基于知信行理论的健康宣教对高危妊娠患者负性情绪和妊娠结局的影响  

Effect of Health Education under KABP Model on Negative Emotions and Pregnancy Outcome in Patients with High-risk Pregnancy

作　　者：杨芬[1] 王乐霞[1] 

机构地区：[1]武汉科技大学孝感医院产科,湖北孝感432000

出　　处：《中国医学伦理学》2017年第5期605-610,共6页Chinese Medical Ethics

摘　　要：目的探讨基于知信行理论的健康宣教对高危妊娠患者负性情绪和妊娠结局的影响。方法选取2014年6月至2016年5月期间本院妇产科高危妊娠患者180例作为研究对象,采用随机数字表法将患者分为两组,各90例,对照组采用综合护理,观察组在对照组基础上采用基于知信行理论的健康宣教,比较两组负性情绪和妊娠结局的差异。结果护理前,两组患者焦虑自评量表(SAS)评分与抑郁自评量表(SDS)评分比较差异无统计学意义(P>0.05),护理后,观察组胎儿窘迫、新生儿窒息与产后出血率明显低于对照组,顺产率明显高于对照组,比较具有明显差异(P<0.05)。观察组护理满意度明显高于对照组,两组比较差异具有显著性(P<0.05)。结论基于知信行理论的健康宣教有助于明显改善高危妊娠患者负性情绪和妊娠结局,从而显著改善护理质量,值得临床推广应用。Objoctive： To explore the effect of health education under KABP model on negative emotions and pregnancy outcome in patients with high- risk pregnancy. Mothods： Choosing 180 patients with high -risk preg- nancy as the research objectsfrom June 2014 to May 2016 in our hospital, we divided the patients into two groups u- sing the random number table method, each for 90 cases. The control group was given comprehensive nursing; the observation group was given health education under KABP model on the basis of control group. We compared the differences of negative emotions and pregnancy outcome between the two groups. RosulIs： Before nursing, there was no significant difference of the Self - Rating Anxiety Scale （SAS） score and Self - Rating Depression Scale （SDS） score between the two groups （ P 〉 0.05 ）. After intervention, the fetal distress, neonatal asphyxia and post- partum hemorrhage rate of observation group were significantly lower than control group, while the rate of natural delivery of observation group was significantly higher than control group （P 〈 0.05 ）. Nursing satisfaction of obser- vation group was significant higher than control group （ P 〈 0.05 ）. Conclusion： The health education under KABL model helps to significantly improve negative emotions and pregnancy outcome in patients with high -risk pregnan- cy, thus significantly improve nursing quality. It is worthy of clinical popularization and application

关 键 词：知信行理论 健康宣教 高危妊娠 负性情绪 妊娠结局 

分 类 号：R193[医药卫生—卫生事业管理]