全方位针对性护理干预在妊娠期高血压产妇中的应用效果

doi:10.3760/cma.j.cn441417-20250312-16030

摘要/Abstract

摘要：

目的　分析全方位针对性护理干预在妊娠期高血压（HIP）产妇中的应用效果。方法　选取2022年11月至2024年10月联勤保障部队第九八八医院收治的105例HIP产妇进行随机对照试验。采用随机数字表法将其分为对照组（53例）和观察组（52例）。对照组年龄21～38（27.60±1.37）岁，采用常规护理干预。观察组年龄21～39（28.09±1.45）岁，采用全方位针对性护理干预。比较两组不良妊娠结局、血压、自护能力［自我护理能力测定表（ESCA）］、心理状态［焦虑自评量表（SAS）、抑郁自评量表（SDS）］、用药依从性［Morisky服药依从性量表（MMAS-8）］。采用独立样本t检验、χ²检验进行统计分析。结果　干预后，观察组不良妊娠结局发生率低于对照组［5.77%（3/52）比18.87%（10/53）；χ²=4.151，P<0.05］。干预后，观察组收缩压、舒张压均低于对照组［（119.46±1.48）mmHg（1 mmHg=0.133 kPa）比（126.31±2.01）mmHg、（75.16±1.24）mmHg比（81.48±1.85）mmHg］，ESCA各维度得分均高于对照组［（25.19±1.49）分比（18.23±1.32）分、（20.05±1.38）分比（14.81±1.02）分、（38.61±2.21）分比（29.52±1.91）分、（53.18±4.65）分比（46.27±4.19）分］（均P<0.05）。干预后，观察组SAS、SDS评分均低于对照组［（40.32±1.15）分比（47.54±1.72）分、（43.15±1.48）分比（49.27±2.10）分］，MMAS-8评分高于对照组［（7.13±0.40）分比（6.03±0.36）分］（均P<0.05）。结论　全方位针对性护理干预应用于HIP患者能缓解其不良心理状态，提高患者用药依从性和自护能力，降低血压，改善妊娠结局。

关键词:

妊娠期高血压, 全方位针对性护理, 心理状态, 依从性

Abstract:

Objective　To analyze the effect of comprehensive targeted nursing intervention for women with hypertension in pregnancy (HIP). Methods　A total of 105 women with HIP treated at 988 Hospital of Joint Logistic Support Force from November 2022 to October 2024 were selected for the randomized controlled trial, and were divided into a control group (53 cases) and an observation group (52 cases) by the random number table method. The control group were 21-38 (27.60±1.37) years old, and received routine nursing interventions. The observation group were 21-39 (28.09±1.45) years old, and received comprehensive targeted nursing interventions. The adverse pregnancy outcomes, blood pressures, self-care ability [Exercise of Self-care Agency Scale (ESCA)], psychological status [Self‐rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS)], and medication adherence [Morisky Medication Adherence Scale-8 Items (MMAS-8)] were compared between the two groups. Statistical analyses were performed using independent samples t test and χ² test. Results　The incidence rate of adverse pregnancy outcomes in the observation group after the intervention was lower than that in the control group [5.77% (3/52) vs. 18.87% (10/53); χ²=4.151; P<0.05]. After the intervention, the systolic and diastolic blood pressures in the observation group were lower than those in the control group [(119.46±1.48) mmHg (1 mmHg=0.133 kPa) vs. (126.31±2.01) mmHg, (75.16±1.24) mmHg vs. (81.48±1.85) mmHg], and the ESCA scores in various dimensions were higher (25.19±1.49 vs. 18.23±1.32, 20.05±1.38 vs. 14.81±1.02, 38.61±2.21 vs. 29.52±1.91, and 53.18±4.65 vs. 46.27±4.19) (all P<0.05). After the intervention, the SAS and SDS scores in the observation group were lower than those in the control group (40.32±1.15 vs. 47.54±1.72 and 43.15±1.48 vs. 49.27±2.10), while the MMAS-8 score was higher (7.13±0.40 vs. 6.03±0.36) (all P<0.05). Conclusion　Comprehensive targeted nursing intervention for women with HIP can alleviate their adverse psychological status, improve their medication compliance, self-care ability, and pregnancy outcomes and reduce their blood pressures.

Key words:

Hypertension in pregnancy, Comprehensive targeted nursing, Psychological status, Adherence

郝锦鹤白艳鸽熊冬欣马鹏涛崔新苗.

全方位针对性护理干预在妊娠期高血压产妇中的应用效果 [J]. 国际医药卫生导报, 2025, 31(16): 2789-2793.

Hao Jinhe, Bai Yange, Xiong Dongxin, Ma Pengtao, Cui Xinmiao.

Effect of comprehensive targeted nursing intervention for women with hypertension in pregnancy [J]. International Medicine and Health Guidance News, 2025, 31(16): 2789-2793.

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