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(1)
【摘要】 目的：探讨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。方法：选取2016年1月1日-2018年12月31日笔者所在医院收治的60例妊娠高血压轻度子痫前期患者，随机分为对照组和观察组，每组30例，对照组给予常规护理干预，观察组在对照组的基础上给予全程护理干预，包括预防并发症、饮食干预、心理干预、休息干预与行为干预等措施。比较两组患者护理前后收缩压、舒张压和尿蛋白变化。结果：干预前两组收缩压、舒张压和24 h尿蛋白比较差异无统计学意义(P>0.05)，干预后两组各项指标均降低，且观察组改善程度优于对照组，差异均有统计学意义(P<0.05)。结论：全程护理干预可改善妊娠高血压轻度子痫前期患者血压和尿蛋白水平，效果显著，值得在临床上推广使用。
【关键词】 全程护理干预 妊娠高血压 轻度子痫 血压 尿蛋白
[Abstract] Objective： To investigate the Effect of whole-course nursing intervention on blood pressure and urine protein in Pregnancy-induced hypertension in patients with mild pre-eclampsia. Method： Sixty patients with mild preeclampsia with gestational hypertension admitted to our hospital from January 1， 2016 to December 31， 2018 were enrolled. They were randomly divided into control group and observation group， 30 cases in each group. The control group was given routine nursing intervention， while the observation group was given the whole course nursing intervention on the basis of the control group， including prevention of complications， diet intervention， psychological intervention， rest intervention and behavior intervention. The systolic blood pressure， diastolic blood pressure and urinary protein changes of two groups before and after treatment were compared. Result： There were no significant differences in systolic blood pressure， diastolic blood pressure and 24 h urinary protein between the two groups before intervention (P>0.05). After intervention， the indexes of the two groups decreased， and the improvement degree of the observation group were better than those of the control group， and the differences were statistically significant (P<0.05). Conclusion： Whole-course nursing intervention can reduce the systolic blood pressure， diastolic blood pressure and urinary protein level of pregnancy-induced hypertension in patients with mild eclampsia. The effect is significant and worthy of clinical use.
[Key words] Full-course nursing intervention Pregnancy-induced hypertension Mild eclampsia Blood pressure Urine protein
First-author’s address： Guangzhou Huadu District Maternal and Child Health Hospital， Guangzhou 510800， China
妊娠高血壓是孕妇妊娠期的常见疾病[1]，据资料统计，妊娠高血压的发病率为9.4%。妊娠高血压孕妇一旦发病，易发生子痫前期的症状，如不进行干预，患者的病情可能加重[2]，并引起相关的并发症，威胁母婴的人身安全[3]。本研究选取2016年1月1日-2018年12月31日笔者所在医院收治的60例妊娠高血压轻度子痫前期患者，旨于探讨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，现报道如下。
1 资料与方法
1.1 一般资料
选取2016年1月1日-2018年12月31日笔者所在医院收治的60例妊娠高血压轻度子痫前期患者。纳入标准：(1)妊娠20～32周;(2)孕妇伴有水肿、尿蛋白和高血压;(3)患者均符合妊娠高血压轻度子痫前期的诊断标准并经临床确诊。排除标准：(1)有肾炎病史;(2)既往有糖尿病;(3)既往有高血压;(4)存在认知障碍，或沟通障碍。将其随机分为对照组和观察组，每组30例。对照组初产妇21例，经产妇9例;年龄23～41岁，平均(27.45±5.39)岁;孕周21～32周，平均(25.37±2.43)周。观察组初产妇22例，经产妇8例;年龄23～40岁，平均(26.53±6.04)岁;孕周20～32周，平均(26.83±3.42)周。两组一般资料比较，差异无统计学意义(P>0.05)，具有可比性。患者自愿签署知情同意书，本研究经伦理委员会审批。, 百拇医药(许宝莹 朱剑兰 黄敏燕 刘东梅)
【关键词】 全程护理干预 妊娠高血压 轻度子痫 血压 尿蛋白
[Abstract] Objective： To investigate the Effect of whole-course nursing intervention on blood pressure and urine protein in Pregnancy-induced hypertension in patients with mild pre-eclampsia. Method： Sixty patients with mild preeclampsia with gestational hypertension admitted to our hospital from January 1， 2016 to December 31， 2018 were enrolled. They were randomly divided into control group and observation group， 30 cases in each group. The control group was given routine nursing intervention， while the observation group was given the whole course nursing intervention on the basis of the control group， including prevention of complications， diet intervention， psychological intervention， rest intervention and behavior intervention. The systolic blood pressure， diastolic blood pressure and urinary protein changes of two groups before and after treatment were compared. Result： There were no significant differences in systolic blood pressure， diastolic blood pressure and 24 h urinary protein between the two groups before intervention (P>0.05). After intervention， the indexes of the two groups decreased， and the improvement degree of the observation group were better than those of the control group， and the differences were statistically significant (P<0.05). Conclusion： Whole-course nursing intervention can reduce the systolic blood pressure， diastolic blood pressure and urinary protein level of pregnancy-induced hypertension in patients with mild eclampsia. The effect is significant and worthy of clinical use.
[Key words] Full-course nursing intervention Pregnancy-induced hypertension Mild eclampsia Blood pressure Urine protein
First-author’s address： Guangzhou Huadu District Maternal and Child Health Hospital， Guangzhou 510800， China
妊娠高血壓是孕妇妊娠期的常见疾病[1]，据资料统计，妊娠高血压的发病率为9.4%。妊娠高血压孕妇一旦发病，易发生子痫前期的症状，如不进行干预，患者的病情可能加重[2]，并引起相关的并发症，威胁母婴的人身安全[3]。本研究选取2016年1月1日-2018年12月31日笔者所在医院收治的60例妊娠高血压轻度子痫前期患者，旨于探讨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，现报道如下。
1 资料与方法
1.1 一般资料
选取2016年1月1日-2018年12月31日笔者所在医院收治的60例妊娠高血压轻度子痫前期患者。纳入标准：(1)妊娠20～32周;(2)孕妇伴有水肿、尿蛋白和高血压;(3)患者均符合妊娠高血压轻度子痫前期的诊断标准并经临床确诊。排除标准：(1)有肾炎病史;(2)既往有糖尿病;(3)既往有高血压;(4)存在认知障碍，或沟通障碍。将其随机分为对照组和观察组，每组30例。对照组初产妇21例，经产妇9例;年龄23～41岁，平均(27.45±5.39)岁;孕周21～32周，平均(25.37±2.43)周。观察组初产妇22例，经产妇8例;年龄23～40岁，平均(26.53±6.04)岁;孕周20～32周，平均(26.83±3.42)周。两组一般资料比较，差异无统计学意义(P>0.05)，具有可比性。患者自愿签署知情同意书，本研究经伦理委员会审批。, 百拇医药(许宝莹 朱剑兰 黄敏燕 刘东梅)
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