LEARNS模式下的健康教育对高危孕妇的应用效果分析

Analysis of the application effect of health education under the LEARNS model on high-risk pregnant women

目的分析LEARNS模式下的健康教育对高危孕妇的应用效果。方法选取2021年10月至2023年10月新疆医科大学第一附属医院收治的110例高危孕妇为研究对象,对照组采用常规干预,研究组采用LEARNS模式下的健康教育,观察两组不良情绪、自我效能、主观幸福感、希望水平、生活质量、睡眠质量、孕妇妊娠结局、新生儿结局。结果与干预前相比,干预后两组汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁自评量表(HAMD)、睡眠质量评分降低,且研究组HAMA、HAMD、睡眠质量评分低于对照组(P<0.05)。与干预前相比,干预后两组自我效能、主观幸福感、积极态度、积极行动、他人关系、生理职能、情感职能、精神健康、精力、生理功能、社会功能评分升高,且研究组自我效能、主观幸福感、积极态度、积极行动、他人关系、生理职能、情感职能、精神健康、精力、生理功能、社会功能评分高于对照组(P<0.05)。与对照组相比,研究组剖宫产、产后出血、流产、胎膜早破发生率较低,新生儿巨大儿、低体质量儿、新生儿窒息发生率较低(P<0.05)。结论高危孕妇采用LEARNS模式下的健康教育,可抑制其不良情绪,改善自我效能、睡眠质量,提升孕妇的主观幸福感、希望水平,使用效果较好。

Objective To analyze the application effect of health education under LEARNS mode on high-risk pregnant women.Methods 110 high-risk pregnant women admitted to the First Affiliated Hospital of Xinjiang Medical University from October 2021 to October 2023 were selected as the study subjects.The control group received routine intervention,while the study group received health education under the LEARNS model.Adverse emotions,self-efficacy,subjective well-being,hope level,quality of life,sleep quality,pregnancy outcomes,and neonatal outcomes were observed in both groups.Results Compared with before intervention,the scores of Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD)and sleep quality in the two groups decreased after intervention,and the scores of HAMA,HAMD and sleep quality in the study group were lower than those in the control group(P<0.05).Compared with before intervention,the scores of self-efficacy,subjective well-being,positive attitude,positive action,others’relationship,physiological function,emotional function,mental health,energy,physiological function and social function in the two groups increased after intervention,and the scores of self-efficacy,subjective well-being,positive attitude,positive action,others relationship,physiological function,emotional function,mental health,energy,physiological function and social function in the study group were higher than those in the control group(P<0.05).Compared with the control group,the incidence of cesarean section,postpartum hemorrhage,abortion,premature rupture of membranes,macrosomia,low birth weight and neonatal asphyxia in the study group were lower(P<0.05).Conclusion Health education under the LEARNS model for high-risk pregnant women can restrain their bad emotions,improve their self-efficacy and sleep quality,and enhance their subjective well-being and hope level,with good results.