基于健康赋权理论的母婴阻断在高病毒载量乙肝孕妇中应用  

Application of mother infant blocking based on health empowerment theory in pregnant women with high viral load of hepatitis B

作　　者：许玉珍 范烨斐 邹小燕 龙丽娟 蓝裕玲 许玉萍 Xu Yuzhen;Fan Yefei;Zou Xiaoyan;Long Lijuan;Lan Yuling;Xu Yuping(Ganzhou Fifth People's Hospital,Ganzhou,Jiangxi 341000,China)

机构地区：[1]江西省赣州市第五人民医院,江西赣州341000

出　　处：《首都食品与医药》2023年第17期133-135,共3页Capital Food Medicine

基　　金：江西省卫生健康委科技计划项目(编号:202312098)。

摘　　要：目的探讨基于健康赋权理论的母婴阻断在高病毒载量乙肝孕妇中的作用.方法选取2021年3月-2022年11月赣州市第五人民医院收治的高病毒载量乙肝孕妇60例,采用随机数字表法将其分为对照组和观察组,每组30例.对照组采取常规护理,观察组采取基于健康赋权理论的母婴阻断护理措施,两组均持续干预3个月.比较两组母婴阻断效果、婴儿免疫实施率、感染率、孕妇母乳喂养自我效能以及心理状态.结果观察组干预后乙肝病毒核酸(HBV-DNA)、乙肝表面抗原(HBsAg)以及乙肝E抗原(HBeAg)定量水平均低于对照组(P<0.05);观察组婴儿免疫实施率高于对照组,感染率低于对照组(P<0.05);观察组干预后母乳喂养自我效能量表(BSES)中喂养技能、内心活动等维度评分均高于对照组(P<0.05);观察组干预后医院焦虑、抑郁量表(HADS)评分低于对照组(P<0.05).结论基于健康赋权理论的母婴阻断可提升高病毒载量乙肝孕妇的母婴阻断效果,能有效预防母婴感染发生,有助于提升孕妇母乳喂养的自我效能,改善其紧张、焦虑心理.Objective To explore the role of maternal infant blockade based on health empowerment theory in pregnant women with high viral load of hepatitis B.Methods 60 pregnant women with high viral load of hepatitis B admitted to our hospital from March 2021 to November 2022 were randomly divided into a control group and an observation group with 30 cases in each group.The control group received routine nursing care,while the observation group received maternal and infant interruption nursing measures based on the health empowerment theory.Both groups received continuous intervention for 3 months.Compare the effectiveness of maternal and infant blockade,infant immunization implementation rate,infection rate,self-efficacy of breastfeeding in pregnant women,and psychological status between the two groups.Results After intervention,the quantitative levels of hepatitis B virus nucleic acid(HBV-DNA),hepatitis B surface antigen(HBsAg)and hepatitis B E antigen(HBeAg)in the observation group were lower than those in the control group(P<0.05);the immunization implementation rate of infants in the observation group was higher than that in the control group,and the infection rate was lower than that in the control group(P<0.05);after intervention,the scores of feeding skills and inner activities in the observation group's Breastfeeding Self Efficacy Scale(BSES)were higher than those in the control group(P<0.05);after intervention,the hospital anxiety and depression scale(HADS)score of the observation group was lower than that of the control group(P<0.05).Conclusion Maternal infant blocking based on the health empowerment theory can improve the effect of maternal infant blocking of pregnant women with high viral load of hepatitis B,effectively prevent the occurrence of maternal infant infection,help to enhance the self-efficacy of breast-feeding of pregnant women,and improve their tension and anxiety.

关 键 词：高病毒载量 乙型肝炎 孕妇 健康赋权理论 母婴阻断 自我效能 心理状态 

分 类 号：R473.71[医药卫生—护理学]