摘要
目的探讨基于信息-动机-行为技巧模型(IMB模型)的小组个性化护理干预对妊娠期贫血孕妇的应用价值。方法选取2019年6月至2020年6月中山市人民医院产科收治的86例妊娠期贫血患者为研究对象,按随机字数表法分为观察组(n=43)和对照组(n=43)。对照组患者实施常规护理,观察组患者在常规护理基础上实施基于IMB模型的小组个性化护理干预。比较两组的血红蛋白值、分娩方式、并发症发生率和妊娠结局。结果干预1个月后和分娩时,两组的血红蛋白水平均显著高于同组干预前(P值均<0.05),且观察组均显著高于对照组(P值均<0.05)。观察组的阴道分娩率为93.02%(40/43),高于对照组的76.74%(33/43),差异有统计学意义(P<0.05)。观察组的并发症发生率为2.33%(1/43),对照组为18.60%(8/43),两组间差异有统计学意义(P<0.05)。观察组的不良妊娠结局发生率为2.33%(1/43),低于对照组的23.26%(10/43),两组间差异有统计学意义(P<0.05)。结论基于IM B模型的小组个性化护理干预应用于妊娠期贫血孕妇中,可纠正贫血,降低并发症发生率,提高自然分娩率,降低不良妊娠结局风险。
Objective To explore the application value of group individualized nursing intervention based on information-motivation-behavioral skills model(IMB model)for women with anemia in pregnancy.Methods A total of 86 pregnant women with anemia who were admitted to Zhongshan People’s Hospital from June 2019 to June 2020 were selected and divided into an observation group(n=43)and a control group(n=43)according to the random number table method.The control group was given routine nursing,and the observation group was given group individualized nursing intervention based on IMB model on the basis of routine nursing.The hemoglobin level,delivery method,complication rate and pregnancy outcome were compared between the two groups.Results One month after intervention and at delivery,the hemoglobin level of the two groups was significantly higher than that before intervention(both P<0.05),and the observation group was significantly higher than the control group(both P<0.05).The vaginal delivery rate of the observation group was 93.02%(40/43),which was higher than 76.74%(33/43)of the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 2.33%(1/43),which was lower than 18.60%(8/43)of the control group,and the difference was statistically significant(P<0.05).The incidence of adverse pregnancy outcomes in the observation group was 2.33%(1/43),which was lower than 23.26%(10/43)of the control group,and the difference was statistically significant(P<0.05).Conclusion The application of group individualized nursing intervention based on IMB model in women with anemia during pregnancy can correct anemia,reduce the complication rate,improve the natural delivery rate and reduce the risk of adverse pregnancy outcomes.
作者
鄂桂娟
E Gui-juan(Department of Gynecology,Zhongshan People's Hospital,Zhongshan,Guangdong,528400,China)
出处
《中西医结合护理（中英文）》
2021年第1期41-44,共4页
Journal of Clinical Nursing in Practice
关键词
妊娠期贫血
信息-动机-行为技巧模型
个性化护理干预
血红蛋白
分娩结局
anemia in pregnancy
information-motivation-behavioral skills model
individualized nursing intervention
hemoglobin
pregnancy outcome
