基于行为转变理论指导的整体护理配合人本位护理模式对妊娠期高血压产妇血压控制、妊娠结局的影响

Effect of holistic care based on behavior change theory with person-centered care model on blood pressure control and pregnancy outcome in women with hypertension during pregnancy

目的:探讨基于行为转变理论指导的整体护理配合人本位护理模式在妊娠期高血压产妇中的应用效果。方法:选择2020年4月至2021年12月本院收治的妊娠期高血压产妇94例,按随机数字表法分为两组。对照组(47例)实施常规护理,观察组(47例)实施基于行为转变理论指导的整体护理配合人本位护理模式,对比两组血压控制效果、情绪状态及妊娠结局。两组均持续护理至产后3个月。结果:观察组护理后舒张压、收缩压水平,SAS、SDS评分均低于对照组,(P<0.05);观察组不良妊娠结局发生率(6.38%)低于对照组(21.28%),(P<0.05)。结论:基于行为转变理论指导的整体护理配合人本位护理模式在妊娠期高血压产妇中具有较好的应用效果,利于改善其情绪状态,获得较好的血压控制效果,改善妊娠结局。

Objective:To explore the effect of holistic care based on behavior change theory guidance with human-centered care model in maternal hypertension during pregnancy.Methods:Ninety-four cases of women with hypertension in pregnancy admitted to our hospital from April 2020 to December 2021 were selected and divided into two groups according to the random number table method.The control group(47 cases)implemented conventional care,and the observation group(47 cases)implemented holistic care based on the guidance of behavior change theory with a person-centered care model to compare the effect of blood pressure control,emotional state and pregnancy outcome between the two groups.Both groups continued nursing care until 3 months after delivery.Result:The diastolic and systolic blood pressure levels,SAS and SDS scores were lower in the observation group than in the control group after care(P<0.05);the incidence of adverse pregnancy outcomes was lower in the observation group(6.38%)than in the control group(21.28%),(P<0.05).Conclusion:The holistic care based on behavior change theory with the person-centered care model has better application effect in women with hypertension in pregnancy,which is conducive to improving their emotional state,obtaining better blood pressure control and improving pregnancy outcome.