知信行模式在卵巢过度刺激综合征高危患者护理中的应用

Application of knowledge-attitude-behavior model in nursing care of high-risk patients with ovarian hyperstimulation syndrome

目的探讨知信行模式干预对卵巢过度刺激综合征(OHSS)高危患者的干预效果。方法回顾性分析中山市博爱医院2019年9月至2021年3月收治的100例OHSS高危患者的临床表现、护理和预后等临床资料,根据干预方式的不同分为A组(n=50)和B组(n=50)。A组行知信行模式干预,B组行常规干预。比较两组中重度OHSS发生情况、护理满意度、负性心理状态。结果A组的中重度OHSS总发生率为4.00%,低于B组的16.00%,差异有统计学意义(P<0.05);A组的护理总满意度为98.00%,高于B组的86.00%,但差异无统计学意义(P>0.05);干预后A组的SAS评分、SDS评分均低于B组,差异具有统计学意义(P<0.05)。结论知信行模式干预可以降低OHSS高危患者的中重度OHSS发生率,提高护理满意度,减轻患者的抑郁、焦虑情绪,对患者的康复具有积极意义。

Objective To investigate the effect of knowledge-attitude-behavior model intervention in the effect of highrisk patients with ovarian hyperstimulation syndrome(OHSS).Methods The clinical data such as clinical manifestations,nursing,and prognosis of 100 high-risk patients with OHSS admitted to and treated in Boai Hospital of Zhongshan from September 2019 to March 2021 were analyzed retrospectively.According to different intervention methods,they were divided into group A(n=50)and group B(n=50).Group A was treated with knowledge-attitude-behavior model intervention,while group B was treated with conventional intervention.The incidence of moderate and severe OHSS,nursing satisfaction and negative psychological state were compared between the two groups.Results The incidence of moderate and severe OHSS in group A was 4.00%,lower than 16.00%in group B,with statistically significant difference(P<0.05).The total nursing satisfaction of group A was 98.00%,higher than 86.00%of group B,but the difference between the two groups was not statistically significant(P>0.05).After intervention,the SAS score and SDS score of group A were both lower than those of group B,with statistically significant differences(P<0.05).Conclusion Knowledge-attitudebehavior intervention can reduce the incidence of moderate and severe OHSS in high-risk patients with OHSS,improve nursing satisfaction,and relieve depression and anxiety of patients.Therefore,it is of positive significance to the rehabilitation of patients.