现代医药卫生2024,Vol.40Issue(15) :2588-2590,2595.DOI:10.3969/j.issn.1009-5519.2024.15.015

风险评估分级管理模式对妊娠期高血压患者的影响

Impact of a risk assessment hierarchical management model on hypertensive patients during pregnancy

李秀金 蔡姿尧
现代医药卫生2024,Vol.40Issue(15) :2588-2590,2595.DOI:10.3969/j.issn.1009-5519.2024.15.015

风险评估分级管理模式对妊娠期高血压患者的影响

Impact of a risk assessment hierarchical management model on hypertensive patients during pregnancy

李秀金 1蔡姿尧2
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作者信息

  • 1. 莆田涵江医院,福建莆田 351111
  • 2. 福建中医药大学,福建福州 350122
  • 折叠

摘要

目的 探讨风险评估分级管理模式对妊娠期高血压(PIH)患者围产期血压水平及心理状况的影响.方法 采用前瞻性研究法,选取2022年4月至2023年7月莆田涵江医院收治的89例PIH患者,按随机数字表法分为对照组(45例)与研究组(44例).对照组给予常规管理,研究组在常规管理基础上联合风险评估分级管理.比较2组围产期血压水平、心理状况及妊娠结局.结果 2组分娩后、出院当天舒张压、收缩压水平低于管理前,且研究组低于对照组,差异均有统计学意义(P<0.05).2组出院当天汉密尔顿焦虑量表、汉密尔顿抑郁量表评分低于管理前,且研究组低于对照组,差异均有统计学意义(P<0.05).研究组不良妊娠结局发生率低于对照组,差异有统计学意义(P<0.05).结论 PIH患者采用风险评估分级管理可降低血压水平,缓解心理状况,改善妊娠结局.

Abstract

Objective To explore the effect of risk assessment hierarchical management model on peri-natal blood pressure levels and psychological status of patients with gestational hypertension(PIH).Methods Using prospective study method,89 PIH patients admitted to Putian Hanjiang Hospital from April 2022 to July 2023 were selected and divided into the control group(45 cases)and the study group(44 cases)according to ran-domized numerical table method.The control group was given routine management,and the study group was combined with risk assessment and graded management on the basis of routine management.Perinatal blood pressure level,psychological condition and pregnancy outcome were compared between the two groups.Results After delivery and on the day of discharge,the diastolic blood pressure and systolic blood pressure levels of the two groups were lower than those before management,and the study group was lower than the control group,with statistically significant difference(P<0.05).The Hamilton Anxiety Inventory and Hamil-ton Depression Inventory scores on the day of discharge of the two groups were lower than those before man-agement,and the study group was lower than the control group,with statistically significant difference(P<0.05).The incidence of adverse pregnancy outcomes was lower in the study group than in the control group,and the difference was statistically significant(P<0.05).Conclusion The use of risk assessment graded management in patients with PIH reduces blood pressure levels,alleviates psychological conditions,and im-proves pregnancy outcomes.

关键词

妊娠期高血压/风险评估分级管理/血压水平/心理状况

Key words

Hypertensive patients during pregnancy/Risk assessment and grading management/Blood pressure level/Psychological condition

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出版年

2024
现代医药卫生
重庆市卫生信息中心

现代医药卫生

影响因子:0.758
ISSN:1009-5519
参考文献量11
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