高危妊娠患者疾病不确定感干预研究

Effect of Cognitive Behavior Intervention on Uncertainty in Illness of Patients with High Risk Pregnancy

目的探讨高危妊娠患者疾病不确定感干预研究的应用效果。方法选取在我院妇产科住院的高危妊娠患者148例为研究对象,按照患者入院的先后时间顺序编号,奇数为观察组(76例),偶数为对照组(72例)。对照组给予妇产科常规护理,观察组在对照组基础上给予疾病相关知识与自我行为管理干预,分别在患者入院第2天和出院前1 d评估2组患者疾病不确定感水平。结果入院第2天2组患者疾病不确定感水平比较差异无统计学意义(Z=0.032,P=0.873),出院前1 d观察组的疾病不确定感水平低于对照组(Z=6.738,P=0.005),各维度得分及总分均低于对照组(P<0.05)。结论高危妊娠患者疾病不确定感处中上水平,应用认知行为干预,减轻患者对疾病不可预测性和不明确性,满足患者疾病信息缺乏,降低高危妊娠患者疾病不确定感水平。

Objective To explore the effect of cognitive behavior intervention on uncertainty in illness of patients with high risk pregnancy. Methods A total of 148 patients with high-risk pregnancy who were hospitalized in obstetrics and gynecology department of our hospital were enrolled in this study. Patients were randomly divided into experiment group（ n =76） and control group（n =72）.Experiment group was given individualized cognitive behavior intervention including the promotion of disease-related knowledge and self-management intervention in addition to routine nursing care, while control group routine nursing care only. Patients ＇ uncertainty in illness on the 2 nd day of admission and the day before discharge in 2 groups was assessed. Results Patients＇ uncertainty in illness on the 2 nd day of admission had no statistical significance between 2 groups（ Z=0.032, P=0.873）, but patients＇ level of uncertainty in illness in experiment group on the day before discharge was lower than that in control group（ Z=6.738,P=0.005） and the total score and the score of each dimension were all lower than those in control group（ P0.05）. Conclusion Uncertainty in illness in patients with high risk pregnancy is in a moderate level. Individualized cognitive behavior intervention is effective for reducing the uncertainty about the disease and meeting patients ＇ needs about disease knowledge, thus to lower patients ＇ level of uncertainty in illness.