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中文摘要: 目的 研究Roy适应模式用于妊娠高血压孕妇产前教育的效果及对妊娠结局的影响。方法 选取2017年2月—2018年2月于本院治疗的120例HDCP患者作为研究对象，按随机数字表法将其分为试验组和对照组，各60例。试验组患者采用Roy适应护理模式，对照组患者采取常规护理，护理时间均为4周，对比两组临床疗效及妊娠结局、负面情绪、生命质量以及护理满意度之间的差异。结果 治疗后，两组的舒张压和收缩压均低于治疗前（P＜0.05），且试验组均低于对照组（P＜0.05）；治疗后，试验组的总有效率高于对照组；试验组的顺产率高于对照组（P＜0.05），新生儿早产、死亡、窒息以及宫内窘迫的发生率均低于对照组（P＜0.05），Apgar评分无统计学差异（P＞0.05）；两组患者的汉密尔顿抑郁量表（HAMD）以及汉密尔顿焦虑量表（HAMA）评分显著下降，且试验组患者的HAMD以及HAMA评分显著低于对照组（P＜0.05）；两组患者的生活质量和生活活动评分显著改善，且试验组患者治疗后的生活质量和生活活动评分均高于对照组（P＜0.05）；试验组患者的满意度（97.78%）明显高于对照组（84.44%）。结论 Roy适应模式在妊娠高血压孕妇产前教育，通过提升患者的治疗效果，改善产妇不良情绪，降低抑郁和焦虑状态，显著提升患者的生命质量，效果显著，建议在临床工作中推广
Abstract:OBJECTIVE To study the effect of Roy’s adaptation model on prenatal education of pregnant women with pregnancy-induced hypertension and its effects on pregnancy outcome. METHODS 120 HDCP patients treated in target hospital from February 2017 to February 2018 were divided into experimental group and control group according to random number table method(60 cases in each group). Roy’s adaptive nursing mode was used in the experimental group and routine nursing was used in the control group for 4 weeks. The differences of clinical efficacy, pregnancy outcomes, negative emotions, quality of life and nursing satisfaction between these two groups were compared. RESULTS After treatment, the diastolic and systolic blood pressures of both groups were lower than those before treatment (P＜0.05), and the total effective rate of the experimental group was higher than the control group (P＜0.05); the spontaneous rate of the experimental group was higher than the control group (P＜0.05); the incidence of premature birth, death, asphyxia and intrauterine distress of newborns were lower than the control group (P＜0.05); the Apgar score had no statistically significant(P＞0.05); the HAMD and HAMA scores of the two groups decreased significantly, and the HAMD and HAMA scores of the experimental group were significantly lower than the control group (P＜0.05); the quality of life and life activity scores of these two groups improved significantly, and the quality of life and life activity scores of the experimental group were higher than the control group (P＜0.05); the satisfaction of the experimental group (97.78%) was higher than the control group (P＜0.05). It was significantly higher than the control group (84.44%). CONCLUSION Roy’s adaptation model in prenatal education for pregnant women with pregnancy-induced hypertension could improve the therapeutic effect of patients, improve the unhealthy mood of pregnant women, reduce the state of depression and anxiety, and significantly improve the quality of life of patients, which had remarkable effect. It was suggested that Roy adaptation model be popularized in clinical work.
keywords: Roy’s adaptation model gestational hypertension prenatal education pregnancy outcomes negative emotion
文章编号：3201909015 中图分类号：R1-9 文献标志码：
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| 作者 | 单位 |
| 张晓云①，贺一立② |
| Author Name | Affiliation |
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