医护协作式健康教育对高龄孕妇情绪及生活质量的影响  

The effect of doctor-nurse collaboration health education on the mood and quality of life of elder pregnant women

作　　者：杨凯[1] 周玉英 杜沛 Yang Kai;Zhou Yuying;Du Pei(The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,Henan,China)

机构地区：[1]郑州大学第一附属医院,河南郑州450052

出　　处：《临床心身疾病杂志》2021年第2期102-106,共5页Journal of Clinical Psychosomatic Diseases

摘　　要：目的探讨医护协作式健康教育对高龄孕妇情绪、自我效能、生活质量及妊娠结局的影响。方法将150例高龄孕妇按随机数字表法分为两组,每组75例。对照组予以常规健康教育,观察组予以医护协作式健康教育。比较干预前后两组焦虑自评量表、抑郁自评量表、分娩自我效能量表、生活质量调查表评分、妊娠期并发症发生率及分娩结局。结果干预后观察组焦虑自评量表、抑郁自评量表评分显著低于对照组(P<0.01),分娩自我效能量表总分及自我效能期望分量表、结果期望分量表评分显著高于对照组(P<0.01),生活质量调查表的8个维度评分显著高于对照组(P<0.01)。观察组胎膜早破、贫血、妊娠期糖尿病、妊娠期高血压并发症发生率显著低于对照组(P<0.01),胎儿窘迫、巨大儿、新生儿低血糖发生率显著低于对照组(P<0.05)。结论医护协作式健康教育能有效缓解高龄孕妇的焦虑抑郁情绪,提高自我效能和生活质量,减少妊娠期并发症的发生,改善分娩结局。Objective To explore the influence of doctor-nurse collaboration health education on the mood,self-efficacy,quality of life and pregnancy outcome of elderly pregnant women.Methods 150 cases of elderly pregnant women were randomly divided into two groups,75 cases in each group.The control group was given routine health education,and the observation group was given medical-nursing collaborative health education.The scores of self-rating anxiety scale(SAS),self-rating depression scale(SAS),delivery self-efficacy scale(CBSEI-C32),short form 36 questionnaire(SF-36),incidence of pregnancy complications and delivery outcome were compared between the two groups before and after the intervention.Results After intervention,the scores of SAS and SDS in the observation group were lower than those in the control group(P<0.01),while the total score of CBSEI-C32,the scores of self-efficacy expectation subscale and result expectation subscale were significantly higher than those in the control group(P<0.01).The scores of eight dimensions in SF-36 were significantly higher than those in the control group(P<0.01).The incidence of complications of premature rupture of membranes,anemia,gestational diabetes mellitus and gestational hypertension in the observation group was significantly lower than that in the control group(P<0.01),and the incidence of fetal distress,macrosomia and neonatal hypoglycemia in the observation group was significantly lower than that in the control group(P<0.05).Conclusions Doctor-nurse collaboration health education can effectively relieve the anxiety and depression of elderly pregnant women,improve self-efficacy and quality of life,reduce the incidence of pregnancy complications and improve delivery outcomes.

关 键 词：医护协作式 健康教育 孕妇 高龄 妊娠结局 

分 类 号：R248.3[医药卫生—中医临床基础]