结局回溯性特别关注护理联合改良DASH饮食疗法在妊娠期高血压疾病病人中的应用OA
Application of outcome retrospective special attention nursing combined with modified DASH diet in patients with hypertensive disorders of pregnancy
目的:探讨结局回溯性特别关注护理联合改良终止高血压膳食疗法(DASH)在妊娠期高血压疾病(HDP)病人中的应用效果.方法:选取2021年1月—2024年1月在医院治疗的100例HDP病人作为研究对象,按照随机数字表法将其分为对照组与联合组,每组50例.对照组接受结局回溯性特别关注护理,联合组在对照组的基础上联合改良DASH饮食疗法.比较两组负性情绪[抑郁自评量表(SDS)、焦虑自评量表(SAS)评分]、血压水平[收缩压(SBP)、舒张压(DBP)、平均动脉压(MAP)]、凝血功能[凝血酶原时间(PT)、纤维蛋白原(FIB)、活化部分凝血活酶时间(APTT)、D-二聚体(D-D)]、内皮功能[一氧化氮(NO)、血管内皮生长因子(VEGF)、内皮素-1(ET-1)]、不良妊娠结局.结果:护理后,两组SDS、SAS评分均低于护理前,且联合组低于对照组(P＜0.05);护理后,两组SBP、DBP、MAP均低于护理前,且联合组低于对照组(P＜0.05);护理后,两组PT、APTT均长于护理前,FIB、D-D水平均低于护理前,且联合组PT、APTT均长于对照组,FIB、D-D水平均低于对照组(P＜0.05);护理后,两组NO、VEGF水平均高于护理前,且联合组高于对照组,两组ET-1水平均低于护理前,且联合组低于对照组(P＜0.05);两组不良妊娠结局发生率比较,差异无统计学意义(P＞0.05).结论:结局回溯性特别关注护理联合改良DASH饮食疗法可改善HDP病人凝血功能和血管内皮功能,降低负性情绪、血压水平.
Objective:To explore the application effect of outcome retrospective special attention nursing combined with modified dietary approaches to stop hypertension(DASH)diet in patients with hypertensive disorders of pregnancy(HDP).Methods:A total of 100 HDP patients treated in the hospital from January 2021 to January 2024 were selected as the study subjects and randomly divided into a control group and a combination group using a random number table method,with 50 cases in each group.The control group received outcome retrospective special attention nursing,while the combination group received modified DASH diet in addition to the nursing given to the control group.Negative emotions[Self-Rating Depression Scale(SDS),Self-Rating Anxiety Scale(SAS)scores],blood pressure levels[systolic blood pressure(SBP),diastolic blood pressure(DBP),mean arterial pressure(MAP)],coagulation function[prothrombin time(PT),fibrinogen(FIB),activated partial thromboplastin time(APTT),D-dimer(D-D)],endothelial function[nitric oxide(NO),vascular endothelial growth factor(VEGF),endothelin-1(ET-1)],and adverse pregnancy outcomes were compared between the two groups.Results:After nursing,SDS and SAS scores in both groups were lower than those before nursing,and the scores in the combination group were lower than those in the control group(P＜0.05).After nursing,SBP,DBP and MAP in both groups were lower than those before nursing,and the levels in the combination group were lower than those in the control group(P＜0.05).After nursing,PT and APTT in both groups were longer than those before nursing,while FIB and D-D levels were lower than those before nursing,the combination group had longer PT and APTT and lower FIB and D-D levels than the control group(P＜0.05).After nursing,NO and VEGF levels in both groups were higher than those before nursing,and the combination group had higher levels than the control group,ET-1 levels in both groups were lower than those before nursing,and the combination group had a lower level than the control group(P＜0.05).There was no statistically significant difference in the incidence of adverse pregnancy outcomes between the two groups(P＞0.05).Conclusion:Outcome retrospective special attention nursing combined with modified DASH diet can improve coagulation function and vascular endothelial function,and reduce negative emotions and blood pressure levels in HDP patients.
李燕;肖桂兰;赖兰萍
341600,赣南医科大学第二附属医院341600,赣南医科大学第二附属医院341600,赣南医科大学第二附属医院
结局回溯性特别关注护理改良终止高血压膳食疗法妊娠期高血压凝血功能负性情绪
outcome retrospective special attention nursingmodified dietary approaches to stop hypertension diethypertensive disorders of pregnancycoagulation functionnegative emotions
《全科护理》 2026 (10)
1837-1841,5
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