首页|IMB模型框架下小组个性化干预对PE患者自护能力、血压控制的影响

IMB模型框架下小组个性化干预对PE患者自护能力、血压控制的影响

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目的:探究IMB模型框架下小组个性化干预对子痫前期(PE)患者自护能力、血压控制的影响.方法:随机数字表法将2021年3月—2023年2月本院就诊的PE患者200例分为观察组与对照组各100例,两组均予以常规护理干预,观察组同时予以信息-动机-行为技巧(IMB)模型框架下小组个性化护理干预,均干预至妊娠分娩.比较两组自护能力[自我护理能力测定量表(ESCA)评分]、负性心理[焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分]、治疗依从性、血压控制情况及分娩结局.结果:干预后观察组ESCA各维度评分均高于对照组,SDS(42.55±4.28分)、SAS(43.39±4.21分)评分均低于对照组(48.36±4.33分、47.57±4.36分),治疗依从性(94.0%)高于对照组(83.0%),收缩压及舒张压(127.6±7.5 mmHg、93.5±4.3 mmHg)低于对照组(142.5±8.4mmHg、104.6±5.5 mmHg),不良分娩结局低于对照组(均P<0.05).结论:对PE患者实施IMB模型框架下小组个性化干预可提高患者的自护能力与治疗依从性,减轻负性心理,有利于血压控制及改善妊娠结局,提高了护理效果.
Effects of the group personalized intervention under the framework of information-motivation-behavioral skills model for treating pregnant women with preeclampsia on their self-care ability and blood pressure control
Objective:To explore the effects of the group personalized intervention under the framework of information-motivation-behavioral skills(IMB)model for treating pregnant women with preeclampsia(PE)on their self-care abili-ty and blood pressure.Methods:200 pregnant women with PE were divided into two groups(100 cases in each group)by random number table method from March 2021 to February 2023.The women in the two groups were given routine nursing intervention until to give birth,and the women in the study group were given the group individualized nursing intervention under IMB model additionally.The self-care ability scale(ESCA)score,the negative psychology score e-valuated by self-rating anxiety scale(SAS)and the self-rating depression scale(SDS)score,the treatment compliance rate,the blood pressure control situation and the delivery outcomes of the women were compared between the two groups.Results:After intervention,the scores of the different dimensions of ESCA of the women in the study group were significantly higher than those of the women in the control group.The scores of SDS(42.55±4.28 points)and SAS(43.39±4.21 points)of the women in the study group were significantly lower than those(48.36±4.33 points and 47.57±4.36 points)of the women in the control group.The treatment compliance(94.0%)of the women in the study group was significantly higher than that(83.0%)of the women in the control group.The values of systolic blood pressure(127.6±7.5 mmHg)and diastolic blood pressure(93.5±4.3 mmHg)of the women in the study group were significantly lower than those(142.5±8.4mmHg and 104.6±5.5 mmHg)of the women in the control group.The ad-verse delivery outcomes of the women in the study group were significantly lower than those of the women in the con-trol group(all P<0.05).Conclusion:The group personalized intervention under the framework of IMB model for treating the patients with PE can improve their self-care ability and treatment compliance,reduce their negative psy-chology,and which is conducive to their blood pressure control and improvement of their delivery outcomes,and im-prove the nursing effect.

PreeclampsiaInformation-motivation-behavioral skills modelGroup personalized interventionSelf-care abilityBlood pressure controlComplianceDelivery outcomes

刘佳、王蕊、王怡、韩峤、刘小玮

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首都医科大学宣武医院(北京,100053)

子痫前期 信息-动机-行为技巧模型 小组个性化干预 自护能力 血压控制 依从性 分娩结局

2024

中国计划生育学杂志
国家人口计生委科学技术研究所

中国计划生育学杂志

CSTPCD
影响因子:1.759
ISSN:1004-8189
年,卷(期):2024.32(3)
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