动机性访谈对妊娠期高血压孕产妇血压及妊娠结局的影响

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摘要目的研究动机性访谈对妊娠期高血压孕产妇血压和妊娠结局的影响。方法选取2018年1～12月在我院就诊的140例妊娠期高血压孕产妇，采用随机数字表法将其分为对照组和观察组，每组各70例。对照组给予常规处理干预，观察组给予常规处理和机动性访谈联合干预，观察两组不同护理方式干预后不同的各指标变化、妊娠结局及护理满意度。结果两组护理干预后，观察组剖宫产、胎儿宫内窘迫的发生率低于对照组，差异有统计学意义（P<0.05）；观察组收缩压为（121.2±1.5）mmHg，低于对照组的（133.2±3.1）mmHg，观察组舒张压为（79.2±2.4）mmHg，低于对照组的（90.1±3.1）mmHg，差异有统计学意义（P＜0.05）。观察组尿素氮为（3.9±1.5）mmol/L，低于对照组的（6.1±2.1）mmol/L，差异有统计学意义（P＜0.05）；观察组肌酐为（59.2±19.2）mmol/L，低于对照组的（73.2±24.7）mmol/L，差异有统计学意义（P＜0.05）；观察组尿微量清蛋白为（45.2±11.9）mg/L，低于对照组的（90.1±12.3）mg/L，差异有统计学意义（P＜0.05）。观察组护理总满意度（97.1%）高于对照组（85.6%），差异有统计学意义（P＜0.05）。结论对妊娠期高血压孕妇进行动机性访谈干预，能显著改善患者的血压状况和妊娠结局，有利于提高护理满意度，值得临床推广。

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	张佳
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关键词 ：动机性访谈, 妊娠期高血压, 血压, 妊娠结局

Abstract：Objective To study the effect of motivational interviewing (MI) on blood pressure and pregnancy outcomes in pregnant women with hypertension during pregnancy.Methods A total of 140 pregnant women with hypertension during pregnancy admitted to our hospital from January to December 2018 were enrolled.The random number table method was applied to divide them into control group and observation group, 70 cases in each group.The control group received routine intervention treatment, while the observation group received routine intervention+motivational interviewing treatment.Differences in pregnancy outcomes and nursing satisfaction as well as changes in different indicators between the two groups of patients after different nursing interventions were observed.Results Different nursing interventions were performed in the two groups of patients, the incidences of cesarean section and intrauterine fetal distress in the observation group were lower than those in the control group (35.8%), the differences were statistically significant(P＜0.05).The systolic pressure of the observation group was (121.2±1.5 mmHg), lower than that of the control group of(133.2±3.1) mmHg, the diastolic pressure of the observation group was (79.2±2.4) mmHg, lower than that of the control group of (90.1±3.1) mmHg, the differences were statistically significant (P＜0.05).The urea nitrogen of the observation group was (3.9±1.5) mmol/L, lower than that of the control group (6.1±2.1) mmol/L, the difference was statistically significant (P＜0.05).The creatinine of the observation group was (59.2±19.2) mmol/L, lower than that of the control group of (73.2±24.7) mmol/L, the difference was statistically significant (P＜0.05).The urine microalbumin of the observation group was (45.2±11.9) mmol/L, lower than that of the control group of (90.1±12.3) mg/L, the difference was statistically significant (P＜0.05).The nursing total satisfaction of the observation group (97.1%) was higher than that of the control group (85.6%), and the difference was statistically significant (P＜0.05).Conclusions The intervention of motivational interviewing can be applied on pregnant women with hypertension to significantly improve the patients′ blood pressure and pregnancy outcomes.It is beneficial to improve the nursing satisfaction and it should be clinical promoted.

Key words： Motivational interviewing Hypertension during pregnancy Blood pressure Pregnancy outcome

基金资助:江西省卫生计生委科技计划项目（20197025）

作者简介: 张佳（1983-），女，汉族，江西南昌人，本科，主管护师，研究方向：妇产科护理

引用本文:

张佳; 熊小娟; 王瑾. 动机性访谈对妊娠期高血压孕产妇血压及妊娠结局的影响[J]. 中国当代医药, 2020, 27(11): 200-202.
ZHANG Jia; XIONG Xiao-juan; WANG Jin. Effect of motivational interviewing on blood pressure and pregnancy outcomes in pregnant women with hypertension during pregnancy. 中国当代医药, 2020, 27(11): 200-202.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2020/V27/I11/200

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