知信行健康宣教对高危妊娠患者的影响

Influence of high risk pregnancy patients by KABL model health education

目的探讨知信行健康宣教对高危妊娠患者的影响情况。方法分析2017年5月～2018年5月同济大学附属第一妇婴保健院门诊就诊的330例高危妊娠患者临床资料,依据干预模式不同分为对照组(常规护理措施)170例和观察组(知信行健康宣教)160例。观察两组高危妊娠患者干预前后生活质量评分、社会支持评分、焦虑情绪评分、抑郁情绪评分情况,观察两组患者满意度情况。结果干预前,两组高危妊娠患者生活质量评分、社会支持评分、焦虑情绪评分、抑郁情绪评分比较,差异无统计学意义(P> 0.05);干预后,对照组和观察组患者生活质量评分、社会支持评分均高于干预前,焦虑情绪评分、抑郁情绪评分均低于干预前,观察组患者干预后生活质量评分、社会支持评分均高于对照组,焦虑情绪评分、抑郁情绪评分均低于对照组,观察组高危妊娠患者满意度高于对照组,差异均有统计学意义(P <0.05)。结论知信行健康宣教在高危妊娠患者中应用,可以提高患者生活质量和社会支持度,降低焦虑情绪评分和抑郁情绪评分,提高患者满意度,值得临床推广应用。

Objective To approach influence of high risk pregnancy patients by KABL model health education. Methods From May 2017 to May 2018, in Shanghai First Maternity and Infant Hospital, the clinical data of 330 high risk pregnancy patients were analyzed, they were divided into control group (routine nursing measures) 170 cases and detection group (KABL model health education) 160 cases by different intervention patterns. The life quality score, social support score, anxiety score, depression score of high risk pregnancy patients in two groups before and after intervention were detected, the satisfaction degree of two groups after intervention were detected. Results The life quality score, social support score, anxiety score, depression score in two groups before intervention were compared, the difference were not statistical significance (P > 0.05);after intervention, the life quality score, social support score of two groups after intervention were higher than before intervention, anxiety score, depression score were lower than before intervention, the life quality score, social support score of detection group after intervention were higher than control group, anxiety score, depression score of detection group were lower than control group, the satisfaction degree of detection group was higher than control group, the differences were statistical significance (P < 0.05). Conclusion The application of high risk pregnancy patients by KABL model health education, which could increase life quality and social support, decrease anxiety and depression, increase satisfaction of patients, it is worth to be used.