Effects of information-knowledge-attitude-practice health education combined with cluster-based care in patients with gestational hypertension

Wen, Jiao; Liu, Xiuping

doi:10.1097/md.0000000000035346

Cited by 2 publications

(1 citation statement)

References 29 publications

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“…Patients diagnosed with PIH according to the “Guidelines for the Diagnosis and Treatment of Pregnancy Induced Hypertension (2020)”; [6] Patients met the indications for CD surgery and clinical diagnostic criteria for postpartum hemorrhage; Patients with clear consciousness and no cognitive impairment.…”

Section: Methodsmentioning

confidence: 99%

Effect of Bakri balloon tamponade combined with different suture methods on preventing postpartum hemorrhage in women with pregnancy-induced hypertension undergoing cesarean delivery

Liu,

Wu,

et al. 2024

Medicine

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Objective: To investigate the effect of Bakri balloon tamponade (BBT) combined with different suture methods on preventing postpartum hemorrhage in women with pregnancy-induced hypertension (PIH) undergoing cesarean delivery (CD). Methods: This randomized, double-blind, controlled trial was conducted at The First Affiliated Hospital of Xingtai Medical College from October 2020 to June 2023. Patients with PIH who had persistent bleeding after CD and were unresponsive to uterine contractions, sutures, or uterine disconnection procedures were eligible participants. Eligible participants were randomly assigned to control and study groups, with 50 patients in each group. The control group used BBT combined with B-lynch uterine compression sutures, while the study group used BBT combined with modified Hayman suture. Intraoperative and postoperative bleeding and changes in vital signs were compared between the 2 groups. Moreover, changes in inflammation levels, coagulation function, and sex hormone levels were compared between the 2 groups before and after surgery. Results: A total of 122 patients with persistent bleeding after CD were recruited, of whom 22 were excluded (16 cases of uterine contractions and/or local uterine myometrial sutures for hemostasis, 4 cases of preoperative uterine artery embolization, and 2 cases of uterine malformations). The intraoperative blood loss, postoperative blood loss at 2 hours, postoperative blood loss at 24 hours, and decrease in red blood cell and hemoglobin in the study group were significantly lower than those in the control group (P < .05). After surgery, the levels of inflammation, coagulation function, and sex hormone in both groups improved compared to before surgery, and the study group was significantly better than the control group (P < .05). In addition, the incidence of postoperative adverse events in the study group was significantly lower than that in the control group (P < .05). Conclusions: The hemostatic effect of BBT combined with B-lynch uterine compression sutures is comparable to that of BBT combined with modified Hayman suture for postpartum hemorrhage in pregnant women with PIH undergoing CD, but the latter has less blood loss, attenuated inflammatory response, reduced impact on coagulation function and ovarian function, and a lower incidence of adverse events.

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Section: Methodsmentioning

confidence: 99%

Effect of Bakri balloon tamponade combined with different suture methods on preventing postpartum hemorrhage in women with pregnancy-induced hypertension undergoing cesarean delivery

Liu,

Wu,

et al. 2024

Medicine

View full text Add to dashboard Cite

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Healthy behaviors and gestational diabetes mellitus in an Iranian setting: A cross-sectional study

Zare,

Mardi,

Yeghanenia

et al. 2024

Medicine

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The objective of this study is to determine the healthy behaviors of mothers with gestational diabetes mellitus (GDM) in Ardabil in 2020. An analytic cross-sectional study was conducted on 360 mothers with GDM in Ardabil in 2020. Self-reported data was collected using a sociodemographic and a lifestyle questionnaire (LSQ) with assistance from health staff. Univariate and multivariate linear regression tests were used to assess risk variables associated with health behaviors and GDM. The total score of the LSQ was 123.6 ± 9.9, which was considered fair or average. The participants’ age had a significant relationship with physical health (beta = −.093, P = .004), weight control and nutrition (beta = .094, P = .010), and psychological health (beta = .081, P = .005). Higher educational level was associated with accident prevention (beta = .453, P = .001). Participants’ occupation had a significant positive relationship with the prevention of diseases (beta = .925, P = .003). A gravida of the participants was associated with weight control and nutrition (beta = −.497, P = .016). Body mass index was associated with physical health (beta = −.179, P = .001), exercise and fitness (beta = −.149, P = .016), psychological health (beta = −.158, P = .001), accident prevention (beta = .098, P = .023), and total score of LSQ (beta = −.559, P = .006). The findings of this study showed that mothers with GDM had LSQ subscales scores considered fair or average, except for the prevention of diseases and avoidance of drugs, alcohol, and opiates subscales, which were considered good.

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Effects of information-knowledge-attitude-practice health education combined with cluster-based care in patients with gestational hypertension

Cited by 2 publications

References 29 publications

Effect of Bakri balloon tamponade combined with different suture methods on preventing postpartum hemorrhage in women with pregnancy-induced hypertension undergoing cesarean delivery

Effect of Bakri balloon tamponade combined with different suture methods on preventing postpartum hemorrhage in women with pregnancy-induced hypertension undergoing cesarean delivery

Healthy behaviors and gestational diabetes mellitus in an Iranian setting: A cross-sectional study

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