基于奥苏伯尔问题解决模式的针对性护理对子痫前期产妇心理状态、妊娠结局影响  

Effects of targeted nursing based on Ausubel’s problem solving model of parturients with preeclampsiaon on their psychological status and pregnancy outcomes

作　　者：潘章慧 金利英[2] 胡波[3] 李英 PAN Zhanghui;JIN Liying;HU Bo;LI Ying(Wenzhou Central Hospital,Wenzhou,Zhejiang Province,325000;Taizhou Hospital of Zhejiang Province;The First Hospital of Ningbo)

机构地区：[1]浙江省温州市中心医院,325000 [2]浙江省台州医院 [3]宁波市第一医院

出　　处：《中国计划生育学杂志》2023年第5期1110-1115,共6页Chinese Journal of Family Planning

摘　　要：目的:探讨基于奥苏伯尔问题解决模式的针对性护理对子痫前期产妇心理状态、妊娠结局的影响。方法:选取2020年6月-2021年12月于本院就诊的子痫前期产妇94例,随机数表法分为观察组和对照组各47例,对照组给予常规护理,观察组给予基于奥苏伯尔问题解决模式的针对性护理。比较两组护理前后收缩压、舒张压、24h尿蛋白量、密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)和自我效能量表(GSES)评估指标,护理后比较两组分娩并发症和护理满意度。结果:护理后,观察组收缩压、舒张压、24h尿蛋白、HAMA评分(12.20±2.91分)、HAMD评分(10.44±2.31分)和并发症发生率(12.8%)均低于对照组(15.85±3.37分、13.82±2.35分、31.9%),GSES各项评分和护理满意度(93.6%)均高于对照组(78.7%)(均P<0.05)。结论:基于奥苏伯尔问题解决模式的针对性护理,可减轻子痫前期产妇病情,降低并发症发生率,改善产妇心理状态和自我效能。Objective:To explore the effects of targeted nursing based on Ausubel's problem solving model of parturi-ents with preeclampsiaon on their psychological status and pregnancy outcomes.Methods:A total of 94 parturients with preeclampsia were selected and were divided into observation group(n=47)and control group(n=47)by random number table from June 2020 to December 2021.The parturients in the control group were given routine care,and the parturients in the observation group were given targeted care based on the Ausubel’s problem solving model.The val-ues of systolic and diastolic blood pressure,24h urine protein content,and the scores of Hamilton anxiety scale(HA-MA),Hamilton depression scale(HAMD),general self efficacy scale(GSES)of the parturients before and after nurs-ing were compared between two groups.After nursing,the delivery complications and nursing satisfaction of the partu-rients were compared between the two groups.Results:After nursing,the systolic and diastolic blood pressure,the 24h urinary protein content,the HAMA score,the HAMD score,and the incidence rate of complications of the partu-rients in the observation group were significantly lower than those of the parturients in the control group(P<0.05),while the GSES score and nursing satisfaction of the parturients were significantly higher than those of the parturients in the control group(P<0.05).Conclusion:Targeted nursing based on the Ausubel's problem solving model for the parturients can relieve their preeclampsia,reduce their incidence of complications,and improve their psychological sta-tus and self-efficacy.

关 键 词：子痫前期 奥苏伯尔问题解决模式 护理 心理状态 妊娠结局 

分 类 号：R473.71[医药卫生—护理学]