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目的探究抚触护理干预结合增强自我效能对妊娠期高血压产妇心理反应及妊娠结局的影响。方法 124例妊娠期高血压患者,随机分为联合组和对照组,各62例。对照组给予常规护理干预,联合组在对照组基础上给予抚触护理干预结合增强自我效能,对比两组患者干预后的收缩压、舒张压、心率、心理焦虑以及抑郁情况、妊娠结局和满意度等。结果两组患者干预后的收缩压、舒张压及心率比较差异具有统计学意义(t=4.346、7.687、10.929,P<0.05)。联合组患者的汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分均明显低于对照组患者,差异具有统计学意义(t=7.757、9.217,P<0.05)。联合组与对照组患者的剖宫产率(40.32%VS 66.13%)、产后出血率(1.61%VS 17.74%)、新生儿窒息率(0 VS 14.52%)比较差异具有统计学意义(χ~2=8.293、9.226、9.704,P<0.05);联合组患者满意度为98.39%(61/62),对照组患者满意度为61.29%(38/62),两组比较差异具有统计学意义(χ~2=26.503,P<0.05)。结论抚触护理干预结合增强自我效能能够显著的改善患者妊娠高血压以及心理负面情绪,并且显著改善妊娠结局,提高患者对护理干预的满意度,值得在临床推广。
Objective To explore the effects of nursing intervention combined with enhancing self-efficacy on psychological reactions and pregnancy outcome in pregnant women with hypertension. Methods 124 patients with gestational hypertension were randomly divided into combined group and control group, 62 cases in each. The control group was given routine nursing intervention. The combined group was given nursing intervention and self-efficacy on the basis of the control group. Contrast the systolic pressure, diastolic pressure, heart rate, psychological anxiety and depression, pregnancy outcome and satisfaction Wait. Results There were significant differences in systolic blood pressure, diastolic blood pressure and heart rate between the two groups after intervention (t = 4.346, 7.687, 10.929, P <0.05). The HAMA score and Hamilton Depression Rating Scale (HAMD) scores in the combined group were significantly lower than those in the control group (t = 7.757,9.217, P <0.05). The rate of cesarean section (40.32% VS 66.13%), postpartum hemorrhage rate (1.61% VS 17.74%) and neonatal asphyxia rate (0 VS 14.52%) in the combined group and control group were statistically significant (χ ~ 2 = 8.293,9.226,9.704, P <0.05). The satisfaction rate of the patients in the combined group was 98.39% (61/62), while that of the control group was 61.29% (38/62), the difference was statistically significant (χ ~ 2 = 26.503, P <0.05). Conclusion Nursing intervention combined with enhancing self-efficacy can significantly improve the patients with pregnancy-induced hypertension and psychological negative emotions, and significantly improve pregnancy outcomes and improve patient satisfaction with nursing interventions, which is worthy of clinical promotion.