摘要
目的探讨态势分析法(SWOT)联合健康行为干预在妊娠高血压疾病患者中的应用效果。方法选取2021年9月至2023年9月江西省妇幼保健院收治的80例妊娠高血压患者,按照随机数字表法分为对照组和观察组,每组各40例。对照组采取常规护理,观察组在常规护理基础上采取SWOT联合健康行为干预,两组均持续干预至患者分娩结束。比较两组干预前后心理状态、自我效能、自我管理能力、血压水平及母婴结局情况。结果观察组干预后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分、血压水平、不良母婴结局总发生率均低于对照组,差异有统计学意义(P<0.05);观察组干预后自我效能量表(GSES)、高血压自我管理行为量表(HPSMBRS)评分均高于对照组,差异有统计学意义(P<0.05)。结论SWOT联合健康行为干预可改善妊娠高血压疾病患者消极情绪,增强患者自我效能感,促进其自我管理水平提升,有效控制血压水平稳定,降低不良母婴结局发生风险。
Objective To explore the role of situation analysis method(SWOT)analysis combined with health behavior intervention in patients with gestational hypertension.Methods A total of 80 patients with gestational hypertension admitted to Jiangxi Maternal and Child Health Hospital from September 2021 to September 2023 were selected and they were divided into control group and observation group according to random number table method,with 40 cases in each group.The control group received routine care,while the observation group received SWOT combined with health behavior intervention on the basis of routine care.Both groups continued to receive intervention until the end of delivery.The psychological status,self-efficacy,self-management ability,blood pressure levels,and maternal and infant outcomes between two groups before and after intervention were compared.Results The scores of the self-rating anxiety scale(SAS),self-rating depression scale(SDS),blood pressure levels,and overall incidence of adverse maternal and infant outcomes in the observation group were lower than those in the control group after intervention,and the differences were statistically significant(P<0.05).After intervention,the gereral self-efficacy scale(GSES)and hypertension patients self-management behavior rating scale(HPSMBRS)scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion SWOT combined with health behavior intervention can improve the negative emotions of patients with gestational hypertension,enhance their self-efficacy,promote their self-management level,effectively control stable blood pressure levels,and reduce the risk of adverse maternal and infant outcomes.
作者
熊伟
熊渊丽
刘丹
熊婷
张晓玲
陈钰
XIONG Wei;XIONG Yuanli;LIU Dan;XIONG Ting;ZHANG Xiaoling;CHEN Yu(Obstetric Ward,Jiangxi Maternal and Child Health Hospital,Jiangxi Province,Nanchang330006,China)
出处
《中国当代医药》
2025年第5期176-179,共4页
China Modern Medicine
基金
江西省卫生健康委科技计划项目(202410432)。
关键词
妊娠高血压疾病
态势分析法
健康行为干预
心理状态
自我效能
母婴结局
Gestational hypertension
Situation analysis method
Health behavior intervention
Mentality
Self-efficacy
Maternal and infant outcomes
