缪冬梅　江金香浙江省丽水市妇幼保健院住院部产休病区，浙江丽水　323000

优质护理服务对妊娠期高血压综合征患者生活质量和母婴结局的影响

缪冬梅江金香
浙江省丽水市妇幼保健院住院部产休病区，浙江丽水323000

目的研究妊娠期高血压综合征患者实施优质护理服务模式对P妇的生活质量及母婴结局的影响。 方法选择我院2013年5月～2015年5月间诊治的320例患有妊娠期高血压综合征的患者，根据护理方式不同将其分为两组，对照组160例患者实施传统护理服务，观察组160例患者在常规服务的基础上实施优质护理服务，比较两组产妇的生活质量以及对母婴结局产生的影响。结果观察组患者的躯体功能（38.3±3.8）分、社会功能（37.7± 4.0）分、心理功能（37.6±3.6）分以及物质生活状态（28.3±3.3）分，对照组分别为（33.8±3.7）分、（35.2±3.2）分、（32.7± 3.5）分、（25.7±3.6）分，观察组均优于对照组，两组患者差异有统计学意义（P＜0.05）。观察组患者55.0%剖宫产，10.0%出现胎盘早剥，25.0%出现产后出血，2.5%出现子痫，10.0%出现胎儿窘迫，5.0%出现新生儿窒息；对照组分别为70.0%、25.0%、45.0%、17.5%、22.5%、15.0%，12.5%出现围生期胎儿病死；观察组产妇出现相关并发症以及胎儿出生后的情况明显低于对照组，两组患者差异有统计学意义（P＜0.05）。结论对患有妊娠期高血压综合征患者实施有针对性、有重点的优质护理服务模式，能够有效降低围生期母婴的各种并发症，提升P妇的生活质量，因而应在临床上推广应用。

优质护理服务模式；妊娠期高血压综合征；生活质量；母婴结局；影响因素

［Abstract］Objective To study the influence of quality of life with maternal and neonatal outcomes of gestational hypertension implementmeasures of nursing quality care for pregnantwomen.M ethods Selected the diagnosis and treatment of 320 cases of patients with gestational hypertension in our hospital from May 2013 to May 2015，according to the differentways of care they were divided into two groups，the implementation of traditional nursing selected 160 patients in the control group，and 160 patients in the observation group selected basis for the implementation of the comprehensive routine nursing care interventions，the quality of life and the impact on maternal and child maternal outcomeswere compared between the two groups.Results The patient's physical functioning（38.3±3.8）points，social functioning（37.7±4.0）points，psychological functioning（37.6±3.6）points and material living conditions（28.3±3.3）points，respectively，in the control group（33.8±3.7）points，（35.2±3.2）points，（32.7±3.5）points，（25.7±3.6）points，there were statistically significant between the two groups（P＜0.05）.There were 55.0%rate of cesarean section，10.0%of placental abruption，25.0%of postpartum hemorrhage，2.5%of eclampsia，10.0%of fetal distress，5.0%neonatal asphyxia in the observation group，and there were 70.0%，25.0%，45.0%，17.5%，22.5%，15.0%and 12.5%perinatal fetus died in the control group；Thematernals associated complications and fetal after the birth in the observation group was significantly lower than that in the control group，there were statistically significant between the two groups（P＜0.05）.Conclusion The patients suffering from gestational hypertension implement targeted，focused service model，can effectively reduce perinatalmaternal complications，improve the quality of life of pregnant women，and thus should be promoted in the clinical application.

［Key words］Nursing quality care；Gestational hypertension；Quality of life；Maternal outcomes；Factors

妊娠期高血压综合征是临床上常见的一种危及P妇以及新生儿生命健康的疾病，临床上产妇主要的表现是蛋白尿、高血压及水肿等症状，可导致新生儿出现水肿、组织缺氧以及缺血等症状，这也是引起P产妇死亡的第二大因素［1］。……