Research on a shared care clinic in pregnant women with hypertensive disorders of pregnancy
10.3761/j.issn.0254-1769.2025.14.001
- VernacularTitle:共享护理门诊在妊娠期高血压疾病患者中的应用研究
- Author:
Cong-shan PU
1
;
Chunjian SHAN
;
Xiangdi ZHANG
;
Jiaai XIA
;
Mengtian WANG
;
Wei LONG
;
Zhu ZHU
Author Information
1. 210004 南京市南京医科大学附属妇产医院/南京市妇幼保健院产科
- Publication Type:Journal Article
- Keywords:
Hypertensive Disorders of Pregnancy;
Pregnant Women;
Share Care Clinic;
Obstetrical Nursing
- From:
Chinese Journal of Nursing
2025;60(14):1669-1676
- CountryChina
- Language:Chinese
-
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 ob-stetric check-ups in a tertiary A-level matemity hospital in Nanjing City from January to October 2023 were conve-niently 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 pres-sure 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 com-pleted 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.
