摘要
目的:探讨基于计划行为理论(TPB)的整合模式在妊娠期高血压疾病(HDP)患者中的应用效果。方法:选取2017年6月1日~2019年6月1日收治的94例HDP患者为研究对象,采用随机数字表法分为观察组和对照组各47例。对照组采用常规护理,观察组在此基础上采用基于TPB的整合模式。比较两组干预前、干预4周后生理心理反应[包括收缩压、舒张压、心率、焦虑自评量表(SAS)、抑郁自评量表(SDS)]、应对方式[采用医学应对方式问卷(MCMQ)]、自我效能[采用一般自我效能量表(GSES)]、妊娠结局。结果:干预4周后,两组收缩压、舒张压、心率、SAS及SDS评分均低于干预前(P<0.05),且观察组均低于对照组(P<0.01);干预4周后,两组MCMQ中回避、屈服、面对评分均优于干预前(P<0.05),且观察组均优于对照组(P<0.01);干预4周后,两组GSES评分高于干预前(P<0.01),且观察组高于对照组(P<0.01);观察组剖宫产、宫内窘迫、产后出血发生率均低于对照组(P<0.05)。结论:将基于TPB的整合模式应用于HDP患者中,可改善其生理心理反应、应对方式、妊娠结局,提高自我效能。
Objective:To explore the application effect of integrated model based on theory of planned behavior(TPB)in puerperae with hypertensive disorders of pregnancy.Methods:A total of 94 patients with hypertensive disorders of pregnancy(HDP)were selected as the study objects,were divided into the observation group and the control group according to the random number table method,with 47 cases in each group.The control group was given routine nursing intervention,and the observation group was given TPB-based integrated model for intervention.Before intervention and after 4 weeks of intervention,the physiological and psychological reactions[systolic blood pressure,diastolic blood pressure,heart rate,Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)],coping styles[Medical Coping Modes Questionnaire(MCMQ)]and self-efficacy[General Self-efficacy Scale(GSES)]and the pregnancy outcomes were compared between the two groups.Results:After 4 weeks of intervention,the systolic blood pressure,diastolic blood pressure,heart rate and scores of SAS and SDS in the two groups were lower than those before intervention(P<0.05),and those in the observation group were lower than those in the control group(P<0.01).After 4 weeks of intervention,the MCMQ scores of avoidance,yielding and facing in the two groups were better than those before intervention(P<0.05),and those in the observation group were better than those in the control group(P<0.01).While the scores GSES in the two groups higher than those before intervention(P<0.01),and those in the observation group were higher than those in the control group(P<0.01).The cesarean section rate and incidence rates of intrauterine distress and postpartum hemorrhage in the observation group were lower than those in the control group(P<0.05).Conclusion:TPB based integrated model intervention in HDP can improve the physiological and psychological reaction status,copingg styles and pregnancy outcomes,and improve their self-efficacy.
作者
邱小燕
唐敏
许姮
Qiu Xiaoyan;Tang Min;Xu Yuan(Tongji Hospital Affiliated to Tongji Medical School Huazhong University of Science and Technology,Wuhan Hubei 430000,China)
出处
《齐鲁护理杂志》
2021年第23期1-4,共4页
Journal of Qilu Nursing
关键词
妊娠期高血压疾病
计划行为理论的整合模式
应对方式
自我效能
Hypertensive disorders of pregnancy
Integrated model based on theory of planned behavior
Coping styles
Self-efficacy
