阶梯式健康宣教结合PDCA循环护理管理对妊娠期高血压疾病患者影响.docVIP

阶梯式健康宣教结合PDCA循环护理管理对妊娠期高血压疾病患者影响 　　[摘要] 目的 探析阶梯式健康宣教结合PDCA循环护理管理对妊娠期高血压疾病的影响。 方法 将120例妊娠期高血压疾病孕妇分为两组各60例，观察组予以阶梯式健康宣教结合PDCA循环护理，对照组予以常规护理，对比两组母婴结局、满意度、疾病知晓率及遵医行为。 结果 观察组剖宫产率显著低于对照组，护理满意度、疾病知晓率及遵医行为率均显著高于对照组，差异具有统计学意义（P0.05）。结论 阶梯式健康宣教结合PDCA循环护理管理有助于改善母婴结局，提高护理满意度及患者对疾病的认识和遵医行为。 　　[关键词] 妊娠期高血压疾病；阶梯式健康宣教；PDCA循环护理管理 　　[中图分类号] R473.71 [文献标识码] B [文章编号] 1673-9701（2014）17-0103-03 　　Impact of stair health education combined with PDCA cycle nursing management on patients with gestational hypertension 　　ZENG Liting LIU Chuncheng ZHOU Xiaona HE Xiaodan LI Feng 　　The Maternal and Child Health Hospital of Heping in Guangdong province， Heping 517200，China 　　[Abstract] Objective To explore the impact of stair health education combined with PDCA circle nursing management on patients with gestational hypertension. Methods A total of 120 pregnant women of gestational hypertension were divided into two groups with 60 cases in each， the observation group was treated by stair healthy education combined with PDCA cycle nursing care，and the control group was given routine nursing care. The maternal and neonatal outcomes， satisfaction， disease awareness and compliance behavior of two groups were compared. Results The cesarean section rate of the observation group was significantly lower than that of the control group， and the nursing satisfaction， disease awareness and compliance rates were higher than those of the control group， the differences were statistically significant（P 0.05）. Conclusion Ladder type health education combined with PDCA circle nursing management is helpful to improve maternal and neonatal outcomes， satisfaction with care， disease awareness and compliance behavior of patients. 　　[Key words] Gestational hypertension；Stair health education；PDCA cycle nursing management 　　我国妊娠期高血压综合征的平均发病率为9.2%[1]，常合并感染、产科出血和抽搐等，造成孕产妇和围生儿死亡。按照国际分类，妊娠期高血压疾病包括妊娠期高血压、子痫、先兆子痫、原发高血压并妊娠和肾上腺疾病、肾病等继发高血压妊娠等[2]。妊娠期高血压疾病治疗和护理的目的是预防重度子痫前期和子痫的发生，改善母婴预后和提高护理质量。据报道，早期健康教育有助于改善妊娠期高血压疾病的母婴结局[3