目的 研究细致化护理在提升妊娠高血压疾病产妇产前分娩自我效能中的效果。方法 选取2016年1月到2016年12月 于我院分娩的妊娠高血压疾病产妇84例，随机分成对照组和试验组，每组42例，对照组产妇产前采取常规护理， 试验组产妇产前采取细致化护理。观察记录两组产妇的分娩自我效能，以及对产前护理的满意度。结果 试验组 产妇护理后的自我效能预期评分达(85.22±5.24)分明显高于对照组的(61.36±5.69)分，护理后的结果预期评分 (88.36±6.49)分也明显高于对照组的(68.26±7.47)分，经t检验P＜0.05。试验组产妇对住院期间护理的满意度达 100.00%明显高于对照组的71.43%，经χ2 检验P＜0.05。结论 对妊娠高血压疾病产妇产前实施细致化护理，可以提 高分娩自我效能，保障母婴安全，值得临床进一步推广应用。

Objective To investigate the effect of careful nursing on improving prenatal self-efficacy in puerperae with gestational hypertension. Methods 84 cases with gestational hypertension in our hospital from January 2016 to December 2016 were randomly divided into the control group and the observation group, 42 cases in each group, the control group was given routine nursing before delivery, and the observation group was given careful nursing before delivery. Selfefficacy and antenatal nursing satisfaction of the two groups were observed and recorded. Results After nursing, selfefficacy expected score of the observation group (85.22±5.24) was significantly higher than that of the control group (61.36±5.69), after nursing, the observation group (88.36±6.49) was also higher than the control group (68.26±7.47), the difference was statistic significant by T-test (P<0.05). During the hospital stay, nursing satisfaction of the observation group (100.00%) was significantly higher than that of the control group (71.43%), the difference was statistic significant by χ2 test (P<0.05). Conclusion The application of careful nursing on puerperae with gestational hypertension can improve labor self-efficacy, guarantee maternal and child safety, it is worthy of clinical promotion.