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目的探讨增强自我效能联合抚触护理对妊娠高血压产妇心理应激反应及妊娠结局的影响。方法选取2015年1月—2月樟树市第三人民医院收治的110例妊娠高血压产妇,根据护理方式不同将产妇分为对照组与观察组,各55例。对照组产妇予以常规护理,观察组产妇在常规护理基础上予以增强自我效能及抚触护理。比较两组产妇焦虑自评量表(SAS)及抑郁自评量表(SDS)评分、瑞典分娩自我效能量表(SWE-CBSEI)评分、舒张压(DBP)、收缩压(SBP)及妊娠结局。结果护理前两组产妇SAS、SDS评分比较,差异无统计学意义(P>0.05);护理后观察组产妇SAS、SDS评分低于对照组(P<0.05)。护理前两组产妇SWE-CBSEI评分比较,差异无统计学意义(P>0.05);护理后观察组产妇SWE-CBSEI评分高于对照组(P<0.05)。护理前两组产妇SBP、DBP水平比较,差异无统计学意义(P>0.05);护理后观察组产妇SBP、DBP水平低于对照组(P<0.05)。观察组产妇剖宫产率、产后出血率、新生儿窒息率、早产率低于对照组(P<0.05)。结论增强自我效能联合抚触护理可缓解妊娠高血压产妇心理应激反应,改善妊娠结局,提高产妇血压控制效果。
Objective To explore the effect of enhancing self-efficacy and joint nursing on psychological stress response and pregnancy outcome in pregnant women with hypertension. Methods A total of 110 pregnant women with gestational hypertension admitted to the Third People ’s Hospital of Zhangshu City from January to February in 2015 were selected. The mothers were divided into the control group and the observation group according to different nursing methods, with 55 cases in each group. The control group of mothers to be routine care, observation group of mothers on the basis of routine care to enhance self-efficacy and touch nursing. SAS and SDS scores, SWE-CBSEI score, DBP, SBP and pregnancy outcome were compared between the two groups . Results There was no significant difference in SAS and SDS scores between the two groups before nursing (P> 0.05). After nursing, the scores of SAS and SDS in the observation group were lower than those in the control group (P <0.05). There was no significant difference in SWE-CBSEI score between the two groups before nursing (P> 0.05). After nursing, the SWE-CBSEI score of the observation group was higher than that of the control group (P <0.05). There was no significant difference in SBP and DBP levels between the two groups before nursing (P> 0.05). After nursing, the SBP and DBP levels in the observation group were lower than those in the control group (P <0.05). Cesarean section rate, postpartum hemorrhage rate, neonatal asphyxia rate and premature delivery rate in observation group were lower than those in control group (P <0.05). Conclusions The combination of self-efficacy and stroke nursing can relieve the psychological stress response of pregnant women with gestational hypertension, improve pregnancy outcome and improve the control effect of maternal blood pressure.