Evaluation of the effect of comprehensive nursing measures on blood pressure control in patients with gestational hypertensive syndrome
综合护理措施对妊娠高血压综合征患者血压控制的效果评价

摘要

目的 考量综合护理方式对妊娠高血压综合征患者血压把控效果，方法 此研究选定68位妊娠高血压综合征患者，以随机方式把患者分成观察组和对照组，每组皆有34例，对照组采用常规妊娠高血压护理方式，观察组于常规护理之上增添动态血压监测、个性化营养介入、心理照护、运动引导及家庭参与式护理。主要留意血压管控成效、并发症发生率情况、分娩结局走向。结果 与对照组相比，观察组的收缩压、舒张压、24小时平均动脉压皆显著降低，观察组子痫发生率明显低于对照组，前者是2.94%，后者达17.65%，经计算P为0.032。剖宫产率以及新生儿Apgar评分显著胜过对照组，剖宫产率：38.24%跟61.76%。结论 综合护理举措显著提升妊娠高血压综合征患者血压调控水平，使并发症产生的概率降低，让分娩结果趋向良好。

Abstract

Objective To evaluate the effect of comprehensive nursing measures on blood pressure control in patients with gestational hypertensive syndrome.
Methods Sixty-eight patients with gestational hypertensive syndrome were selected for this study and randomly divided into an observation group and a control group, with 34 cases in each group. The control group received conventional gestational hypertensive syndrome nursing, while the observation group received additional dynamic blood pressure monitoring, personalized nutritional intervention, psychological care, exercise guidance, and family participation-based care on top of the conventional care. The main outcomes were blood pressure control efficacy, incidence of complications, and delivery outcomes.
Results Compared with the control group, the systolic blood pressure, diastolic blood pressure, and 24-hour mean arterial pressure in the observation group were significantly lower. The incidence of eclampsia in the observation group was significantly lower than that in the control group (2.94% vs. 17.65%), with a calculated P value of 0.032. The cesarean section rate and neonatal Apgar score were significantly better in the observation group (cesarean section rate: 38.24% vs. 61.76%).
Conclusion   Comprehensive nursing measures significantly improve blood pressure control in patients with gestational hypertensive syndrome, reduce the probability of complications, and lead to better delivery outcomes.