白才蓉

【摘  要】目的：探討妊高症患者围生期护理中应用综合护理对其妊娠结局以及睡眠质量的影响作用。方法：选择从2016年11月至2018年11月收治的100例妊高症患者纳入此次研究工作，按照奇偶法的方式将其划分成2组，命名为实验组与对照组，各有50例。对照组围生期接受常规护理，实验组围生期接受综合护理干预。比较两组患者妊娠结局、护理前后睡眠质量、负面情绪等评分。结果：实验组患者子痫1例、剖宫产20例，总发生21（42.00%）例低于对照组子痫3例、产后出血2例、新生儿窒息3例、剖宫产26例，总发生34（68.00%）例，组间数据存在统计学意义P<0.05;护理前两组患者负面情绪评分对比无统计学意义P>0.05，护理后实验组焦虑评分与抑郁评分均低于对照组评分，数据对比存在统计学意义，P<0.05;两组患者护理前睡眠质量比较无明显差异，P>0.05;护理后实验组睡眠质量评分低于对照组，数据对比存在显著差异，P<0.05。结论：针对妊高症患者围生期给予开展综合护理干预，可全面缓解患者负面情绪，提高总体睡眠质量，对其妊娠结局的改善也具有重要作用，可广泛推广实施。

【关键词】妊娠;睡眠质量;护理效果;围生期;妊高症;综合护理

【中图分类号】R473. 7      【文献标识码】A      【文章编号】1004-7484（2019）03-0103-02

【Abstract】Objective： To investigate the effect of comprehensive nursing on pregnancy outcome and sleep quality in perinatal nursing for patients with pregnancy-induced hypertension. Methods： One hundred patients with pregnancy-induced hypertension admitted from November 2016 to November 2018 were enrolled in the study. They were divided into two groups according to the parity method， named as experimental group and control group， each with 50. example. The control group received routine nursing during the perinatal period， and the experimental group received comprehensive nursing intervention during the perinatal period. The scores of pregnancy outcome， sleep quality before and after treatment， and negative emotions were compared between the two groups. Results： In the experimental group， 1 case of eclampsia and 20 cases of cesarean section， 21 （42.00%） cases were lower than the control group， 3 cases of post-eclampsia， 2 cases of postpartum hemorrhage， 3 cases of neonatal asphyxia， and 26 cases of cesarean section. There were 34 （68.00%） cases， and there was statistical significance between the two groups （P<0.05）. There was no significant difference in negative emotional scores between the two groups before treatment. P>0.05. After treatment， the anxiety score and depression score of the experimental group were lower than the control. Group scores， data comparison showed statistical significance， P <0.05; there was no significant difference in pre-treatment sleep quality between the two groups， P>0.05; after treatment， the sleep quality score of the experimental group was lower than the control group， there was significant difference in data comparison， P< 0.05. Conclusion： Comprehensive nursing intervention for perinatal period of patients with pregnancy-induced hypertension can comprehensively alleviate negative emotions， improve overall sleep quality， and play an important role in improving the pregnancy outcome. It can be widely implemented.

【Key words】pregnancy; sleep quality; nursing effect; perinatal period; pregnancy-induced hypertension; comprehensive nursing

在妊娠期的妇女当中，妊高症分为重度、中度与轻度，随着患者自身妊娠的周期增加，其妊高症的病情也会逐渐加重，严重可导致患者以及腹中胎儿发生生命危险。该种疾病严重症状可出现昏迷、抽搐、心衰等，并且还极易出现多种并发疾病，另外由于疾病对患者睡眠质量会造成影响，其不良心理状态较重，因此极易导致患者出现妊娠风险，最终影响其妊娠结局。本次研究工作旨在探讨针对妊高症患者围生期护理中应用综合护理的效果，简要分析综合护理对其睡眠质量以及妊娠结局的影响作用。……