家属协同干预在抗磷脂综合征合并妊娠患者中的应用效果  

Application effect of family collaboration intervention in patients with antiphospholipid syndrome complicated with pregnancy

作　　者：李伏一 肖兰凤[1] LI Fuyi;XIAO Lanfeng(Department of Obstetrics,Affiliated Hospital of Inner Mongolia Medical University,Inner Mongolia Autonomous Region,Hohhot 010050,China)

机构地区：[1]内蒙古医科大学附属医院产科,内蒙古呼和浩特010050

出　　处：《中国医药导报》2024年第5期160-164,共5页China Medical Herald

基　　金：内蒙古自治区卫生健康科技计划项目(202201316)。

摘　　要：目的探讨家属协同干预在抗磷脂综合征(APS)合并妊娠患者中的应用效果。方法选择2020年1月至2022年12月内蒙古医科大学附属医院收治的100例APS合并妊娠患者,根据随机数字表法将其分为甲组和乙组,每组50例。甲组予以常规护理,乙组在甲组基础上行家属协同干预。观察两组干预前后情绪状态、自我护理能力、服药依从性及妊娠并发症发生情况。结果干预后,两组正性负性情绪量表中正性情绪评分高于干预前,负性情绪评分低于干预前,且乙组正性情绪评分高于甲组,负性情绪评分低于甲组,差异有统计学意义(P<0.05);干预后,两组自我护理能力测定量表及中文版8条目Morisky服药依从性量表评分均高于干预前,且乙组高于甲组,差异有统计学意义(P<0.05)。结论家属协同干预可改善APS妊娠者情绪状态、自我护理能力及用药依从性,并可减少其他妊娠并发症。Objective To explore the application effect of family collaboration intervention in patients with antiphospholipid syndrome(APS)complicated with pregnancy.Methods A total of 100 APS patients with pregnancy admitted to the Affiliated Hospital of Inner Mongolia Medical University from January 2020 to December 2022 were selected,according of random number table method,the patients were divided into group A and group B,with 50 cases in each group.Group A received routine care,while group B received collaborative intervention from family members on the basis of group A.The emotional state,self-care ability,medication compliance,and pregnancy complications were observed before and after intervention.Results After intervention,the positive emotion score in the positive and negative emotion scale in both groups was higher than before intervention,and the negative emotion score was lower than before intervention,and the positive emotion score in group B was higher than that in group A,and the negative emotion score was lower than that in group A,the differences were statistically significant(P<0.05);after intervention,the scores of the exercise of self-care agency and the Chinese version of the Morisky medication adherence scale-8 in both groups were higher than before intervention,and group B was higher than group A,the differences were statistically significant(P<0.05).Conclusion Family collaborative intervention can improve the emotional state of APS pregnant women,enhance their self-care ability and medication compliance,and reduce other pregnancy complications.

关 键 词：抗磷脂综合征 妊娠 家属协同干预 服药依从性 并发症 

分 类 号：R473[医药卫生—护理学]