动机性访谈对妊娠期高血压孕妇血压控制与妊娠结局的影响研究.pdfVIP

36 • 论 著 • January 2015, Vol.13, No.2 Guide of China Medicine 动机性访谈对妊娠期高血压孕妇血压控制与妊娠结局的影响研究 曹丽丽 （青岛市平度市张舍卫生院，山东青岛266719 ） 摘要 目的 方法 【 】 观察动机性访谈对妊娠期高血压孕妇血压及妊娠结局的影响。 2011 年1 月至2014 年6 月在青岛市平度市张舍卫生院 妇产科，采用单纯随机抽样的方法将70 例妊娠期高血压孕妇随机分为观察组和对照组。对照组常规处理，观察组给予动机性访谈干预措施， 观察两组孕妇干预前后的血压情况及妊娠结局。结果 干预前两组血压指标比较差异无统计学意义 （P0.05）。观察组孕妇剖宫产、胎儿宫 内窘迫、妊娠高血压的发生比率低于对照组，差异有统计学意义 （P0.05）。结论 两组患者治疗后患者的血压、血清肌酐、尿素氮水平和 尿微量白蛋白与治疗前比较均显著下降，均明显改善，组内比较，差异有统计学意义 （均P0.05），治疗后组间比较，观察组显著低于对照组， 差异有统计学意义 （均P0.05）。 关键词 【 】动机性访谈；妊娠期高血压；妊娠结局；护理干预 + 中图分类号：R714.24 6 文献标识码：B 文章编号：1671-8194（2015）02-0036-02 The Clinical Efficacy of Motivational Interviewing During Pregnancy in Patients with Hypertension CAO Li-li (Pingdu Zhangshe Health Hospital, Qingdao 266719, China) [Abstract] Objective To observe the Motivational interviewing on gestational Hypertension about blood pressure and pregnancy outcome. Methods From January 2011 to June 2014 in Pingdu city Zhangshe health hospital obstetrics and gynecology, using simple random sampling method, 70 cases of gestational hypertension were randomly divided into observation group and control group. Control group were given the conventional treatment, the observation group were given motivational interviewing, pregnancy outcomes and blood glucose in two groups before and after intervention were compared. Results The patients in the two groups after treatment, the patients with blood pressure, serum creatinine, urea nitrogen and urinary albumin significantly decreased compared with before trea