认知干预对肝内胆汁淤积症孕妇疾病感知和疾病不确定感的影响观察  

Effect Observation of Cognitive in tervention on Disease Perception and Uncertainty of Pregnant Women with in trahepatic Cholestasis

作　　者：陈冬梅 兰妮 梁华灵 陈笑 CHEN Dongmei;LAN Ni;LIANG Hualing;CHEN Xiao(Foshan City Nanhai District Maternal and Child Health Hospital,Foshan,Guangdong 528200)

机构地区：[1]广东省佛山市南海区妇幼保健院,广东佛山528200

出　　处：《智慧健康》2023年第31期99-102,共4页Smart Healthcare

基　　金：佛山市卫生健康局2022医学科研课题(佛山市“十四五”医学高水平重点专科建设项目)《认知干预对肝内胆汁淤积症孕妇疾病感知和疾病不确定感的影响观察》(项目编号:20220234)。

摘　　要：目的探究认知干预对肝内胆汁淤积症孕妇的临床影响,分析孕妇对疾病的感知及不确定感。方法按照队列前瞻研究方法,选取2019年1月—2023年2月本院收治的60例妊娠期间伴肝内胆汁淤积症孕妇,对照组孕妇开展常规护理干预,观察组孕妇在对照组基础上引入认知干预,观察和比较干预前后ICP孕妇疾病感知与疾病不确定感、护理满意度的各维度分值对比观察。结果观察组疾病不确定感分数和感知结果均低于对照组(P<0.05);观察组满意度明显优于对照组(P<0.05)。结论对肝内胆汁淤积症妊娠期间孕妇而言,若孕妇对疾病存在较高的不确定感,则相应的将有较多的负性感知,而孕妇的自我感受负担也有可能因此而加重。实施认知干预后不仅仅可以提升孕妇对疾病的认知水平,同时还可以在原有的基础之上提升孕妇对疾病治疗的信心及正面情绪,有助于减轻孕妇在治疗期间的心理负担。Objective To explore clinical effect of cognitive intervention on pregnant women with intrahepatic cholestasis,and analyze their perception and uncertainty of the disease.Methods The paper chose 60 pregnant women with intrahepatic cholestasis from January 2019 to February 2023 according to queue prospective research method.Control group was treated with routine nursing intervention,while observation group with cognitive intervention on the basis of control group.Scores of disease perception,disease uncertainty,and nursing satisfaction degree of ICP pregnant women before and after intervention were compared and observed.Results Uncertainty scores and perceived outcome of observation group were lower than control group(P<0.05),satisfaction degree of observation group was significantly better than control group(P<0.05).Conclusion Pregnant women with intrahepatic cholestasis during pregnancy may have corresponding negative perception increasing self perception burden when they have high degree of uncertainty about the disease.Cognitive intervention can improve cognitive level of pregnant women towards diseases,enhance their confidence and positive emotions to disease treatment on the basis of existing foundation,and reduce psychological burden of pregnant women during treatment.

关 键 词：认知干预 肝内胆汁淤积症孕妇(ICP孕妇) 疾病感知 不确定感 

分 类 号：R473.71[医药卫生—护理学]