Analysis Of The Effect Of Case Management Model On Preeclampsia Patients

Objective:Through the use of case management model to treat preeclampsia patients,and through the outcome of pregnancy,as well as changes in body fat rate,self-rating anxiety scale,depression screening scale,to explore more scientific management methods for preeclampsia patients.To provide a theoretical basis for the application of case management model in the management of pre-eclampsia patients.Method: From May 2016 to May 2018,86 cases of preeclampsia in our hospital were studied.They were randomly divided into experimental group(43 cases)and control group(43 cases).There was no significant difference in age,weight and educational level between the two groups(P > 0.05).Control group: outpatient routine health education,routine obstetric examination content,specialized treatment.Experimental group: On the basis of using routine health education and maternity examination,cooperate with case management mode:Personalized prenatal examination plans are formulated by case managers,and disease knowledge dissemination,psychotherapy,diet guidance and exercise guidance are reasonably arranged.Convenient ways of consultation,nutritionist guidance,exercise guidance and specialist treatment are also provided.The delivery outcome(natural delivery rate,cesarean section rate,postpartum hemorrhage,fetal distress,maternal satisfaction rate)and body fat rate,self-rating anxiety scale and depression screening scale were compared between the two groups,and the changes were analyzed after 1 month and 2 months of treatment.Results:(1)There were five statistical differences in age,weight and educational level between the two groups(P > 0.05).There was no significant difference in body fat rate,self-rating anxiety scale and depression screening scale between the two groups before case management(P > 0.05).The data of the two groups were comparable.(2)After case management,there were significant differences in body fat rate,self-rating anxiety scale between the control group and the experimental group(P < 0.05).With the further development of treatment,the results of SAS were different between the two groups(P < 0.05).The experimental group was better than the control group.There was no significant difference in depression screening scale between the two groups before and after intervention(P > 0.05).(2)In the experimental group and the control group,there was no significant difference in body fat rate before intervention,but no significant difference in 1 month after intervention,and there was significant difference in 2 months after intervention(P < 0.05).(3)There were significant differences in pregnancy outcomes(natural delivery rate,cesarean section rate,postpartum hemorrhage,fetal distress,maternal satisfaction rate)between the experimental group and the control group(P < 0.05).Conclusion:Case management model has been used in other fields,and has derived a variety of cooperation models.The ultimate goal is to effectively use integrated resources,actively follow-up,and strive to prevent or delay disease.It is also a multi-disciplinary and long-term cooperative work method.It can improve the self-management level of patients with preeclampsia,rationalize the body fat rate,improve the patients’ bad mood,delay the progress of the disease,improve the outcomes of the disease,reduce the number of days in hospital,reduce the average cost of hospitalization,and improve the satisfaction rate of hospitalization.After delivery,medical staff should continue to strengthen patients’ health guidance,expecting patients to have a better lifestyle,a healthier body,and reduce the risk of hypertension and other diseases.