Effect of Relaxation Exercise Training Combined With a Refined Nursing on Pregnancy Outcomes in Patients With Gestational Hypertension Complicated by Anxiety and Depression

Abstract

Background: Gestational hypertension frequently leads to anxiety and depression, which conventional nursing inadequately addresses.

Methods: This retrospective study compared 150 patients with gestational hypertension and comorbid anxiety disorder or depressive disorder (diagnosed according to Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition criteria): a control group (n = 68, routine care) and an observation group (n = 82, routine care plus refined nursing and relaxation exercise training). The study evaluated Hamilton Anxiety Rating Scale (HAMA) and Hamilton Depression Rating Scale (HAMD) scores (used to assess the severity of emotional states), blood pressure control, and pregnancy outcomes.

Results: At 4 and 8 weeks, both groups showed significant reductions in HAMA, HAMD, systolic and diastolic blood pressures versus pre-treatment. The observation group demonstrated greater improvement in all these measures (p < 0.05). For pregnancy outcomes, the observation group had higher Apgar scores compared to the control group (p < 0.05).

Conclusions: The combined treatment effectively alleviated anxiety and depression, enhanced blood pressure control, and optimized pregnancy outcomes, thereby safeguarding maternal-infant safety and demonstrating significant clinical value.