标题：临床护理路径结合预见性护理在妊娠高血压疾病孕产妇护理中的应用

      作者：李文君，黄伟妍，夏斌    东莞市人民医院普济院区产科，广东 东莞 523000

      卷次： 2022年33卷14期

      【摘要】 目的 研究临床护理路径结合预见性护理在妊娠高血压疾病孕产妇护理中的应用效果。方法 选择2020年1月至2021年1月在东莞市人民医院接受治疗的50例妊娠高血压产妇为研究对象，所有产妇均在住院期间分娩，按随机数表法分为对照组和观察组各25例。对照组产妇采用常规护理，观察组产妇给予临床护理路径结合预见性护理，两组产妇均护理至出院。出院时，比较两组产妇的护理效果、产妇产后并发症及胎儿妊娠结局；比较两组产妇护理前及产妇出院时的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分。结果 观察组产妇的总护理有效率为92.00%，明显高于对照组的72.00%，差异有统计学意义(P<0.05)；观察组产妇的总并发症发生率为4.00%，明显低于对照组的24.00%，胎儿不良结局的总发生率为4.00%，明显低于对照组的24.00%，差异有统计学意义(P<0.05)；护理前，两组产妇的SAS、SDS评分比较差异均无统计学意义(P>0.05)；护理至产妇出院时，两组产妇的SAS、SDS评分均明显降低，且观察组的SAS、SDS评分分别为(46.21±2.24)分、(48.16±2.42)分，均明显低于对照组的(49.58±2.52)分、(49.88±2.11)分，差异均有统计学意义(P<0.05)。结论 临床护理路径结合预见性护理对妊娠高血压产妇的产后护理效果显著，其可明显缓解产妇焦虑、抑郁情绪，减少并发症，在临床护理中值得推广应用。
      【关键词】 妊娠高血压；预见性护理；临床护理路径；并发症；心理状态
      【中图分类号】 R473.71 【文献标识码】 A 【文章编号】 1003—6350（2022）14—1902—03

Application of clinical nursing pathway combined with predictive nursing in the nursing of pregnant women withpregnancy-induced hypertension.
LI Wen-jun, HUANG Wei-yan, XIA Bin. Department of Obstetrics, Puji District,Dongguan People's Hospital, Dongguan 523000, Guangdong, CHINA
【Abstract】 Objective To study the effect of clinical nursing pathway combined with predictive nursing in thenursing of pregnant women with pregnancy-induced hypertension. Methods Fifty pregnant women with hypertensiontreated in Dongguan People's Hospital from January 2020 to January 2021 were selected as the research objects. Allpregnant women delivered during hospitalization and were randomly divided into a control group and an observationgroup, with 25 women in each group. The control group was given routine nursing, and the observation group was giv-en clinical nursing pathway combined with predictive nursing. Both groups were given nursing until discharge. Thenursing effect, postpartum complications, and fetal pregnancy outcome were compared between the two groups. Thescores of Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) were compared between the twogroups. Results The total effective rate of nursing in the observation group was 92.00%, which was significantlyhigher than 72.00% in the control group (P<0.05). The incidence of total complications in the observation group was4.00%, which was significantly lower than 24.00% in the control group, and the incidence of adverse fetal outcomes inthe observation group was 4.00%, which was significantly lower than 24.00% in the control group (P<0.05). Beforenursing, there was no significant difference in SAS and SDS scores between the two groups (P>0.05). From nursing tomaternal discharge, the SAS and SDS scores of the two groups decreased significantly, and the SAS and SDS scores ofthe observation group were (46.21±2.24) points and (48.16±2.42) points, which were significantly lower than (49.58±2.52) points and (49.88±2.11) points of the control group (P<0.05). Conclusion Clinical nursing pathway combinedwith predictive nursing has a significant effect on postpartum nursing of pregnant women with pregnancy-induced hyper-tension, which can significantly relieve maternal anxiety and depression, reduce complications, and is worthy of promo-tion in clinical nursing.
      【Key words】 Pregnancy-induced hypertension; Predictive nursing; Clinical nursing pathway; Complication; Men-tality　　　·护理·doi:10.3969/j.issn.1003-6350.2022.14.036