优质护理在妊娠高血压综合征产妇产后出血中的应用效果(1)
[摘要]目的 探讨优质护理在妊娠高血压综合征产妇产后出血中的应用效果。方法 选取2017年6月～2018年5月我院妇产科收治的60例妊娠高血压综合征产妇产后出血患者作为研究对象，根据护理方法的不同将其平均分为试验组和对照组，每组各30例。对照组患者给予常规护理干预，试验组患者在常规护理的基础上给予优质护理。比较两组患者的生活质量及焦虑自评量表(SAS)得分。结果 试验组患者的生活质量得分高于对照组，SAS得分低于对照组，差异有统计学意义(P<0.05)。结论 优质护理可以改善妊娠高血压综合征产妇的生活质量，改善焦虑状况，值得在临床上推广应用。
[关键词]优质护理；妊娠高血压综合征；生活质量；焦虑
[中图分类号] R473.71 [文献标识码] A [文章编号] 1674-4721(2018)12(c)-0193-03
[Abstract] Objective To investigate the effect of high quality nursing on postpartum hemorrhage in pregnant women with pregnancy induced hypertension. Methods From June 2017 to May 2018， 60 patients with postpartum hemorrhage of pregnancy-induced hypertension syndrome were selected as subjects from the Department of Obstetrics and Gynecology of our hospital. The patients were divided equally into experimental group and control group according to different nursing methods， 30 cases in each group. In the control group， routine nursing intervention was used， while in the experimental group， on the basis of the control group， high quality nursing was added. The quality of life and self-rating anxiety scale (SAS) scores of the two groups were compared. Results The quality of life score of the patients with pregnancy-induced hypertension syndrome in the experimental group was higher than in the control group， the SAS score was lower compared with that in the control group， the differences were statistically significant (P<0.05). Conclusion High quality nursing can improve the quality of life of pregnant women with pregnancy-induced hypertension syndrome and improve anxiety， which is worthy of clinical application.
[Key words] High quality care； Pregnancy-induced hypertension syndrome； Quality of life； Anxiety
妊娠高血壓综合征，是指在遗传、免疫力低下、氧化应激等因素的作用下，孕妇在妊娠20周以后出现的特有性疾病之一，主要表现为高血压，水肿，蛋白尿，严重情况下患者表现为头痛、消化道不适、抽搐、昏迷等，严重影响孕产妇和胎儿的生命安全[1]。产后出血是妊娠高血压综合征的常见并发症之一，有研究显示，相对于健康状况好的普通孕产妇而言，妊娠高血压综合征患者发生产后出血的比例高[2]。产后出血会阻断产妇及胎儿的血液供应，减少对脑、肾等重要器官的营养供给，降低生活质量，严重情况下产妇会发生出血性休克或弥散性血管内凝血(Disseminated Intravascular Coagulation，DIC)，危及生命。妊娠高血压综合征患者常会出现心理焦虑的症状，影响了患者的产后康复，所以采取干预策略减少妊娠高血压综合征产妇的出血量，改善生活质量及心理状况就尤为重要[3-4]。常见的干预方案有药物治疗，心理干预。但是药物多会产生一些副作用，例如胃肠道不适、皮肤过敏、睡眠紊乱等，且因产妇需给婴儿哺乳，药物治疗存在较大的缺点。常见的心理干预手段有正念减压疗法、团体干预疗法、行为激活疗法等，但这些干预方案需专业人员实施，经济成本费用高，推广性较差。优质护理是近十几年临床管理者提出的新的护理理念及护理照顾模式，是指护理人员以患者为中心，全面落实责任制护理照护，给予患者基础护理、专科护理及心理护理。研究显示，优质护理照护可以改善临床结局及心理状况。但是将优质护理干预应用于妊娠高血压综合征产妇产后出血患者并探究其效果的研究较少。本研究采取随机对照试验(Randomized Controlled Trial，RCT)的研究范式，选取我院妇产科收治的60例妊娠高血压综合征产妇产后出血患者作为研究对象，分别进行优质护理照护及传统护理照护，以探讨其对生活质量及焦虑状况的影响，以便为在妇产科推广应用优质护理提供理论依据及借鉴，现报道如下。, 百拇医药(曾小君)
[关键词]优质护理；妊娠高血压综合征；生活质量；焦虑
[中图分类号] R473.71 [文献标识码] A [文章编号] 1674-4721(2018)12(c)-0193-03
[Abstract] Objective To investigate the effect of high quality nursing on postpartum hemorrhage in pregnant women with pregnancy induced hypertension. Methods From June 2017 to May 2018， 60 patients with postpartum hemorrhage of pregnancy-induced hypertension syndrome were selected as subjects from the Department of Obstetrics and Gynecology of our hospital. The patients were divided equally into experimental group and control group according to different nursing methods， 30 cases in each group. In the control group， routine nursing intervention was used， while in the experimental group， on the basis of the control group， high quality nursing was added. The quality of life and self-rating anxiety scale (SAS) scores of the two groups were compared. Results The quality of life score of the patients with pregnancy-induced hypertension syndrome in the experimental group was higher than in the control group， the SAS score was lower compared with that in the control group， the differences were statistically significant (P<0.05). Conclusion High quality nursing can improve the quality of life of pregnant women with pregnancy-induced hypertension syndrome and improve anxiety， which is worthy of clinical application.
[Key words] High quality care； Pregnancy-induced hypertension syndrome； Quality of life； Anxiety
妊娠高血壓综合征，是指在遗传、免疫力低下、氧化应激等因素的作用下，孕妇在妊娠20周以后出现的特有性疾病之一，主要表现为高血压，水肿，蛋白尿，严重情况下患者表现为头痛、消化道不适、抽搐、昏迷等，严重影响孕产妇和胎儿的生命安全[1]。产后出血是妊娠高血压综合征的常见并发症之一，有研究显示，相对于健康状况好的普通孕产妇而言，妊娠高血压综合征患者发生产后出血的比例高[2]。产后出血会阻断产妇及胎儿的血液供应，减少对脑、肾等重要器官的营养供给，降低生活质量，严重情况下产妇会发生出血性休克或弥散性血管内凝血(Disseminated Intravascular Coagulation，DIC)，危及生命。妊娠高血压综合征患者常会出现心理焦虑的症状，影响了患者的产后康复，所以采取干预策略减少妊娠高血压综合征产妇的出血量，改善生活质量及心理状况就尤为重要[3-4]。常见的干预方案有药物治疗，心理干预。但是药物多会产生一些副作用，例如胃肠道不适、皮肤过敏、睡眠紊乱等，且因产妇需给婴儿哺乳，药物治疗存在较大的缺点。常见的心理干预手段有正念减压疗法、团体干预疗法、行为激活疗法等，但这些干预方案需专业人员实施，经济成本费用高，推广性较差。优质护理是近十几年临床管理者提出的新的护理理念及护理照顾模式，是指护理人员以患者为中心，全面落实责任制护理照护，给予患者基础护理、专科护理及心理护理。研究显示，优质护理照护可以改善临床结局及心理状况。但是将优质护理干预应用于妊娠高血压综合征产妇产后出血患者并探究其效果的研究较少。本研究采取随机对照试验(Randomized Controlled Trial，RCT)的研究范式，选取我院妇产科收治的60例妊娠高血压综合征产妇产后出血患者作为研究对象，分别进行优质护理照护及传统护理照护，以探讨其对生活质量及焦虑状况的影响，以便为在妇产科推广应用优质护理提供理论依据及借鉴，现报道如下。, 百拇医药(曾小君)