循證護理在妊娠期高血壓護理管理中的應用

謝彩云　王愛桃　黃雪英　鄧慧冰　姚素玲

[摘要] 目的 分析循證護理管理在妊娠期高血壓中的效果。方法 該研究中的對照組為該院2016年3月—2017年3月期間婦產科在職護理人員，共15名，觀察組為2017年4月—2018年4月期間婦產科在職護理人員15名。對照組僅開展常規護理管理，觀察組則實施循證護理管理。比較兩組護理人員的護理綜合質量。結果 觀察組護理人員的操作水平、綜合考核成績、患者護理滿意度與舒適度以及護理技術技巧評分均明顯高于對照組，差異有統計學意義（P<0.05）。結論 循證護理管理應用于妊娠期高血壓護理管理中可以促進護理質量的提升，有廣泛推廣于今后臨床中的價值。

[關鍵詞] 循證;護理管理;妊娠期高血壓;護理質量

[中圖分類號] R473.71 [文獻標識碼] A [文章編號] 1672-5654（2020）02（c）-0107-03

[Abstract] Objective To analyze the effect of evidence-based nursing management on hypertension during pregnancy. Methods The control group in this study consisted of 15 in-service nursing staff in the obstetrics and gynecology department from March 2016 to March 2017. The observation group was in-service nursing staff of the obstetrics and gynecology department from April 2017 to April 2018 of 15 people. The control group only performed routine nursing management， and the observation group implemented evidence-based nursing management. The comprehensive nursing quality of the two groups of nursing staff was compared. Results The operating level， comprehensive assessment results， patient satisfaction and comfort， and nursing skills of the nursing staff in the observation group were significantly higher than those in the control group， and the difference was statistically significant（P<0.05）. Conclusion The application of evidence-based nursing management in the management of hypertension during pregnancy can promote the improvement of nursing quality， and it will be widely used in clinical practice in the future.

[Key words] Evidence-based; Nursing management; Hypertension during pregnancy; Nursing quality

妊娠期高血壓為女性在妊娠期間的常見病癥，相關統計表明[1]，該疾病的臨床發病率在5%～12%。妊娠期高血壓患者常在高齡、有子癇前期病史或者高血壓病史情況存在的孕婦中發生。血壓水平≥140 mmHg/90 mmHg、踝部和下肢水腫以及蛋白尿等均為妊娠期高血壓期高血壓疾病的主要臨床表現，病情嚴重患者常有胸悶、視物模糊、抽搐、頭暈、頭痛以及昏迷等表現。妊娠期高血壓患者若未獲得及時有效的醫療干預，可對母嬰身體健康甚至生命安全構成威脅。為此需要在婦產科臨床中實施積極有效的護理管理措施，以提升護理質量以及病情控制效果，改善母嬰結局[2]。該次研究旨在明確循證護理管理在妊娠期高血壓當中的臨床應用價值，于2016年3月—2018年4月抽選婦產科在職護理人員進行比較分析，報道如下。

1? 資料與方法

1.1? 一般資料