Volume 23 Issue 3
Mar.  2025
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(3): 530-533
HUANG Xuexia, GU Huifeng, SHEN Pinghua, QIAN Lu, ZHANG Weifeng, FEI Anping, CHEN Yan. The impact of integrated preventive nursing interventions based on causal analysis on pregnancy outcomes and postpartum efficacy in patients with severe preeclampsia[J]. Chinese Journal of General Practice, 2025, 23(3): 530-533. doi: 10.16766/j.cnki.issn.1674-4152.003943
Citation: HUANG Xuexia, GU Huifeng, SHEN Pinghua, QIAN Lu, ZHANG Weifeng, FEI Anping, CHEN Yan. The impact of integrated preventive nursing interventions based on causal analysis on pregnancy outcomes and postpartum efficacy in patients with severe preeclampsia[J]. Chinese Journal of General Practice, 2025, 23(3): 530-533. doi: 10.16766/j.cnki.issn.1674-4152.003943
shu

The impact of integrated preventive nursing interventions based on causal analysis on pregnancy outcomes and postpartum efficacy in patients with severe preeclampsia

doi: 10.16766/j.cnki.issn.1674-4152.003943

  • Department of Obstetrics, Huzhou Maternal and Child Health Hospital, Huzhou, Zhejiang 313000, China

Funds:

 2024KY1654

 2023GYB35

  • Received Date: 2024-04-25
    Available Online: 2025-05-14
    Abstract
  •   Objective  Severe preeclampsia (PE) is one of the more severe types of gestational hypertension, posing a great threat to both pregnant women and infants. This study attempts to use a causal analysis-based integrated intervention for prevention and care in patients with severe PE, aiming to explore whether this intervention program can reduce adverse pregnancy outcomes and improve postpartum self-efficacy.  Methods  Eighty patients with severe PE admitted to the Maternity and Child Health Hospital of Huzhou were prospectively selected as the research subjects. Among them, 40 patients admitted from January 2021 to May 2022 were included in the control group and received routine nursing care. Another 40 patients admitted from June 2022 to April 2023 were assigned to the observation group, which received an integrated intervention of preventive nursing based on causal analysis in addition to the routine nursing provided to the control group. The mental state (self-rating anxiety scale, SAS, and self-rating depression scale, SDS), occurrence of adverse pregnancy outcomes (postpartum hemorrhage, abnormal amniotic fluid, and premature rupture of membranes), and postpartum self-efficacy were compared between the two groups.  Results  Following the intervention, the observation group exhibited lower SAS and SDS scores compared to the control group [(31.13±4.15) points, (24.40±4.40) points vs. (35.60±4.07) points, (28.28±4.42) points], with the differences being statistically significant (P < 0.05); The observation group had a lower total incidence of adverse pregnancy outcomes at 10.00% (4/40) compared to the control group at 22.50% (9/40), though this difference was not statistically significant (P>0.05); The postpartum self-efficacy in the observation group was superior to that in the control group, the difference being statistically significant (P < 0.05).  Conclusion  For patients with severe PE, an intervention plan based on causal analysis in integrated preventive nursing can effectively enhance their psychological well-being, boost postpartum self-efficacy, and show a trend in reducing adverse pregnancy outcomes.

     

    • FullText(HTML)
  • loading
    • References(19)
  • [1]
    王宇, 李斌, 赵宇. 先兆子痫的炎症: 遗传生物标志物、机制和治疗策略[J]. 免疫学前沿, 2022, 13(5): 88-89.

    WANG Y, LI B, ZHAO Y. Inflammation in preeclampsia: genetic biomarkers, mechanisms, and therapeutic strategies[J]. Front Immunol, 2022, 13(5): 88-89.
    [2]
    HAUSPURG A, JEYABALAN A. Postpartum preeclampsia or eclampsia: defining its place and management among the hypertensive disorders of pregnancy[J]. Am J Obstet Gynecol, 2022, 226(2S): S1211-S1221.
    [3]
    徐夏芝, 潘维君, 陈茂林. 硝苯地平联合拉贝洛尔治疗对子痫前期患者脐动脉S/D值、胎儿血流动力学的影响[J]. 中国妇产科临床杂志, 2022, 23(3): 248-250.

    XU X Z, PAN W J, CHEN M L. Effects of nifedipine combined with labetalol on umbilical artery S/D value and fetal hemodynamics in patients with preeclampsia[J]. Chinese Journal of Clinical Obstetrics and Gynecology, 2022, 23(3): 248-250.
    [4]
    龚卫萍. 优质护理干预对重度子痫前期孕产妇负性情绪及妊娠结局的影响[J]. 山西医药杂志, 2023, 52(10): 791-794.

    GONG W P. Effects of high-quality nursing intervention on negative emotions and pregnancy outcomes in pregnant women with severe preeclampsia[J]. Shanxi Medical Journal, 2023, 52(10): 791-794.
    [5]
    王晨阳, 刘宴池, 赵洪增, 等. 格兰杰因果分析观察酒精依赖患者杏仁核与全脑效应连接特点[J]. 中国医学影像技术, 2022, 38(12): 1807-1811.

    WANG C Y, LIU Y C, ZHAO H Z, et al. Observation of the characteristics of amygdala-whole brain effective connectivity in patients with alcohol dependence using granger causality analysis[J]. Chinese Journal of Medical Imaging Technology, 2022, 38(12): 1807-1811.
    [6]
    殷方良, 于英民, 张绍梅. 因果分析构建下的预防护理集成干预对老年创伤性骨折患者术中低体温发生率的影响[J]. 国际护理学杂志, 2024, 43(5): 782-786.

    YIN F L, YU Y M, ZHANG S M. Impact of preventive nursing integrated intervention based on causal analysis on the incidence of intraoperative hypothermia in elderly patients with traumatic fractures[J]. International Journal of Nursing Sciences, 2024, 43(5): 782-786.
    [7]
    黄艳仪, 姚细保, 陈敦金, 等. 重度子痫前期诊断标准临床意义探讨[J]. 中国实用妇科与产科杂志, 2005, 17(7): 414-416.

    HUANG Y Y, YAO X B, CHEN D J, et al. Clinical significance of diagnostic criteria for severe preeclampsia[J]. Chinese Journal of Practical Gynecology and Obstetrics, 2005, 17(7): 414-416.
    [8]
    YANG Y Y, LE RAY I, ZHU J, et al. Preeclampsia prevalence, risk factors, and pregnancy outcomes in Sweden and China[J]. JAMA Netw Open, 2021, 4(5): e218401. DOI: 10.1001/jamanetworkopen.2021.8401.
    [9]
    潘章慧, 金利英, 胡波, 等. 基于奥苏伯尔问题解决模式的针对性护理对子痫前期产妇心理状态、妊娠结局影响[J]. 中国计划生育学杂志, 2023, 31(5): 1110-1115.

    PAN Z H, JIN L Y, HU BO, et al. Impact of targeted nursing based on ausubel ' s problem-solving model on psychological status and pregnancy outcomes in pregnant women with preeclampsia[J]. Chinese Journal of Family Planning, 2023, 31(5): 1110-1115.
    [10]
    严檬洁, 谷茂红, 徐友娣. 热休克蛋白70与重度子痫前期的临床研究[J]. 中华全科医学, 2021, 19(11): 1884-1887. doi: 10.16766/j.cnki.issn.1674-4152.002192

    YAN M J, GU M H, XU Y D. Clinical study on heat shock protein 70 and severe preeclampsia[J]. Chinese Journal of General Practice, 2021, 19(11): 1884-1887. doi: 10.16766/j.cnki.issn.1674-4152.002192
    [11]
    GHESQUIERE L, GUERBY P, MARCHANT I, et al. Comparing aspirin 75 to 81 mg vs 150 to 162 mg for prevention of preterm preeclampsia: systematic review and meta-analysis[J]. Am J Obstet Gynecol MFM, 2023, 5(7): 101000. DOI: 10.1016/j.ajogmf.2023.101000.
    [12]
    梁晨艳, 周燕, 吕魏潇, 等. 基于因果分析的风险干预对鼻咽癌放疗患者放射性口腔炎的预防效果研究[J]. 中国中西医结合耳鼻咽喉科杂志, 2022, 30(1): 49-52.

    LIANG C Y, ZHOU Y, LYU W X, et al. Study on the preventive effect of risk intervention based on causal analysis on radiation-induced stomatitis in patients with nasopharyngeal carcinoma undergoing radiotherapy[J]. Chinese Journal of Otorhinolaryngology Integrated Traditional and Western Medicine, 2022, 30(1): 49-52.
    [13]
    任苗会. 基于因果分析的风险干预在新生儿窒息复苏护理中的应用效果评价[J]. 首都食品与医药, 2021, 28(2): 156-157.

    REN M H. Evaluation of the application effect of risk intervention based on causal analysis in the resuscitation nursing of neonatal asphyxia[J]. Capital Food and Medicine, 2021, 28(2): 156-157.
    [14]
    杨长捷, 李颖. 预见性护理干预对重度子痫前期患者母婴结局的影响[J]. 川北医学院学报, 2020, 35(2): 343-346.

    YANG C J, LI Y. The effect of predictive nursing intervention on maternal and infant outcomes in patients with severe preeclampsia[J]. Journal of North Sichuan Medical College, 2020, 35(2): 343-346.
    [15]
    温燕, 刘维. 家庭参与联合赋能教育干预对孕晚期重度子痫前期孕妇心理状态和母婴结局的影响[J]. 中国计划生育学杂志, 2022, 30(9): 2031-2034, 2039.

    WEN Y, LIU W. The effect of family involvement combined with empowerment education intervention on the psychological status and maternal and infant outcomes of pregnant women with severe preeclampsia in late pregnancy[J]. Chinese Journal of Family Planning, 2022, 30(9): 2031-2034, 2039.
    [16]
    杨琴, 朱艳梅. 健康教育配合分娩球对自然分娩产妇的应用效果及不良情绪影响分析[J]. 贵州医药, 2023, 47(5): 831-833.

    YANG Q, ZHU Y M. Analysis of the application effect and adverse emotionalimpact of health education combined with birth balls on natural childbirth[J]. Guizhou Medical Journal, 2023, 47(5): 831-833.
    [17]
    连媛媛, 王青, 郭梦杰. 基于因果分析的综合护理法在血浆置换治疗急性肝衰竭中的应用[J]. 山西卫生健康职业学院学报, 2023, 33(6): 156-158.

    LIAN Y Y, WANG Q, GUO M J. Application of comprehensive nursing method based on causal analysis in plasma exchange therapy for acute liver failure[J]. Journal of Shanxi Health Vocational College, 2023, 33(6): 156-158.
    [18]
    刘晓夏, 邹丽. 强化对子痫前期及HELLP综合征在产时产后的认知和管理[J]. 中国实用妇科与产科杂志, 2021, 37(5): 542-546.

    LIU X X, ZOU L. Strengthening the cognition and management of preeclampsia and HELLP syndrome during childbirth and postpartum[J]. Chinese Journal of Practical Gynecology and Obstetrics, 2021, 37(5): 542-546.
    [19]
    吴旭芬, 潘春波, 吕晨茜. 流程细化干预模式对妊娠期高血压综合征产妇自我效能及产后出血的影响[J]. 河北医药, 2023, 45(9): 1424-1426, 1430.

    WU X F, PAN C B, LYU C X. The impact of detailed process intervention model on self-efficacy and postpartum hemorrhage in pregnant women with hypertensive disorders complicating pregnancy[J]. Hebei Medical Journal, 2023, 45(9): 1424-1426, 1430.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(4)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (25) PDF downloads(4) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return