The application of meticulous nursing management mode in the nursing of pregnant hypertension patients
细致化护理管理模式在妊娠高血压患者护理中的应用

摘要

目的 探究细致化护理管理模式在妊娠高血压患者护理中的应用价值。方法 研究观察2021年8月-2023年1月，在我院治疗妊娠高血压患者60例，通过掷硬币的方法分为两组分析护理干预的价值，对照组采用常规妊娠高血压护理，观察组采用细致化护理管理模式，以对比两组患者对护理的评价及不良妊娠结局、两组患者护理期间血压变化、两组患者自我效能及睡眠质量、两组妊娠期高血压患者心理情况、两组患者自我管理能力量表作为观察指标。结果 观察组患者通过护理后满意度较对照组高，不良妊娠结局发生率较对照组低，护理后观察组患者DBP、SBP、MAP数值较对照组低，通过对比后发现观察组患者在护理后自我效能高于对照组，PSQI评分低于对照组，护理后患者心理韧性量表、积极应对较对照组高，EPDS量表、消极应对较对照组低（P<0.05）。结论 在临床中妊娠高血压患者采取细致化护理管理模式，有效延长患者孕周，平稳患者血压变化，临床中有一定推广价值。

Abstract

Objective To explore the application value of meticulous nursing management mode in the nursing of pregnant hypertension patients.
Methods The study observed 60 patients with gestational hypertension treated in our hospital from August 2021 to January 2023, divided into two groups by coin toss method to analyze the value of nursing intervention. The control group used routine pregnancy hypertension care, and observation group used meticulous nursing management mode, to compare the two groups of nursing evaluation and adverse pregnancy outcomes, the change of blood pressure, two groups of self-efficacy and sleep quality, two groups of hypertensive patients’ psychological condition, two groups of self-management scale as an observation index.
Results The satisfaction of the observation group was higher than that of the control group, the incidence of adverse pregnancy outcome was lower than that of the control group, and the values of DBP, SBP and MAP were lower than that of the observation group. By comparison, the self-efficacy of the observation group was higher than that of the control group, and the PSQI score was lower than that of the control group. The psychological resilience scale and active coping of the nursing patients were higher than that of the control group, and the EPDS scale and negative response were lower than that of the control group(P <0.05).
Conclusion   In clinical practice, we adopt meticulous nursing management mode, effectively prolong the gestational age of patients, stabilize the change of patients' blood pressure, and have some clinical promotion value.