feng-li,MA Ya-nan,WU Li.Clinical Value of Placental Growth Factor in Early Diagnosis of Preeclampsia[J].Medical Information,2019,32(02):160.[doi:10.3969/j.issn.1006-1959.2019.16.054]
[6]张 薇,王建梅.妊娠高血压患者NT-proBNP、sRAGE与心功能的关系[J].医学信息,2019,32(24):69.[doi:10.3969/j.issn.1006-1959.2019.24.022]
 ZHANG Wei,WANG Jian-mei.Relationship Between NT-proBNP,sRAGE and Cardiac Function in Patients with Pregnancy-induced Hypertension[J].Medical Information,2019,32(02):69.[doi:10.3969/j.issn.1006-1959.2019.24.022]
[7]霍春霞,谢 玲,张爱萍.早期干预治疗对早期筛查阳性子痫前期孕妇妊娠结局的影响[J].医学信息,2023,36(19):134.[doi:10.3969/j.issn.1006-1959.2023.19.029]
 HUO Chun-xia,XIE Ling,ZHANG Ai-ping.Effect of Early Intervention on Pregnancy Outcome of Pregnant Women with Early Screening Positive Preeclampsia[J].Medical Information,2023,36(02):134.[doi:10.3969/j.issn.1006-1959.2023.19.029]
[8]史爱红,刘爱玲,封 玲,等.凝血功能指标对不同类型子痫前期的诊断价值[J].医学信息,2020,33(21):90.[doi:10.3969/j.issn.1006-1959.2020.21.026]
 SHI Ai-hong,LIU Ai-ling,FENG Ling,et al.The Diagnostic Value of Coagulation Function Indexes for Different Types of Preeclampsia[J].Medical Information,2020,33(02):90.[doi:10.3969/j.issn.1006-1959.2020.21.026]
[9]王金凤,王克涛.红细胞压积、血清纤维蛋白原、D-二聚体及尿白蛋白/尿肌酐比值在子痫前期诊断中的价值[J].医学信息,2020,33(20):156.[doi:10.3969/j.issn.1006-1959.2020.20.049]
 WANG Jin-feng,WANG Ke-tao.The Value of Hematocrit,Serum Fibrinogen,D-dimer and Urine Albumin/Urinary Creatinine Ratio in the Diagnosis of Preeclampsia[J].Medical Information,2020,33(02):156.[doi:10.3969/j.issn.1006-1959.2020.20.049]
[10]杨双燕,杨琦芳,李银凤.子痫前期病因及发病机制的研究[J].医学信息,2021,34(04):52.[doi:10.3969/j.issn.1006-1959.2021.04.014]
 YANG Shuang-yan,YANG Qi-fang,LI Yin-feng.Study on the Etiology and Pathogenesis of Preeclampsia[J].Medical Information,2021,34(02):52.[doi:10.3969/j.issn.1006-1959.2021.04.014]

更新日期/Last Update: 1900-01-01