跨理论模型的心理护理对妊娠高血压孕妇睡眠质量和妊娠结局的影响  

The effect of cross theory model psychological nursing on sleep quality and pregnancy outcome of pregnant women with pregnancy induced hypertension

作　　者：胡海滨[1] 邹文霞[1] 李慧[1] 梁燕霞[1] Hu Haibin;Zou Wenxia;Li Hui;Liang Yanxia(Guangdong Maternal and Child Health Hospital,Guangzhou 510010,China)

机构地区：[1]广东省妇幼保健院产科,广州510010

出　　处：《当代护士（中旬刊）》2021年第9期92-94,共3页Modern Nurse

摘　　要：目的探讨跨理论模型的心理护理对妊娠高血压孕妇睡眠质量和妊娠结局的影响。方法选取本院2018年3月—2020年3月所收治的96例妊娠高血压孕妇作为研究对象,按照随机数字表法,将其随机分为研究组和对照组,每组48例,对照组患者采取常规护理,研究组患者在此基础上,采取跨理论模型的心理护理,对比不同护理模式对妊娠高血压孕妇睡眠质量和妊娠结局的影响。结果两组孕妇干预前血压对比无统计学意义(P>0.05),经过不同方式干预后,研究组孕妇的血压降低程度较对照组更明显(P<0.05);两组孕妇干预前PSQI评分对比无统计学意义(P>0.05),经过不同方式干预5 d、10 d后,研究组孕妇的PSQI评分优于对照组(P<0.05);研究组妊娠结局明显优于对照组,剖宫产、胎盘早剥、重度子痫前期、产后出血、胎儿窘迫、胎儿宫内发育受限等发生率明显低于对照组(P<0.05)。结论对妊娠高血压孕妇予以跨理论模型的心理护理,可有效改善孕妇的血压水平,提高睡眠质量和改善妊娠结局具有重要意义,值得在临床上推广实施。Objective To explore the effect of cross theoretical model psychological nursing on sleep quality and pregnancy outcome of pregnant women with pregnancy induced hypertension.Methods 96 pregnant women with pregnancy induced hypertension admitted in our hospital in march 2018 to march 2020 were randomly divided into study group and control group,48 patients in each group.The two groups were treated with different psychological nursing interventions,while the control group was treated with routine nursing.On the basis of this,the study group was treated with cross theoretical model psychological nursing to compare different nursing modes for pregnant women with pregnancy induced hypertension Quality and pregnancy outcome.Results There was no significant difference between the two groups in blood pressure indexes(diastolic and systolic blood pressure)before intervention(P>0.05);There was no significant difference in PSQI score between the two groups before intervention(P>0.05).After 5 and 10 days of intervention in different ways,the PSQI score of pregnant women in the study group was significantly higher than that in the control group(P<0.05);the pregnancy outcome of the study group was significantly better than that in the control group,and cesarean section,placental abruption,severe preeclampsia,postpartum hemorrhage,fetal distress,fetal intrauterine growth restriction were significantly lower than that in the control group(P<0.05).Conclusion Psychological nursing for pregnant women with pregnancy induced hypertension can effectively decrease the blood pressure level of pregnant women.It is of great significance to improve the sleep quality and pregnancy outcome.It is necessary to popularize it in clinical practice.

关 键 词：跨理论模型 心理护理 妊娠高血压 睡眠质量 妊娠结局 

分 类 号：R473.71[医药卫生—护理学]