Effects of individualized health education by the form of one-day ward in patients with pregnancy-induced hypertension

Abstract

Objective To apply the individualized health education by the form of one-day ward to nursing of patients with pregnancy-induced hypertension so as to reduce the blood pressure (BP) , anxiety, depression and the incidence of caesarean section. Methods A total of 194 patients with pregnancy-induced hypertension were randomly divided into observation group and control group with 97 patients in each group. Patients in the control group received routine inspection and health education in out-patient clinic. On the basis of nursing in the control group, patients in the observation group adopted individualized health education by the form of one-day ward. And then, the BP, mastery of health related knowledge, the anxiety, depression, mode of delivery, self-efficacy and satisfaction with nursing of patients between two groups were observed when they were admitted to groups and before discharge. Results After the intervention, the systolic pressure and the diastolic pressure [ (122.5±9.0) mmHg and (83.4±7.8) mmHg]of patients in the observation group was lower than those [ (136.3±10.7) mmHg and (95.1±8.3) mmHg]in the control group with significant differences (t=4.083, 3.769; P<0.001) . After the intervention, the scores of anxiety and depression of patients in the observation group were lower than those in the control group; the mastery of health related knowledge and the self-efficacy of patients in the observation group were higher than those in the control group; the incidence of caesarean section in the observation group was lower than that in the control group; the satisfaction with nursing in the observation group was higher than that in the control group; there were all statistically significant differences in them between two groups (P<0.05) . Conclusions The individualized health education by the form of one-day ward can significantly reduce the BP, anxiety, depression and the incidence of caesarean section, and improve the self-efficacy and satisfaction with nursing among patients with pregnancy-induced hypertension. Key words: Health education; Anxiety; Depression; Hypertension; Pregnancy