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| 基于保护动机理论的健康教育对先兆早产患者心理状态及妊娠结局的影响 |
| Effect of health education based on the protective motivation theory on the psychological state and pregnancy outcomes of patients with preterm labor |
| 投稿时间：2024-07-25 修订日期：2025-04-30 |
| 中文关键词: 先兆早产 保护动机理论 心理状态 自护能力 妊娠结局 |
| 英文关键词: preterm labour protection motivation theory psychological state self-care capacity pregnancy outcomes |
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| 中文摘要: |
| 目的 探索基于保护动机理论(PMT)的健康教育对先兆早产患者心理状态及妊娠结局的影响。方法 本研究选取了2022年7月至2023年6月期间在我院接受治疗的200例先兆早产患者作为研究对象,采用随机数字表法将其分为对照组和观察组,每组各100例。在对照组中实施常规护理,而在观察组的基础上,还额外开展了PMT健康教育,并对两组患者进行了为期6周的持续护理。研究的主要目的是比较两组患者在心理状态、自我护理能力及妊娠结局方面的差异。结果 观察组在干预后,焦虑自评量表(SAS)和抑郁自评量表(SDS)的评分均出现了显著下降,且评分均显著低于对照组(P＜0.05)；同时观察组干预后自护能力评定量表(ESCA)评分较干预前上升,且显著高于对照组(P＜0.05)；观察组感染率和低出生体重儿发生率均显著低于对照组(P＜0.05)。结论 基于保护动机理论的健康教育干预用于先兆早产患者,不但能够有效缓解产妇的焦虑和抑郁情绪,还能有效提升产妇的分娩适应和自我效能感,从而改善妊娠结局。 |
| 英文摘要: |
| Objective To observe the effects of health education based on protective motivation theory (PMT) on psychological state and pregnancy outcomes of patients with preterm labor. Methods The study population consisted of 200 patients diagnosed with preterm labor, who received treatment at our hospital from July 2022 to June 2023. These patients were randomly assigned to either the control group or the observation group, with 100 patients in each group. The control group received standard nursing care, while the observation group was provided with supplementary PMT health education and continuous nursing care over a duration of six weeks. Results The group that was observed demonstrated a notable reduction in scores on the Self-Assessment Scale for Anxiety (SAS) and the Self-Depression Scale (SDS) following the intervention, with these scores being significantly lower in comparison to the control group (P< 0.05). Meanwhile, the post-intervention scores of the Exercise of Self-Care Agency (ESCA) scale in the observation group increased compared to the pre-intervention period and were significantly higher than those of the control group (P<0.05). Furthermore, the infection rates and occurrences of low-birth-weight infants in the observation group were notably less than those found in the control group (P<0.05). Conclusion The use of health education interventions based on the theory of protective motivation in patients with preterm labor can not only effectively alleviate maternal anxiety and depression, but also enhance maternal adaptation to labor and self-efficacy, thereby improving pregnancy outcomes. |
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