行为转变理论指导下的整体护理对妊娠期高血压疾病患者血压控制及母婴结局的影响观察  

The influence of holistic nursing under the guidance of behavior change theory on blood pressure control and maternal and infant outcomes in patients with hypertensive disorder complicating pregnancy

作　　者：刘秋芳 Liu Qiufang(Department of Obstetrics,Suzhou Hospital of Integrated Traditional Chinese and Western Medicine,Suzhou 215100,China)

机构地区：[1]苏州市中西医结合医院产科,江苏苏州215100

出　　处：《实用妇科内分泌电子杂志》2024年第20期168-170,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探究妊娠期高血压疾病患者接受行为转变理论指导下的整体护理的效果。方法选取65例妊娠期高血压疾病患者为研究对象,使用简单随机化分组法分为对照组及观察组。对照组(32例)采用常规护理,观察组(33例)在此基础上采用行为转变理论下的整体护理,比较两组的护理效果。结果护理后,观察组收缩压、舒张压、焦虑自评量表评分均低于对照组,差异有统计学意义(P<0.05)。护理后,观察组护理满意度评分、自我效能感评分、疾病相关知识掌握评分均高于对照组,差异有统计学意义(P<0.05)。观察组不良母婴结局发生率为6.06%,低于对照组的25.00%,差异有统计学意义(P<0.05)。结论行为转变理论指导下的整体护理应用于妊娠期高血压疾病患者中的效果显著,能稳定其孕期血压值,预防和减少不良母婴结局的发生。Objective To explore the effect of holistic nursing under the guidance of behavior change theory in patients with hypertensive diseases during pregnancy.Methods 65 patients with hypertensive disorder complicating pregnancy were selected as the study objects and were divided into a control group and an observation group by simple randomization method.The control group(32 cases)received routine nursing,and the observation group(33 cases)received holistic nursing based on the behavior change theory on the basis of the control group.The nursing effects of the two groups were compared.Results After nursing,the systolic blood pressure,diastolic blood pressure and self-rating anxiety scale score of the observation group were lower than those of the control group(P<0.05).After nursing,the nursing satisfaction score,self-efficacy score and diseaserelated knowledge mastery score of the observation group were higher than those of the control group(P<0.05).The incidence of adverse maternal and infant outcomes was 6.06%in the observation group,which was lower than 25.00%in the control group(P<0.05).Conclusion Holistic nursing under the guidance of behavior change theory has a significant effect on patients with hypertensive disorder complicating pregnancy,which can stabilize their blood pressure during pregnancy,prevent and reduce the occurrence of adverse maternal and infant outcomes.

关 键 词：妊娠期高血压疾病 行为转变理论 整体护理 血压控制 母婴结局 

分 类 号：R47[医药卫生—护理学]