Meleis转移理论专项干预对HDP孕产妇出院准备的影响

Effects of the special intervention based on Meleis transfer theory on the hospital discharge preparation of women with hypertensive diseases during pregnancy

目的:探讨基于Meleis转移理论的专项干预对妊娠期高血压疾病(HDP)孕产妇出院准备的影响。方法:随机数字表法将2022年10月-2023年10月本院收治的HDP孕产妇150例分为两组各75例,分别采用产科常规护理(对照组)或采用基于Meleis转移理论专项干预(干预组)。比较两组出院准备度、出院指导质量、自我效能及母婴不良结局。结果:干预后,干预组出院准备度各维度评分自身状况(15.67±4.87分)、应对能力(19.80±3.16分)、疾病认知(19.80±3.16分)、社会支持(15.98±4.36分)均高于对照组(7.10±2.33分、5.20±1.85分、9.10±2.47分、7.26±3.08分),出院指导质量各维度评分需要内容(12.69±3.12分)、获得内容(14.05±2.11分)、指导效果(13.96±5.01分)均高于对照组(5.10±1.69分、4.20±0.89分、7.26±2.28分),自我效能各维度评分压力弹性(21.88±2.36分)、积极态度(23.41±4.05分)、决策(18.71±4.01分)均高于对照组(15.28±1.86分、12.98±3.87分、13.40±2.87分),不良母婴结局发生率(1.3%)低于对照组(9.3%)(均P<0.05)。结论:基于Meleis转移理论的专项干预能有效提高HDP孕产妇的出院准备度及自我效能,改善母婴结局。

Objective:To explore the effects of the special intervention based on Meleis transfer theory on the hospital discharge preparation of pregnant women with hypertensive diseases during pregnancy(HDP).Methods:By the random number table,150pregnant women with HDP admitted to the hospital were divided into control group(n=75)and experimental group(n=75)from October 2022to October 2023.The women in the control group received the routine obstetric care,and the women in the experimental group received the special intervention based on Meleis transfer theory.The discharge readiness,the discharge guidance quality,the self-efficacy and the adverse maternal and infant outcomes of the women were compared between the two groups.Results:The scores of the all dimensionalities of the discharge readiness of the women in the experimental group after intervention,such as the self-condition(15.67±4.87points),the coping ability(19.80±3.16points),the disease cognition(19.80±3.16points)and the social support(15.98±4.36points),were significantly higher than those(7.10±2.33points,5.20±1.85points,9.10±2.47 points and 7.26±3.08points)of the women in the control group.The scores of the all dimensionalities of the discharge guidance quality of the women in the experimental group,such as the content needed(12.69±3.12points),the content obtained(14.05±2.11points)and the guidance effect(13.96±5.01points),were significantly higher than those(5.10±1.69points,4.20±0.89points and 7.26±2.28points)of the women in the control group.The scores of the all dimensionalities of the self-efficacy of the women in the experimental group,such as stress resilience(21.88±2.36 points),positive attitude(23.41±4.05points)and decision-making(18.71±4.01points),were significantly higher than those(15.28±1.86points,12.98±3.87points and 13.40±2.87points)of the women in the control group.The incidence of the adverse maternal and infant outcomes(1.3%)in the experimental group was significantly lower than that(9.3%)in the control group(all P<0.05).Conclusion:The special intervention based on Meleis transfer theory for the pregnant women with HDP can effectively improve their hospital readiness and self-efficacy,and which also can improve the maternal and infant outcomes.