沈倩

【摘要】 目的：觀察适度有氧运动为基础的综合护理干预对妊娠期高血压疾病患者睡眠和生活质量的影响。方法：选择2018年1-12月在笔者所在医院就诊诊断为妊娠期高血压疾病的患者96例，根据随机数字法分为观察组和对照组，每组48例。对照组予以常规护理干预，观察组在对照组的基础上予以适度有氧运动为基础的综合护理干预。观察两组干预前和干预后舒张压、收缩压、PSQI和HAMA评分的变化以，及干预后生活质量和妊娠结局的影响。结果：两组干预前舒张压、收缩压、PSQI和HAMA评分差异无统计学意义（P>0.05），干预后两组较干预前均明显降低（P<0.01），而观察组较对照组降低幅度更为明显（P<0.01）。观察组的心理情况、生理情况、社会功能和生活情况较对照明显升高（P<0.01）。观察组的产后出血、先兆子痫、胎盘早剥、剖宫产、胎儿窘迫和宫内发育延迟较对照组明显降低（P<0.01）。结论：适度有氧运动为基础的综合护理干预对妊娠期高血压疾病具有明显的改善作用，对于改善睡眠、提高生活质量具有重要作用。

【关键词】 妊娠期高血压疾病; 有氧运动; 护理干预; 生活质量; 睡眠质量

doi：10.14033/j.cnki.cfmr.2019.27.073 文献标识码 B 文章编号 1674-6805（2019）27-0-03

Impact of Moderate Aerobic Exercise-based Comprehensive Nursing Intervention on Sleep and Quality of Life in Patients with Hypertensive Disorder Complicating Pregnancy/SHEN Qian.//Chinese and Foreign Medical Research，2019，17（27）：-171

【Abstract】 Objective：To observe the impact of moderate aerobic exercise-based comprehensive nursing intervention on sleep and quality of life in patients with hypertensive disorder complicating pregnancy.Method：A total of 96 patients with hypertensive disorder complicatin gpregnancy from January 20 to December 2018were divided into observation group and control group according to random number method，with 48 cases in each group.The control group received routine nursing intervention，and the observation group was given a comprehensive aerobic exercise-based comprehensive nursing intervention based on the basis of the control group.The diastolic blood pressure，systolic blood pressure，PSQI and HAMA scores were observed before and after intervention，and the quality of life and pregnancy outcome were observed after intervention.Result：There were no significant differences in diastolic blood pressure，systolic blood pressure，PSQI and HAMA scores between the two groups（P>0.05），after the intervention，the levels of those in two groups were significantly lower than those before the intervention（P<0.01），while decreasing levels in the observation group more obvious than in control group（P<0.01）.The psychological condition，physiological condition，social function and living condition in observation group were significantly higher than those in control group（P<0.01）.Incidence of postpartum hemorrhage，pre-eclampsia，placental abruption，cesarean section，fetal distress and intrauterine growth retardation in observation group were significantly lower than those in control group（P<0.01）.Conclusion：Moderate aerobic exercise-based comprehensive nursing intervention has a significant improvement effect on hypertensive disorder complicating pregnancy，which plays an important role in improving sleep and quality of life.

【Key words】 Hypertensive disorder complicating pregnancy; Aerobic exercise; Nursing intervention; Quality of life; Quality of sleep

First-authors address：Obstetrics and Gynecology Hospital Affiliated to Fudan University，Shanghai 200090，China

妊娠高血压疾病是孕期的常见疾病，大部分患者出現一过性高血压症状和分娩后症状消失。其发病机制是全身小动脉痉挛，导致机体各个脏器不同程度的功能损害，从而引起患者血压升高，全身水肿，蛋白尿等各种临床表现，并对母婴均产生不同的功能障碍[1-2]。适度的有氧运动能够改善机体的血液循环，促进机体的细胞代谢，母婴的新陈代谢具有重要促进作用[3]。本组研究采用适度有氧运动为基础的综合护理干预对妊娠期高血压疾病进行干预，并观察对睡眠和生活质量的影响，现报道如下。

1 资料与方法

1.1 一般资料

选择2018年1-12月在笔者所在医院就诊诊断为妊娠期高血压疾病的患者96例，根据随机数字法分为观察组和对照组，每组48例。纳入……