患者及家属联合管理模式对妊娠高血压患者疾病管理能力及妊娠结局的影响

目的 探讨患者及家属联合管理模式对妊娠高血压患者疾病管理能力及妊娠结局的影响。 方法 选取2017年6月-2018年6月在我院建立孕期档案的妊娠高血压患者86例,采用随机数字表法将其分为对照组和观察组,每组各43例,对照组妊娠期间行产科常规指导,观察组实施患者及家属联合管理模式,比较2组患者疾病管理能力、血压控制情况及不良妊娠结局。 结果 干预后,观察组疾病知识、合理用药、饮食控制、合理运动、血压监测、情绪管理维度的评分及疾病管理能力总评分均高于对照组(P<0.05)。观察组收缩压及舒张压均明显低于对照组(t=16.140,P<0.001;t=9.721,P<0.001)。观察组剖宫产率、不良妊娠结局发生率均低于对照组(χ²=9.364,P=0.002;χ²=29.486,P<0.001)。 结论 患者及家属联合管理模式能有效提高妊娠高血压患者疾病管理能力,改善患者血压水平,降低不良妊娠结局发生率,确保母婴生命安全。

Effects of patient-family member management on the disease management ability and pregnancy outcomes of patients with gestational hypertension

Objective To explore the effect of combined management of patients and their families on disease management ability and pregnancy outcomes of patients with gestational hypertension. Methods Totally 86 gestational hypertension patients admitted between June 2017 and June 2018 were divided into an observation group and a control group, each of 43, according to a random number table. The control group was given routine obstetric guidance, while the observation group was provided with joint management of patients and their family members. The disease management ability, blood pressure control and pregnancy outcomes of the two groups were compared. Results After the intervention, the scores of disease knowledge, rational drug use, diet control, reasonable exercise, blood pressure monitoring, emotional management and disease management ability of the observation group were significantly higher than those of control group (P<0.05). The systolic and diastolic blood pressures, as well as the cesarean section rate and adverse pregnancy outcomes of the former were significantly lower than the latter (t=16.140, P<0.001; t=9.721, P<0.001;χ²=9.364, P=0.002; χ²=29.486, P<0.001). Conclusion The joint management of patients and their family members can effectively improve the disease management ability of patients with gestational hypertension, and the control of patient′s blood pressure , reduce the incidence of adverse pregnancy outcomes, ensuring the safety of mothers and babies.