基于心理资本干预模型的团体护理干预对妊娠期高血压患者自我效能及妊娠结局的影响

Effect of Group Nursing Intervention Based on Psychological Capital Intervention Model on Self-Efficacy and Pregnancy Outcome of Patients with Hypertensive Disorders of Pregnancy

目的回顾性分析基于心理资本干预模型的团体护理干预在妊娠期高血压(HDP)中的应用价值。方法收集本院174例HDP患者,按护理方法不同分为对照组(n=87)、观察组(n=87),对照组行常规护理,观察组在此基础上实施基于心理资本干预模型的团体护理干预。比较两组妊娠结局、血压水平[收缩压(SBP)、舒张压(DBP)]、积极心理资本、自我效能。结果干预2个月后,观察组产后出血、羊水过多发生率均低于对照组(P均<0.05);观察组SBP、DBP指标水平均低于对照组(P均<0.05);观察组积极心理资本评分、一般自我效能感量表(GSES)评分高于对照组(P均<0.05)。结论对HDP患者实施基于心理资本干预模型的团体护理干预,能提高积极心理资本、自我效能感,改善血压水平、妊娠结局。

Objective To retrospectively analyze the application value of group nursing intervention based on psychological capital intervention model in hypertensive disorders of pregnancy(HDP).Methods A total of 174 cases of HDP patients in our hospital were collected and divided into group nursing group(n=87)and control group(n=87)according to different nursing methods.The control group received routine nursing,and the group nursing group received routine nursing and group nursing intervention based on psychological capital intervention model.Pregnancy outcomes,blood pressure levels(SBP,DBP),positive psychological capital and self-efficacy(GSES)were compared between the two groups.Results The incidence of postpartum hemorrhage and polyhydramnios in the group nursing group were lower than those in the control group(all P<0.05)after two months of intervention.Meanwhile,the levels of SBP and DBP in the group nursing group were lower than those in the control group after the intervention(all P<0.05).Finally,the score of positive psychological capital and GSES score of the group nursing group was higher than those of the control group(all P<0.05).Conclusion Group nursing intervention based on psychological capital intervention model for HDP patients can improve positive psychological capital,self-efficacy,blood pressure level and pregnancy outcome.