摘要
目的探究妊娠高血压综合征(PIH)患者应用抚触护理联合自我效能干预的效果。方法回顾性选取2018年5月至2019年5月本院收治的PIH患者98例,采用数字法将患者分为对照组和试验组,每组49例。对照组实施常规护理干预,试验组实施抚触护理联合自我效能干预,对比两组患者干预前后血压水平、情绪变化发生情况及生活质量。结果干预前,试验组患者收缩压(SBP)、舒张压(DBP)水平、社会支持评分(SSRS)及抑郁情绪评分(HAMD)与对照组无显著差异(P>0.05);干预后,试验组患者SBP(126.58±7.88)mm Hg、DBP(97.22±4.88)mm Hg水平、HAMD评分(17.46±3.88)分显著低于对照组的(126.58±7.88)mm Hg、(97.22±4.88)mm Hg、(17.46±3.88)分,组间对比差异显著(P<0.05);试验组SSRS评分(24.23±6.31)分显著高于对照组的(24.23±6.31)分,组间对比差异显著(P<0.05)。干预前两组SF-36量表各维度评分对比差异无显著性(P>0.05);干预后试验组一般健康(87.58±2.62)分、心理健康(87.62±2.39)分、情感角色限制(88.74±2.54)分、活力(88.38±2.66)分、社会功能(87.69±2.74)分、躯体疼痛(87.77±2.68)分、情感职能(88.57±2.61)分、精神健康(87.44±2.39)分均高于对照组的(83.28±3.14)分、(83.35±3.21)分、(84.51±2.47)分、(84.36±2.38)分、(83.64±2.57)分、(83.28±2.55)分、(84.38±2.74)分、(83.64±2.58)分,差异有显著性(t=7.360、7.469、8.357、7.884、7.547、8.496、7.751、7.564,均P<0.05)。结论PIH患者应用抚触护理联合自我效能干预显著改善患者抑郁情绪,保持患者血压水平的稳定状态,并提高患者的生活质量。
Objective To explore the effect of touch nursing combined with self-efficacy intervention in patients with PIH.Methods Wetively selected 98 patients in May 2018 in May 2019,and digital patients were divided into control and experimental groups,with 49 patients in each group.The control group implemented routine nursing intervention,and the experimental group carried out touch nursing combined with selfefficacy intervention,and compared the blood pressure level,emotional changes and quality of life before and after the intervention of the two groups.Results Before the intervention,there were no significant differences between systolic and blood pressure(SBP),diastolic pressure(DBP),Social Support Rate Scale(SSRS),and Hamilton Depression Scale(HAMD)in the experimental group and the control group(P>0.05);after the intervention,SBP(126.58±7.88)mm Hg,DBP(97.22±4.88)mm Hg,HAMD(17.46±3.88)in the experimental group were significantly lower than that in the control group(126.58±7.88)mm Hg,(97.22±4.88)mm Hg,(17.46±3.88)points,significant comparative statistical differences between groups(P<0.05);SSRS(24.23±6.31)scored of the experimental group significantly higher than the control group(24.23±6.31),significant comparative statistical differences between groups(P<0.05).There was no significant difference in the scores of SF-36 between the two groups before intervention(P>0.05);after the intervention,the scores of general health(87.58±2.62),mental health(87.62±2.39),emotional role restriction(88.74±2.54),vitality(88.38±2.66),social function(87.69±2.74),physical pain(87.77±2.68),emotional function(88.57±2.61),mental health(87.44±2.39)in the experimental group were higher than those in the control group(83.28±3.14),(83.35±3.21),(84.51±2.47),(84.36±2.38),(83.64±2.57),(83.28±2.55),(84.38±2.74),(83.64±2.58),the difference was significant(t=7.360,7.469,8.357,7.884,7.547,8.496,7.751,7.564,P<0.05).Conclusion The use of touch care combined with self-efficacy intervention to significantly improve the depression,maintain a stable state of blood pressure level,and improve the quality of life.
作者
王敏珍
WANG Minzhen(Yingkou Maternity and Children's Hospital Yingko 115000,China)
出处
《中国医药指南》
2022年第6期21-24,共4页
Guide of China Medicine
关键词
抚触护理
自我效能干预
妊娠高血压综合征
血压水平
情绪变化
生活质量
Touch care
Self-efficacy intervention
Pregnancy-induced hypertension
Blood pressure level
Mood changes
Quality of life
