跨理论模型的情绪管理对重度子痫前期患者剖宫产术后的影响  

Effect of Emotional Management of Trans-theoretical Model in Patients with Severe Preeclampsia after Cesarean Section

作　　者：赵丽丽[1] 王鑫[1] 朱金霞[1] 李晓莉[1] 王慧敏[1] Zhao Lili;Wang Xin;Zhu Jinxia(The First Affiliated Hospital of Zhengzhou University,Zhengzhou Henan 450000,China)

机构地区：[1]郑州大学第一附属医院,河南郑州450000

出　　处：《齐鲁护理杂志》2023年第12期18-21,共4页Journal of Qilu Nursing

摘　　要：目的:探讨跨理论模型的情绪管理对重度子痫前期患者剖宫产术后的影响。方法:根据跨理论模型的情绪管理护理模式推行时间为分界线;选取2020年1月1日~2021年7月31日72例重度子痫前期行剖宫产术患者纳入对照组,给予常规护理模式;选取2021年8月1日~2023年1月31日75例重度子痫前期行剖宫产术患者纳入干预组,给予跨理论模型的情绪管理护理模式。比较两组产后1、14 d抑郁状况[采用爱丁堡产后抑郁量表(EPDS)、流调用抑郁自评量表(CES-D)],应对方式[采用简易应对方式问卷(SCSQ)],自我管理能力[采用一般自我效能感量表(GESE)、成年人健康自我管理能力测评量表(AHSMSRS)];比较两组产后14 d新生儿照护能力[采用母乳喂养自我效能表(BSES)、每日哺乳次数、新生儿并发症发生率]。结果:产后14 d,两组EPDS、CES-D、SCSQ(消极应对)得分均低于产后1 d(P<0.05),且干预组低于对照组(P<0.05);两组SCSQ(积极应对)、GESE、AHSMSRS得分均高于产后1 d(P<0.05),且干预组高于对照组(P<0.05)。产后14 d,干预组每日哺乳次数、BSES得分均高于对照组(P<0.05)。两组新生儿并发症发生率比较差异无统计学意义(P>0.05)。结论:跨理论模型的情绪管理可以有效降低重度子痫前期患者剖宫产术后抑郁水平,缓解患者消极心理,提升自我管理能力。Objective:To explore the effect of emotional management of trans-theoretical model in patients with severe preeclampsia after cesarean section.Methods:According to the implementation time of the emotional management nursing model across the theoretical model as the dividing line,72 patients with severe preeclampsia who underwent cesarean section from January 1,2020 to July 31,2021 were selected and were included in the control group and received routine nursing care;75 patients with severe preeclampsia during August 1,2021 to January 31,2023 were included in the intervention group,and were given cross-theoretical model-based care.Emotional Management Nursing Model.Depression status by Edinburgh Postpartum Depression Scale(EPDS),Self-rating Depression Scale for Circulation(CES-D),coping style by Simple Coping Style Questionnaire(SCSQ),self-management ability by Self-efficacy Scale(GESE),Adult Health Self-Management Ability Rating Scale(AHSMSRS),and the neonatal care ability by Breastfeeding Self-Efficacy Scale(BSES),number of breastfeeding times per day were compared between the two groups of patients on the 14 d after delivery,and neonatal complication rate.Results:The EPDS,CES-D and SCSQ(negative coping)in the two groups on 14 d after delivery were lower than those on 1 d after delivery(P<0.05),and those in the intervention group were lower than those in the control group(P<0.05).The SCSQ(positive coping),GESE and AHSMSRS scores in the two groups of patients were higher on 14 d after delivery than those on 1 d after delivery(P<0.05),and those were higher in the intervention group than those in the control group(P<0.05).On 14 d after delivery,the daily breastfeeding frequency and BSES in the intervention group were higher than those in control group(P<0.05),and there was no statistical difference in the incidence rate of neonatal complications between the two groups(P>0.05).Conclusion:Emotional management of trans-theoretical model can effectively alleviate the depression,relieve the negative psychology and impro

关 键 词：跨理论模型的情绪管理 重度子痫前期 剖宫产 抑郁状况 应对方式 

分 类 号：R473.71[医药卫生—护理学]