共享护理门诊在妊娠期高血压疾病患者中的应用研究

doi:10.3761/j.issn.0254-1769.2025.14.001

摘要/Abstract

摘要：

目的探讨共享护理门诊在妊娠期高血压疾病（hypertensive disorders of pregnancy，HDP）患者孕期保健中的应用效果。方法采用便利抽样法，选取2023年1月—10月在南京市某三级甲等妇产医院产检的88例HDP患者作为研究对象。按产检顺序，将2023年6月—10月产检的44例HDP患者作为试验组，2023年1月—5月产检的44例HDP患者作为对照组，试验组实施共享护理门诊管理模式，对照组采用常规管理。干预后比较两组血压控制达标率、疾病进展发生率，HDP知识问卷、高血压自我管理量表、妊娠相关焦虑量表、患者满意度问卷得分的差异。结果试验组41例、对照组39例完成研究。干预后，试验组血压控制达标率为95.12%，高于对照组的79.49%；疾病进展发生率为7.32%，低于对照组的25.64%；HDP知识问卷得分为（25.24±4.07）分、高血压自我管理量表得分为（114.39±14.89）分、患者满意度调查问卷得分为（19.56±1.14）分，均高于对照组；妊娠相关焦虑量表得分为（18.02±2.15）分，低于对照组的（23.18±9.58）分，两组比较，差异均具有统计学意义（P<0.001）。结论实施共享护理门诊管理可提高HDP患者的血压控制达标率、HDP知识、自我管理水平，降低疾病进展发生率、妊娠相关焦虑，提升满意度，为优化HDP管理提供了借鉴。

关键词: 妊娠期高血压疾病, 孕妇, 共享门诊, 产科护理

Abstract:

Objective To explore the effect of a shared care applied to pregnancy care among pregnant women with hypertensive disorder of pregnancy（HDP）. Methods A total of 88 pregnant women with HDP who received obstetric check-ups in a tertiary A-level maternity hospital in Nanjing City from January to October 2023 were conveniently selected as the research subjects. According to the order of obstetric examinations，44 pregnant women with HDP from June to October 2023 were selected as an experimental group，and 44 pregnant women with HDP from January to May 2023 were selected as a control group. The experimental group received the shared care clinic management model，and the control group received the routine management. The scores of the rate of blood pressure attainment，the incidence of disease progression，the questionnaire on knowledge of HDP，the Hypertension Self-Management Scale，the Pregnancy-Related Anxiety Scale，and the Patient Satisfaction Questionnaire were compared between the 2 groups. Results 41 patients in the experimental group and 39 patients in the control group completed the study. After the intervention，the blood pressure compliance rate of pregnant women with HDP in the experimental group was 95.12%，higher than 79.49% in the control group. The incidence of disease progression was 7.32%，lower than 25.64% in the control group. HDP Knowledge Questionnaire score（25.24±4.07），Hypertension Self-Management Scale score（114.39±14.89）， and Patient Satisfaction Questionnaire score（19.56±1.14） were higher than that of the control group. The score of Pregnancy-Related Anxiety Scale was（18.02±2.15），lower than（23.18±9.58） in the control group. The score of Patient Satisfaction Questionnaire was（19.56±1.14），higher than that（17.26±2.25） in the control group. The differences were statistically significant（P<0.001）. Conclusion The shared care clinic model can improve HDP pregnant women’s blood pressure control compliance，HDP knowledge，and self-management，reduce the incidence of disease progression，pregnancy-related anxiety，and improve satisfaction，which provides a reference for optimising the HDP management model.

Key words: Hypertensive Disorders of Pregnancy, Pregnant Women, Share Care Clinic, Obstetrical Nursing

蒲丛珊, 单春剑, 张翔娣, 夏家爱, 王梦甜, 龙伟, 朱珠. 共享护理门诊在妊娠期高血压疾病患者中的应用研究[J]. 中华护理杂志, 2025, 60(14): 1669-1676.

PU Congshan, SHAN Chunjian, ZHANG Xiangdi, XIA Jiaai, WANG Mengtian, LONG Wei, ZHU Zhu. Research on a shared care clinic in pregnant women with hypertensive disorders of pregnancy[J]. Chinese Journal of Nursing, 2025, 60(14): 1669-1676.

图/表 5

表1 共享护理门诊管理方案具体内容

Table 1 Specifics of the shared care clinic management programme

表2 两组一般资料的比较[例（百分比，%）]

Table 2 Comparison of general data between 2 groups[cases（percentage，%）]

表3 两组干预前后妊娠期高血压疾病知识问卷、高血压自我管理量表得分比较（分，$\bar{x} \pm s$）

Table 3 Comparison of knowledge，self-management scores of HDP pregnant women before and after intervention between 2 groups（score，$\bar{x} \pm s$）

表4 两组干预前后妊娠期相关焦虑量表得分比较（分，$\bar{x} \pm s$）

Table 4 Comparison of pregnancy related anxiety scores of HDP pregnant women before and after intervention between 2 groups（score，$\bar{x} \pm s$）

表5 两组干预前后患者满意度问卷得分比较（分，$\bar{x} \pm s$）

Table 5 Comparison of nursing satisfaction scores of HDP pregnant women before and after intervention between 2 groups（score，$\bar{x} \pm s$）

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