摘要
目的观察基于信息-动机-行为理论(IMB)模型的信息-知识-信念-行为(IKAP)健康教育及护理措施在妊娠期高血压孕妇中的应用效果。方法选取2020年12月至2021年12月于安康市中心医院诊治的408例妊娠期高血压孕妇为研究对象,按照随机数表法分为研究组与对照组,每组204例。对照组孕妇给予常规健康教育及护理措施,研究组孕妇给予基于IMB模型的IKAP健康教育及护理措施。分娩后,比较两组孕妇护理前后的血压状况[舒张压(DBP)、收缩压(SBP)]、生活质量(采用本科室自制的生活质量调查问卷评估)及妊娠结局。结果护理前,两组孕妇的DBP、SBP水平比较差异均无统计学意义(P>0.05);分娩后,研究组孕妇的DBP、SBP水平分别为(81.01±4.13)mmHg、(125.44±5.51)mmHg,明显低于对照组的(85.31±4.16)mmHg、(130.98±5.69)mmHg,差异均有统计学意义(P<0.05);护理前,两组孕妇的社会功能、心理功能、躯体功能、生活功能评分比较差异均无统计学意义(P>0.05);分娩后,研究组孕妇的社会功能、心理功能、躯体功能、生活功能评分分别(91.72±4.88)分、(89.47±7.68)分、(83.71±7.11)分、(83.55±7.79)分,明显高于对照组的(84.24±5.82)分、(80.24±7.33)分、(75.89±6.68)分、(76.34±6.58)分,差异均有统计学意义(P<0.05);研究组孕妇的剖宫产、早产、产后出血、胎儿窘迫、胎盘早剥、围生儿死亡及新生儿窒息发生率分别为26.47%、5.39%、7.35%、7.35%、10.29%、0、5.88%,明显低于对照组的56.86%、18.14%、21.08%、18.14%、28.43%、13.24%、15.20%,差异均有统计学意义(P<0.05)。结论基于IMB模型的IKAP健康教育及护理措施于妊娠期高血压孕妇中应用可显著改善患者血压水平及妊娠结局,同时可提高生活质量,值得推广应用。
Objective To observe the effect of information-knowledge-attitude-practice(IKAP)health education and nursing measures based on information-motivation-behavioral skills(IMB)model in pregnant women with hypertension during pregnancy.Methods A total of 408 pregnant women with gestational hypertension who diagnosed and treated in Ankang Central Hospital from December 2020 to December 2021 were selected as the research objects.According to the random number table method,they were divided into a study group and a control group,with 204 patients in each group.The pregnant women in the control group were given routine health education and nursing measures,while the pregnant women in the study group were given IKAP health education and nursing measures based on IMB model.After delivery,blood pressure status[diastolic blood pressure(DBP),systolic blood pressure(SBP)],quality of life(evaluated by the self-made quality of life questionnaire in our hospital)before and after nursing and pregnancy outcomes were compared between the two groups.Results Before nursing,there was no significant difference in DBP and SBP levels between the two groups(P>0.05).After nursing,the DBP and SBP levels in the study group were(81.01±4.13)mmHg and(125.44±5.51)mmHg,which were significantly lower than(85.31±4.16)mmHg,(130.98±5.69)mmHg in the control group(P<0.05).Before nursing,there was no significant difference in the scores of social function,psychological function,physical function,and life function between the two groups(P>0.05).After delivery,the social function,psychological function,physical function,and life function scores of pregnant women in the study group were(91.72±4.88)points,(89.47±7.68)points,(83.71±7.11)points,(83.55±7.79)points,which were significantly higher than(84.24±5.82)points,(80.24±7.33)points,(75.89±6.68)points,(76.34±6.58)points in the control group(P<0.05).The incidences of cesarean section,premature birth,postpartum hemorrhage,fetal distress,placental abruption,perinatal death,and neonatal asphyxia of p
作者
杜小花
张菲
王姣
DU Xiao-hua;ZHANG Fei;WANG Jiao(Department of Obstetrics,Ankang Central Hospital,Ankang 725000,Shaanxi,CHINA)
出处
《海南医学》
CAS
2022年第21期2824-2827,共4页
Hainan Medical Journal
基金
陕西省安康市科学技术研究发展计划(编号:AK2020-SF-16)。
关键词
妊娠期高血压
信息-动机-行为理论模型
健康教育
护理
妊娠结局
生活质量
Hypertension during pregnancy
Information-motivation-behavioral skills model
Health education
Nursing
Pregnancy outcome
Quality of life
