抚触护理联合增强自我效能对妊娠高血压产妇心理及妊娠结局影响探究

Effect of Touch-care Combined with Self-efficacy on Maternal Psychological and Pregnancy Outcome in Pregnancy-induced Hypertension

目的:探讨应用抚触护理联合增强自我效能对妊娠高血压产妇患者心理及妊娠结局的影响。方法:以2016年2月~2017年6月在宜春市第二人民医院门诊就诊的84例妊娠高血压产妇为研究对象,采用数字表法均分为对照组(n=42)和观察组(n=42)。对照组妊娠高血压产妇应用常规护理,观察组妊娠高血压产妇给予抚触护理联合增强自我效能。回顾分析比较两组妊娠高血压产妇的血压、心率、心理应激反应及妊娠结局等情况。结果:观察组妊娠高血压产妇经护理后的收缩压(117.7±16.8)、舒张压(70.1±4.7)、心率(70.1±3.7)明显低于对照组(125.1±15.5)、(80.3±5.5)、(86.3±5.6),比较具有显著差异(P<0.05);观察组妊娠高血压产妇经护理后的HAMA评分(10.92±2.81)、HAMD评分(9.33±4.83)明显低于对照组(16.30±3.82)、(13.25±7.82),比较具有显著差异(P<0.05);观察组妊娠高血压产妇护理后的并发症发生率(4.76%)明显低于对照组(21.43%),比较具有显著差异(P<0.05)。结论:抚触护理与增强自我效能联合能有效的改善妊娠高血压产妇的心理应激反应与负性情绪,降低不良妊娠结局的发生率,值得在临床中应用推广。

Objective: To explore the effect of self-efficacy on the psychological and pregnancy outcome of pregnant women with gestational hypertension. Methods: This paper reviews 84 cases of pregnancy-induced hypertension in our hospital from February 2016 to June 2017. The patients were divided into control group( n = 42) and observation group( n = 42). In the control group,the pregnant women with pregnancy-induced hypertension were treated with routine nursing. The pregnant women with gestational hypertension were treated with touch care to enhance self-efficacy. The blood pressure,heart rate,psychological stress response and pregnancy outcome of the two groups of pregnant women with hypertension were compared. Results: The systolic blood pressure( 11. 77 ± 16. 8),diastolic blood pressure( 70. 1 ± 4. 7) and heart rate( 70. 1 ± 3. 7) were significantly lower than those in the control group( 125. 1 ± 15. 5)( 80. 3 ± 5. 5) and( 86. 3 ± 5. 6),respectively. There was significant difference( P < 0. 05). The scores of HAMA( 10. 92 ± 2. 81) and HAMD score( 9. 33 ± 4. 83) were significantly lower in the observation group than in the control group( 16. 30 ± 3. 82),( 13( P < 0. 05),and there was significant difference( P < 0. 05). The complication rate( 4. 76%) in the pregnant group was significantly lower than that in the control group( 21. 43%),and there was significant difference( P < 0. 05). Conclusion: Touch care and enhance self-efficacy can effectively improve the pregnancy stress of pregnant women with psychological stress and negative emotions,reduce the incidence of adverse pregnancy outcomes,it is worth to promote the use of clinical.