妊娠高血压患者的临床护理分析.docVIP

妊娠高血压患者的临床护理分析 　　[摘要] 目的 研究妊娠高血压患者的临床护理措施。 方法 选择我院2013年8月～2014年8月的43例妊娠高血压患者，对所有患者的护理方式进行回顾性分析，并对患者护理前后的血压水平、心理状况、生活质量、分娩结果等情况进行比较。 结果 护理前生活质量优6例，生活质量良14例，生活质量差23例，优良率为46.5%；护理后生活质量优27例，生活质量良13例，生活质量差3例，优良率为93.1%，前后差异有统计学意义（P0.05）。43例患者中，31例（72.1%）顺产，12例（37.9%）剖腹产，3例新生儿出现窒息状况，经过抢救后症状所有改善，2例患者出现产后出血，出血量500 ml，平均（352±43） ml。 结论 健康教育、心理护理、饮食护理等干预能够提升妊娠高血压患者的生活质量。 　　[关键词] 妊娠高血压；临床护理；分娩结局 　　[中图分类号] R714.24+6 [文献标识码] A [文章编号] 1674-4721（2015）09（a）-0189-03 　　[Abstract] Objective To study the clinical nursing measures for the patients with gestational hypertension. Methods 43 patients with gestational hypertension in our hospital from August 2013 to August 2014 were selected.The nursing modes in all patient were analyzed retrospectively.The patients′ blood pressure levels， psychological status，quality of life and delivery results before and after nursing was compared. Results Before nursing，6 cases quality of life was excellent， 14 cases quality of life was good，and 23 cases quality of life was poor，the excellent and good rate was 46.5%.After nursing，27 cases quality of life was excellent，13 cases quality of life was good，and 3 cases quality of life was poor，the excellent and good rate was 93.1%.The difference was significant between before and after nursing（P0.05）.Of the 43 patients，31 cases（72.1%） selected natural labor，12 cases（37.9%） selected cesarean section.3 neonates occurred asphyxia，which improved after rescuing.2 puerperae occurred postpartum hemorrhage，and the hemorrhage amount was lower than 500 ml， with an average of （352±43） ml. Conclusion Intervention measures including health education， psychological nursing and diet nursing can improve the patients with gestational hypertension quality of life. 　　[Key words] Gestational hypertension；Clinical nursing；Labor results 　　妊娠高血压是女性妊娠过程中常见的疾病，本病的发病机制主要为全身小动脉痉挛导致胎盘灌注量不足引发胎儿宫内慢性缺氧，患者临床表现主要为血压升高。妊娠高血压对女性身体健康有着严重威胁，患者可出现一系列表现，如心肾衰竭、脑血管疾病等，严重时会对胎儿造成影响。有效的护理能够改善患者的临床表现，提升患者分娩安全性。为进一步研究护理对妊娠高血压的影响，我院2013年8月～2014年8