以多学科协作为基础的视频宣教联合科普图册在胎儿先天性心脏病孕产妇中的应用  

Effects of video education based on multidisciplinary collaboration combined with popular science atlas in pregnant women with fetal congenital heart disease

作　　者：薛海娜[1] 张林虹[2] 李晓红[1] 赵丽娜[3] 崔存英 范太兵[1] Xue Haina;Zhang Linhong;Li Xiaohong;Zhao Lina;Cui Cunying;Fan Taibing(Children's Heart Center,Henan Provincial People's Hospital,Fuwai Central China Cardiovascular Hospital,Zhengzhou 451464,China;Department of Nursing,Henan Provincial People's Hospital,Fuwai Central China Cardiovascular Hospital,Zhengzhou 451464,China;Third Ward of Department of Obstetrics,Henan Provincial People's Hospital,Zhengzhou 451464,China;Department of Ultrasound,Henan Provincial People's Hospital,Fuwai Central China Cardiovascular Hospital,Zhengzhou 451464,China)

机构地区：[1]河南省人民医院阜外华中心血管病医院儿童心脏中心,郑州451464 [2]河南省人民医院阜外华中心血管病医院护理部,郑州451464 [3]河南省人民医院产科三病区,郑州451464 [4]河南省人民医院阜外华中心血管病医院超声科,郑州451464

出　　处：《中华现代护理杂志》2021年第14期1868-1873,共6页Chinese Journal of Modern Nursing

基　　金：河南省医学科技攻关计划(联合共建)项目(LHGJ20190778)。

摘　　要：目的探讨以多学科协作为基础的视频宣教联合科普图册在胎儿先天性心脏病(CHD)孕产妇中的应用。方法采用便利抽样法,以2019年12月组建多学科协作健康教育团队为界线,将2019年2—11月于河南省人民医院和阜外华中心血管病医院妇产科、心外科门诊就诊的60例胎儿CHD孕妇纳入对照组,将2019年12月—2020年10月就诊的60例胎儿CHD孕妇纳入观察组,每组各60例。对照组给予常规护理,观察组在对照组基础上给予以多学科协作为基础的视频宣教联合科普图册干预。比较两组胎儿CHD孕产妇干预前后自我护理能力测定量表(ESCA)、状态焦虑量表(S-AI)、特质焦虑量表(T-AI)、贝克抑郁量表(BID)和疾病相关知识掌握度问卷得分,比较两组CHD新生儿Apgar评分及分娩方式。结果干预后,观察组孕产妇的自我护理技能、自护责任感、健康知识水平、自我概念维度得分高于对照组,差异有统计学意义(P<0.01)。干预后观察组孕产妇S-AI、T-AI及BID得分均低于对照组,差异有统计学意义(P<0.01)。干预后,观察组孕产妇疾病相关知识掌握度问卷各维度得分及总分高于对照组,差异有统计学意义(P<0.01)。两组CHD新生儿1、5 min的Apgar评分及分娩方式比较,差异无统计学意义(P>0.05)。结论视频宣教联合科普图册确可在一定程度上改善胎儿CHD孕产妇的心理状态,提升其疾病相关知识掌握度及自我护理能力。Objective To explore the effects of video education based on multidisciplinary collaboration combined with popular science atlas in pregnant women with fetal congenital heart disease(CHD).Methods Taking the establishment time of multidisciplinary collaborative health education team in December 2019 as the boundary,the 60 cases of pregnant women with fetal CHD in the Outpatient Department of Obstetrics and Gynecology and Cardiac Surgery of Henan Provincial People's Hospital and Fuwai Central China Cardiovascular Hospital from February to November 2019 were included in the control group,and the 60 cases from December 2019 to October 2020 were included in the observation group,by convenience sampling method.The control group was given routine nursing,and the observation group was given video education based on multidisciplinary collaboration combined with popular science atlas.The scores of Exercise of Self-Care Agency Scale(ESCA),State-Trait Anxiety Inventory-Form Y(STAI-Y),Trait Anxiety Inventory(T-AI),Beck Depression Inventory(BID)and Disease-Related Knowledge Mastery Questionnaire were compared between the two groups before and after intervention.Apgar score and mode of delivery were compared between the two groups.Results After the intervention,the scores of self-care skills,self-care responsibility,health knowledge and self-concept of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.01).The scores of STAI-Y,T-AI and BID of the observation group were all lower than those of the control group,and the differences were statistically significant(P<0.01).After the intervention,the scores of each dimension and total score of the disease-related knowledge mastery questionnaire of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.01).There was no statistically significant difference in the neonatal Apgar scores at 1 min and 5 min and delivery mode between the two groups(P>0.05).

关 键 词：心脏缺损 先天性 胎儿 孕妇 视频宣教 科普图册 妊娠结局 

分 类 号：R473.71[医药卫生—护理学]