1. Introduction
pregnancy-induced hypertension, death, anxiety, information-knowledge-attitude-practice, hypertensive, depression, hypertension
PREGNANCY-INDUCED HYPERTENSION, POSTPARTUM HEMORRHAGE, HYPERTENSIVE DISEASE, PREMATURE BIRTH, FETAL DISTRESS, HYPERTENSIVE DISEASES, GESTATIONAL HYPERTENSION, PLACENTA PREVIA, BLOOD, HYPERTENSION
To analyze the impact of information-knowledge-attitude-practice (IKAP) health education incorporated with cluster-based care on blood pressure control, pregnancy outcome and life quality in those who have gestational hypertension, and to provide methodological backing for the care of patients. A total of 80 patients with pregnancy-induced hypertension were selected as the research objects and randomly divided into control and experimental groups, with 40 cases in each group. The control group received routine cluster care, which included providing individual and group health information through the distribution of health education manuals to hypertensive patients during pregnancy and their families. The experimental group received additional IKAP health education, including data collection, health knowledge imparted, concept change and behavior generation process. Blood pressure control status was measured and recorded. Adverse pregnancy outcomes include placenta previa, cesarean section, hyperamniotic fluid, fetal distress, and postpartum hemorrhage. Postpartum quality of life conditions, including physical activity, emotional awareness, physical discomfort, mental health, sleep quality, postpartum anxiety or depression, and general health were evaluated. Age, prepregnancy BMI, and educational level did not significantly vary between the 2 groups(Gestational hypertension is a common issue during pregnancy, and its clinical manifestations can vary depending on when it occurs.In China, there has been a trend of women delaying their childbearing age, resulting in an increasing proportion of elderly pregnant women and greater attention on hypertensive diseases during pregnancy.Hypertensive diseases during pregnancy can lead to detrimental effects on vital organs such as the cardiovascular, liver, kidney and brain organs. Related studies have demonstrated that placental function is inhibited due to insufficient placental injection in hypertensive patients during pregnancy. Fetal growth is limited, increases the likelihood of premature birth and low birth weight, and results in abnormal expression of substances like endothelin in umbilical cord blood.; Furthermore, these conditions affect the coagulation and fibrinolytic system, which limits the growth and development of the fetus, further increases the probability of neonatal death, and significantly deteriorates both adults and children’s physical and mental health.Studies have also shown a higher incidence of anxiety and depression in hypertensive patients during pregnancy compared to ordinary pregnant women; Poor mental state will affect the health of both mother and child, and postpartum anxiety and depression will affect their postpartum quality of life.