疾病信息支持模式对前置胎盘患者产前应对能力及妊娠结局的影响  

Effect of disease information support model on prenatal coping ability and pregnancy outcome of patients with placenta previa

作　　者：李蓉 王波 李红青 LI Rong;WANG Bo;LI Hongqing(Department of Obstetrics,Huaian First People’s Hospital,Jiangsu Province,Huaian223300,China)

机构地区：[1]江苏省淮安市第一人民医院产科,江苏淮安223300

出　　处：《中国医药导报》2023年第27期171-174,共4页China Medical Herald

基　　金：江苏省高层次卫生人才“六个一工程”拔尖人才项目(LGY2017082)。

摘　　要：目的探究疾病信息支持模式对前置胎盘患者产前应对能力及产后妊娠结局的影响。方法选取2020年5月至2022年4月江苏省淮安市第一人民医院收治的前置胎盘患者90例为研究对象,采用随机数字表法将其分为观察组及对照组,每组45例。对照组实施常规健康教育模式,观察组在对照组基础上实施疾病信息支持模式。比较两组干预前及干预8周后产前应对能力、焦虑状态,记录两组妊娠结局。结果干预8周后,两组产前应对能力各项评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。干预8周后,两组焦虑自评量表评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组产后出血、早产儿、新生儿窒息总发生率低于对照组,差异有统计学意义(P<0.05)。结论疾病信息支持可提高前置胎盘患者压力应对能力,缓解心理焦虑程度,降低母婴不良事件的发生。Objective To explore the effects of disease information support model on prenatal coping ability and postpartum pregnancy outcome of placenta previa patients.Methods A total of 90 patients with placenta previa admitted to Huaian First People’s Hospital,Jiangsu Province from May 2020 to April 2022 were selected as the study objects,and they were divided into observation group and control group by random number table method,with 45 cases in each group.The control group implemented the conventional health education model,and the observation group implemented the disease information support model based on the control group.The coping ability and anxiety state before intervention and eight weeks after intervention were compared between the two groups,and the pregnancy outcomes in the two groups were recorded.Results After eight weeks of intervention,the scores of prenatal coping ability in both groups were higher than those before intervention,and those of observation group were higher than those of control group,the differences were statistically significant(P<0.05).After eight weeks of intervention,the self-rating anxiety scale scores of both groups were lower than those before intervention,and those of observation group were lower than those of control group,the differences were statistically significant(P<0.05).The total incidence of postpartum hemorrhage,premature infants,and neonatal asphyxia in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Disease information support can improve the stress coping ability of placenta previa patients,relieve psychological anxiety,and reduce the occurrence of maternal and infant adverse events.

关 键 词：疾病信息支持 前置胎盘 产前应对能力 产后出血 新生儿窒息 

分 类 号：R473.71[医药卫生—护理学]