以IFSMT理论为指导的伴侣参与式护理对妊娠期高血压患者心理情绪及自我效能的影响  

The Impact of Partner-Involved Care Guided by IFSMT Theory on Psychological Well-Being and Self-Efficacy in Pregnant Patients with Hypertension

作　　者：周建芳 桂茫 郭慧[1] ZHOU Jianfang;GUI Mang;GUO Hui(Yangzhou Maternal and Child Care Service Centre,Yangzhou 225000,China;不详)

机构地区：[1]扬州市妇幼保健院,江苏扬州225000

出　　处：《中外医学研究》2025年第6期75-79,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:研究以整合家庭系统医疗理论(IFSMT)为指导的伴侣参与式护理对妊娠期高血压患者的应用效果。方法:选取2021年1月—2024年1月扬州市妇幼保健院收治的100例妊娠期高血压患者作为研究对象,按照随机抽签法分为实验组和对照组,每组各50例。对照组接受常规护理,实验组实施以IFSMT理论为指导的伴侣参与式护理。比较两组血压水平、心理情绪[分娩恐惧量表(CAQ)评分、病人健康问卷抑郁量表(PHQ-9)评分、7项广泛性焦虑障碍量表(GAD-7)评分]、自我效能[一般自我效能感量表(GSES)评分]、自我管理能力[自我保健管理问卷(SQHMP)评分]、妊娠结局(早产、剖宫产、产后出血、子痫、终止妊娠)情况。结果:干预后,实验组收缩压、舒张压水平、CAQ、PHQ-9及GAD-7评分低于对照组,差异有统计学意义(P<0.05);实验组GSES评分、SQHMP评分高于对照组,差异有统计学意义(P<0.05);实验组早产、剖宫产、产后出血、子痫及终止妊娠的发生率低于对照组,差异有统计学意义(P<0.05)。结论:IFSMT指导下的伴侣参与式护理可显著改善妊娠期高血压患者的血压控制、心理状态、自我效能、自我管理能力,同时优化妊娠结局,是一种有效的护理干预方法。Objective:To examine the effectiveness of partner-involved care guided by IFSMT theory on pregnant patients with hypertension.Method:A total of 100 patients with pregnancy-induced hypertension admitted to Yangzhou Maternal and Child Care Service Centre from January 2021 to January 2024 were selected as the study objects and divided into experimental group and control group according to random drawing method,with 50 cases in each group.The control group received routine nursing,and the experimental group received partner participation nursing guided by IFSMT theory.Blood pressure level,psychological and emotional[Fear of Childbirth Scale(CAQ)score,Patient Health Questionnaire Depression Scale(PHQ-9)score,7-item Generalized Anxiety Disorder Scale(GAD-7)score],self-efficacy[General Self-efficacy Scale(GSES)score],self-management ability[Self-Care Health Management Questionnaire(SQHMP)score],and pregnancy outcomes(preterm birth,cesarean section,postpartum hemorrhage,eclampsia,termination of pregnancy)were compared between the two groups.Result:After intervention,the systolic blood pressure,diastolic blood pressure,CAQ,PHQ-9 and GAD-7 scores of the experimental group were lower than those of the control group,with statistical significance(P<0.05).The GSES scores and SQHMP scores of the experimental group were higher than those of the control group,and the differences were statistically significant(P<0.05).The incidence of preterm birth,cesarean section,postpartum hemorrhage,eclampsia and termination of pregnancy in the experimental group was lower than that in the control group,with statistical significance(P<0.05).Conclusion:The partner participation nursing under the guidance of IFSMT theory can significantly improve the blood pressure control,psychological state,self-efficacy and self-management ability of hypertensive patients during pregnancy,and optimize the pregnancy outcome,which is an effective nursing intervention method.

关 键 词：整合家庭系统医疗T理论 伴侣参与式护理 妊娠期高血压 心理情绪 自我效能 

分 类 号：R47[医药卫生—护理学]