以互联网为媒介的认知行为指导对妊娠期高血压孕妇的影响

The Impact of Internet-Based Cognitive Behavioral Guidance on Pregnant Women with Gestational Hypertension

目的探究以互联网为媒介的认知行为指导对妊娠期高血压(GH)孕妇自我感受负担、应对方式和自护能力的影响。方法选取许昌市中心医院2021年4月至2022年4月收治的90例GH孕妇为研究对象,采用随机数字表法将孕妇分为接受常规干预的对照组(45例)与接受以互联网为媒介的认知行为指导干预的观察组(45例)。比较两组孕妇自我感受负担、应对方式以及自护能力。结果干预后两组孕妇自我感受负担量表(SPBS)评分中身体负担、经济负担及情感负担评分均低于干预前,且观察组孕妇身体负担、经济负担及情感负担评分均低于对照组,差异有统计学意义(P<0.05)。干预后两组孕妇医学应对问卷(MCMQ)中面对评分高于干预前,回避、屈服评分均低于干预前,且干预后观察组孕妇面对评分高于对照组,回避、屈服评分低于对照组,差异有统计学意义(P<0.05)。干预后两组孕妇自我保健管理问卷(SQHMP)中遵医行为、胎儿监护、自我防护、日常生活评分均高于干预前,且干预后观察组孕妇遵医行为、胎儿监护、自我防护、日常生活评分均高于对照组,差异有统计学意义(P<0.05)。结论以互联网为媒介的认知行为指导以互联网为媒介的认知行为指导在GH孕妇中干预效果良好,可显著减轻孕妇自我感受负担,改善孕妇应对方式,同时显著提高孕妇自护能力。

Objective To explore the impact of internet-based cognitive behavioral guidance on the self-perceived burden,coping styles,and self-care abilities of pregnant women with gestational hypertension(GH).Methods A total of 90 pregnant women with GH treated at Xuchang Central Hospital from April 2021 to April 2022 were selected and randomly divided into two groups:a control group(45 cases)receiving routine intervention and an observation group(45 cases)receiving internetbased cognitive behavioral guidance intervention.Self-perceived burden,coping styles,and self-care abilities were compared between the two groups.Results After the intervention,the scores of the Self-Perceived Burden Scale(SPBS)for physical,economic,and emotional burden in both groups were lower than before the intervention,with the observation group showing significantly lower scores than the control group(P<0.05).In the Medical Coping Modes Questionnaire(MCMQ),the"facing"scores were higher,while"avoidance"and"yielding"scores were lower after the intervention in both groups,with the observation group scoring significantly better than the control group(P<0.05).In the Self-rating Questionnaire of Healthcare Management for Pregnancy(SQHMP),scores for medical compliance,fetal monitoring,self-protection,and daily life were higher post-intervention in both groups,with the observation group again scoring significantly higher than the control group(P<0.05).Conclusion Internet-based cognitive behavioral guidance has a positive intervention effect on pregnant women with GH,significantly reducing their self-perceived burden,improving coping styles,and significantly enhancing their self-care abilities.