整体护理模式应用于妊高征产妇对其疾病控制程度及胎儿结局的影响

目的：探究妊娠高血压(妊高征)产妇引入整体护理模式对其疾病控制程度及胎儿结局的影响。方法选取我院产科于2012年8月至2015年4月收治的90例妊高征产妇，利用随机数字表法进行分组，分别设为研究组和对照组，每组各45例。其中对照组开展常规护理模式，研究组则在对照组基础上开展整体护理模式。记录两组产妇妊高征心脏病、轻度先兆子痫、重度先兆子痫、分娩方式及胎儿结局转归，并对比两组产妇在分娩前及分娩后的SAS和SDS评分情况。结果研究组发生妊高征心脏病、轻度先兆子痫及重度先兆子痫发生率均低于对照组，差异有统计学意义( P<0．05)；研究组发生胎盘早剥及剖宫产发生率均低于对照组，差异有统计学意义( P<0．05)。研究组产妇在分娩前的SAS和SDS评分与对照组差异无统计学意义( P>0．05)；研究组产妇在分娩后的SAS和SDS评分均低于对照组，差异有统计学意义( P<0．05)。研究组新生儿Apgar评分及体重均高于对照组，差异有统计学意义( P<0．05)；研究组胎儿窘迫及新生儿窒息发生率均低于对照组，差异有统计学意义( P<0．05)。结论整体护理模式应用于妊高征产妇，能有效控制疾病转归，且能促进胎儿分娩，取得较为可观的临床成效，值得进一步推广。

Effect of holistic nursing model applied on patients with pregnancy-induced hyper-tension for their disease control and fetal outcome

Objective To investigate the effect of the holistic nursing model on the disease control and fetal outcome for patients with pregnancy-induced hypertension ( PIH) . Methods A total of 90 cases of pregnancy-induced hypertension in our hospital from August 2012 to April 2015 were randomly divided into the study group and the control group, with 45 cases in each group. The control group carried out routine nursing model, while the study group carried out the holistic nursing model on the basis of the control group. The maternal hypertension heart disease, mild pre-eclampsia, severe preeclampsia, delivery and fetal outcome of the two groups were recorded, and the SAS and SDS score of the two groups before and after delivery were compared. Results In the study group, the incidence of heart disease, mild preeclampsia and severe preeclampsia was lower than that of the control group, the difference was statistically sig-nificant ( P<0. 05 );the incidence of placental abruption and cesarean section of the study group was lower than that of the control group, the difference was statistically significant (P<0. 05) . There was no statistical significance in terms of the scores of SAS and SDS before the delivery of the study group compared with the control group ( P>0. 05 );the SDS and SAS scores after the delivery of the study group were significantly lower than that of the control group ( P<0. 05 ) . The Apgar score and body weight of the study group were significantly higher than that of the control group ( P<0. 05 ) , the incidence of fetal distress and neonatal asphyxia of the study group were lower than that of the control group, the difference was statistically significant ( P<0. 05 ) . Conclusion The holistic nursing model applied to the pregnant women with pregnancy-induced hypertension can effectively control the disease prognosis, promote the delivery of the fe-tus, and achieve more considerable clinical results, it is worth further promotion.