Objective To explore the effect of individualized intervention on postpartum hemorrhage,delivery outcome and psychological status of patients with pregnancy induced hypertension(PIH).Methods Eighty-five pregnant women with PIH admitted to our hospital from February 2022 to February 2023 were randomly assigned to receive either routine nursing intervention(the control group,n=42)or individualized nursing intervention(the observation group).The general data(age,gestational week,PIH degree)of the two groups,blood pressure,delivery outcome,complications,psychological status,and 1-minute Apgar score of the newborn were assessed before and after the intervention.Results There was no significant difference in the systolic blood pressure(SBP)and diastolic blood pressure(DBP)between groups before the intervention(P＞0.05).After the intervention,which in the both groups were significantly lower(P＜0.05),and significant inter-group differences were noted in the above indexes(P＜0.05).The Apgar score between groups was significantly different(P＜0.05).The incidence of neonatal asphyxia in the observation group was significantly lower than that in the control group(P＜0.05).The rate of cesarean section and the total incidence of adverse reactions after delivery(including puerperal infection,postpartum hemorrhage and other complications)in the observation group were significantly lower than those in the control group(P＜0.05),while the rate of vaginal delivery was significantly higher than that in the control group(P＜0.05).There was no significant difference in Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)scores between groups before intervention(t=0.65,0.43,P＞0.05).After intervention,the SAS and SDS scores of the two groups were significantly lower than those before intervention(t=12.75,11.48,P＜0.05).The SAS and SDS scores of the observation group were significantly lower than those of the control group(t=11.54,11.23,P＜0.05).Conclusion Individualized intervention can effectively prevent postpartum hemorrhage,improve the delivery outcome,and relieve the psychological state in PIH patients,which is worthy of clinical promotion.
individualized interventionspostpartum hemorrhagepregnancy induced hypertensionneonatal asphyxiadelivery outcomepsychological state
万方数据
维普
