激励式心理干预联合PDCA循环护理在妊娠期高血压患者中的应用

Application of motivational psychological intervention combined with PDCA cycle care in patients with hypertensive disorder complicating pregnancy

目的探讨激励式心理干预联合计划-执行-检查-处理程序(PDCA)循环护理对妊娠期高血压患者心理状态和母婴结局的影响。方法选取2018年6月—2021年6月漯河市某医院收治的132例妊娠期高血压孕妇,采用随机数字表法分为研究组与对照组,每组66例。对照组孕妇采用常规护理,研究组孕妇在对照组基础上采用激励式心理干预联合PDCA循环护理。比较2组孕妇干预前后的心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)评分]及母婴结局、疾病知晓情况、依从情况、纽卡斯尔护理服务满意度量表(NSNS)评分。结果研究组孕妇疾病知晓率和依从率高于对照组,差异均有统计学意义(P<0.05)。研究组孕妇干预后SAS、SDS评分均低于对照组,差异均有统计学意义(P<0.05)。研究组孕妇早产率、剖宫产率、产后出血率均低于对照组,差异均有统计学意义(P<0.05)。研究组胎儿窘迫率、新生儿窒息率均低于对照组,差异均有统计学意义(P<0.05);研究组新生儿阿普加评分高于对照组,差异有统计学意义(P<0.05)。研究组孕妇护理满意度评分高于对照组,差异有统计学意义(P<0.05)。结论激励式心理干预联合PDCA循环护理应用于妊娠期高血压孕妇中,可提高孕妇疾病知识了解度及依从性,减轻负性情绪,改善母婴结局。

Objective To explore the effect of motivational psychological intervention combined with plan-do-check-action(PDCA)cycle care on psychological status and maternal and infant outcomes in patients with hypertensive disorder complicating pregnancy.Methods A total of 132 women with hypertensive disorder complicating pregnancy admitted to a hospital in Luohe City from June 2018 to June 2021 were selected as subjects and assigned to a study group and a control group using the random number table method,with 66 cases in each group.The women in the control group received conventional care,and the women in the study group motivational psychological intervention in combination with PDCA cycle care after receiving the conventional care.The psychological status[Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)scores]and maternal and infant outcomes,disease awareness,compliance,and Newcastle Satisfaction with Nursing Scale(NSNS)scores of the mothers in the 2 groups were compared before and after the intervention.Results Maternal disease awareness and compliance rates in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).SAS and SDS scores in the study group after the intervention were lower than those in the control group,and the differences were statistically significant(P<0.05).The rates of preterm delivery,cesarean section and postpartum hemorrhage in the study group were lower than those in the control group,and the differences were all statistically significant(P<0.05).The rates of fetal distress and neonatal asphyxia in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).The neonatal Apgar scores in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).The maternal care satisfaction scores in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The application of motivational psychological intervention in combination with PDCA cycle care to mothers with hypertensive disorder complicating pregnancy can improve maternal disease awareness and compliance,reduce negative emotions,and improve maternal and infant outcomes.