摘要
目的了解影响妊高征患者住院期间睡眠的因素,探讨护理干预对住院妊高征患者睡眠情况以及血压的影响。方法将91例住院妊高征睡眠障碍患者随机分为对照组(45例)和干预组(46例),对照组予常规治疗和护理,干预组在此基础上为每例患者配备主管护士,采取健康教育,密切监护母婴状态,指导孕妇合理饮食,评估分析影响患者睡眠的因素,实施个性化护理,维持正常的睡眠周期等护理干预措施。结果出院时干预组的舒张压显著低于对照组(P<0.05);两组出院时PSQI评分比较,差异有统计学意义(P<0.05)。结论妊高征患者住院期间由于各种原因易引起睡眠障碍,通过正确、有针对性的护理干预可以改善其睡眠状况,并提高降压治疗的效果。
Objective To explore factors influencing sleep quality of patients with pregnancy induced hypertension（PIH）, and to evaluate the effects of nursing interventions on sleep quality and blood pressure. Methods Totally 91 PIH patients were randomized into a control group （45 cases） and an intervention group（46 cases） ; patients in the control group were given conventional nursing care, while their counterparts in the intervention group were adopted the following measures additionally： giving health education, closely monitoring both mothers and fetus, guiding reasonable diet, assessing factors that influenced sleep, implementing individualized nursing care, maintaining normal sleep cycle. Results After nursing intervention, the value of diastolic pressure and the score of PSQI in the intervention group were significantly lower than those of the control group（P^0.05 for both）. Conclusion Individualized nursing interventions can improve sleep quality of patients with PIH and promote effects of antihypertensive treatment.
关键词
妊娠高血压综合征
睡眠异常
护理
pregnancy induced hypertension
sleep disorder
nursing care
