互联网下助产士参与产前教育对妊娠期高血压患者的影响  

Effect of Midwives′Participation in Prenatal Education with Internet Support in Patients with Gestational Hypertension

作　　者：钟志娴 周泽娟[1] 周利娜 胡品佳[1] Zhong Zhixian;Zhou Zejuan;Zhou Lina(Guangdong Provincial Maternal and Vild Health Hospital,Guangzhou Guangdong 511400,China)

机构地区：[1]广东省妇幼保健院,广东广州511400

出　　处：《齐鲁护理杂志》2023年第10期5-8,共4页Journal of Qilu Nursing

基　　金：广州市科技计划项目(编号:201907010023)。

摘　　要：目的:探讨互联网下助产士参与产前教育对妊娠期高血压患者的影响。方法:将2021年5月1日~2022年1月31日收治的350例妊娠期高血压患者随机分为对照组和观察组各175例,对照组采用常规产前教育,观察组采用互联网下助产士参与产前教育。比较两组干预前后血压(收缩压、舒张压)、抑郁情况[采用病人健康问卷抑郁量表(PHQ-9)]、分娩恐惧程度[采用分娩恐惧量表(CAQ)]、焦虑程度[采用7项广泛性焦虑障碍量表(GAD-7)]、睡眠情况[采用匹兹堡睡眠质量指数量表(PSQI)]。比较两组分娩方式、不良结局。结果:干预后,两组收缩压、舒张压均优于干预前(P<0.01),且观察组优于对照组(P<0.01);干预后,两组PHQ-9、CAQ、GAD-7评分及PSQI总分均低于干预前(P<0.05),且观察组低于对照组(P<0.05,P<0.01);随访至分娩,观察组剖宫产发生率、早产发生率均低于对照组(P<0.05),顺产率高于对照组(P<0.05)。结论:互联网下助产士参与产前教育可改善妊娠期高血压患者负性情绪及睡眠情况,有效控制血压,提高顺产率。Objective:To explore the effect of midwives′participation in prenatal education under Internet support in patients with gestational hypertension.Methods:A total of 350 patients with gestational hypertension recruited between May 1,2021 to January 31,2022 were randomly divided into the control group and the observation group with 175 cases in each group.The control group received routine prenatal education,while the observation group carried out prenatal education with participation of midwives under Internet support.The blood pressure(systolic pressure,diastolic pressure),depression state by Patient Health Questionnaire depression scale(PHQ-9),delivery fear by Childbirth Attitude Questionnaire(CAQ),abxuety degree by 7-item Generalized Anxiety Disorder Scale(GAD-7)and sleep status by Pittsburgh Sleep Quality Index(PSQI)were compared between the two groups before and after intervention.The delivery mode and adverse outcomes were also compared.Results:After intervention,the systolic blood pressure and diastolic blood pressure in both groups were lower than those before intervention(P<0.01),and those in the observation group were lower than those in the control group(P<0.01).After intervention,the scores of PHQ-9,CAQ,GAD-7 and total scores of PSQI both groups were lower than those before intervention(P<0.05),and those in the observation group were lower than those in the control group(P<0.05,P<0.01).During follow-up until delivery,the incidence rate of cesarean section in the observation group was lower while the incidence rate of vaginal delivery was higher than that in the control group(P<0.05).Conclusion:Midwives′participation in prenatal education under Internet support can improve the negative emotions and sleep status,help to control the blood pressure,and increase the incidence rate of spontaneous delivery in patients with gestational hypertension.

关 键 词：互联网 妊娠期高血压 产前教育 血压 分娩方式 

分 类 号：R473.71[医药卫生—护理学]