摘要
目的应用持续质量改进护理对妊娠期高血压孕产妇进行干预,评估血压控制效果及对母婴结局的影响。方法选择妊娠期高血压孕产妇100例为研究对象,按照随机数字表法分为观察组和对照组,每组50例。对照组行常规护理,观察组行持续质量改进护理干预。比较两组孕产妇血压变化、分娩方式、母婴预后结局及护理质量。结果观察组患者干预后收缩压为(126.21±12.08)mmHg,低于对照组(132.49±11.27)mmHg,差异有统计学意义(P<0.05);观察组患者不良预后总发生率24%、胎儿或新生儿不良预后总发生率16%均低于对照组44%、32%,差异有统计学意义(P<0.05);观察组自然分娩率42%和护理满意度(99.18±4.38)分均高于对照组32%和(95.20±4.13)分,差异有统计学意义(P<0.05)。结论应用持续质量改进护理对妊娠期高血压孕产妇进行干预,能够明显控制孕产妇血压,改善母婴结局,并提高护理质量。
Objective To apply the nursing intervention of continuous quality improvement in pregnant women with pregnancy-induced hypertension and evaluate its effect on blood pressure control and maternal-neonatal outcomes. Methods A total of 100 women with pregnancy-induced hypertension were selected and randomly divided into the observation group and control group with 50 cases in each group. The patients in the control group received the conventional nursing care and the patients in the observation group were given the nursing intervention of continuous quality improvement. The changes of blood pressure, mode of delivery, maternal-neonatal prognostic outcomes and nursing quality were compared between the two groups. Results The systolic blood pressure of the observation group was (126.21±12.08)mmHg after intervention and it was lower than that of the control group which was (132.49±11.27)mmHg, and the difference was statistically significant ( P <0.05). The total incidence of pregnant women's adverse prognosis in the experiment group was 24% and that in the control group was 44%, and the total incidence of fetal or neonatal adverse prognosis in the experiment group was 16% and that in the control group was 32%. Those differences between the two groups were statistically significant ( P <0.05). The natural delivery rate and nursing satisfaction rate in the observation group was 42% and (99.18+4.38) respectively and they were higher than those in the control group which were 32% and (95.20+4.13) respectively, and the difference was statistically significant ( P <0.05). Conclusion The nursing intervention of continuous quality improvement can significantly control the blood pressure, improve maternal-neonatal outcomes and improve the nursing quality in pregnant women with pregnancy-induced hypertension.
作者
杨丽君
陈朝霞
肖会能
Yang Lijun;Chen Zhaoxia;Xiao Huineng(Department of Obstetrics, Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, China)
出处
《成都医学院学报》
CAS
2019年第4期490-493,共4页
Journal of Chengdu Medical College
基金
四川省教育厅自然科学重点项目(No:17ZA0167)
南充市社会科学界联合会(No:NC2018B087)
关键词
持续质量改进
妊娠期高血压孕产妇
血压
母婴结局
护理
Continuous quality improvement
Pregnant women with pregnancy-induced hypertension
Blood pressure
Maternal-neonatal outcome
Nursing care
