摘要
目的：探讨个体化产程管理对妊娠高血压患者负性情绪、自我效能及分娩结局的影响。方法：2013年1月～2014年12月选取本院收治84例妊娠高血压患者为研究对象,根据随机数字表将患者分为观察组及对照组各42例,对照组实施常规性护理,观察组实施个体化产程管理。分别于干预前、后应用自我效能量表、汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）对两组孕妇自我效能及负性情绪进行评价,观察两组并发症及剖宫产率发生情况。结果：观察组干预后自我效能总评分为显著高于对照组,差异有统计学意义（P〈0.05）。观察组干预后HAMA、HAMD评分显著低于对照组（P〈0.05）。观察组剖宫产率、产妇产后出血率、新生儿窒息率低于对照组（P〈0.05）,而观察组患者满意率高于对照组（P〈0.05）。结论：个体化产程管理能有效提高妊娠合并高血压患者自我效能,改善患者产前焦虑、抑郁的情绪,降低产妇剖宫产率及不良妊娠结局发生率,提高患者满意度。
Objective： To explore the effect of individualized labor management on the negative emotion,self efficacy anddelivery outcome in patients with pregnancy induced hypertension.Methods：From January 2014 2013 to December selected in ourhospital were 84 cases of pregnancy induced hypertension patients as the research object,according to the random number table.The patients were divided into observation group and control group,42 cases. Patients in control group received routine nursingcare,observation group implementation of individualized labor management. In intervention before and after the applicationof self-efficacy volume table,Hamilton anxiety rating table （HAMA）,and Hamilton Depression Rating Scale （HAMD） of twogroups of pregnant women,self-efficacy and negative emotion evaluation,to observe the occurrence of complications in the twogroups,and the rate of cesarean section.Results：The total score of the observation group was significantly higher than that of thecontrol group,the difference was statistically significant （P〈0.05）.The HAMA and HAMD scores of the observation group weresignificantly lower than those of the control group （P〈0.05）.Observation group cesarean section rate,postpartum hemorrhagerate,neonatal asphyxia rate was lower than the control group （P〈0.05）,while the observation group was higher than the controlgroup （P〈0.05）.Conclusion：Individualized labor management can effectively improve the pregnancy self-efficacy in patientswith hypertension and improve prenatal anxiety and depression in the patients with mood and reduce the incidence of cesareansection rate and adverse pregnancy outcomes and improve patient satisfaction.
出处
《中国医药导刊》
2016年第6期641-643,共3页
Chinese Journal of Medicinal Guide
关键词
个体化产程管理
妊娠
高血压
自我效能
剖宫产率
Individual production process management
Pregnancy
Hypertension
Self efficacy
Cesarean section rate
