摘要
目的探究冰山理论指导下的个体化护理对改善妊娠合并心脏病孕产妇心功能及妊娠结局的效果。方法选取医院2021年1月—2022年1月收治的82例妊娠合并心脏病孕产妇为研究对象,按照组间基本特征具有可比性的原则分为对照组与观察组,每组41例。对照组进行常规护理,观察组实施冰山理论指导下的个体化护理干预,比较两组孕产妇护理干预后心功能、不良妊娠结局及负面情绪评分。结果干预后,观察组孕产妇的心功能等级优于对照组,不良妊娠结局发生率低于对照组(P<0.05)。干预前,两组孕妇汉密顿抑郁量表(HAMD)与汉密顿焦虑量表(HAMA)评分比较差异无统计学意义(P>0.05);干预后,观察组HAMA、HAMD评分低于对照组,组间比较差异有统计学意义(P<0.05)。结论冰山理论指导下的个体化护理干预可明显改善妊娠合并心脏病孕产妇心功能和妊娠结局,改善其抑郁与焦虑等负面情绪。
Objective To explore the effect of individualized nursing under the guidance of iceberg theory on improving the cardiac function and pregnancy outcome of pregnant women with heart disease.Methods To select 82 pregnant women with heart disease admitted to the hospital from January 2021 to January 2022 as the study objects.According to the principle of comparability of basic characteristics between groups,they were divided into a control group and an observation group,with 41 cases in each group.The control group received routine nursing,while the observation group received individualized nursing intervention under the guidance of iceberg theory,and compared the cardiac function,adverse pregnancy outcomes and negative emotion scores of the two groups after nursing intervention.Results After the intervention,the cardiac function level in the observation group was better than that in the control group,and the incidence of adverse pregnancy outcomes was lower the control group(P<0.05).Before the intervention,there was no significant difference in the Hamilton depression scale(HAMD)and Hamilton anxiety scale(HAMA)scores between the two groups(P>0.05).After the intervention,the HAMA and HAMD scores of the observation group were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Individualized nursing intervention under the guidance of iceberg theory can significantly improve the cardiac function and pregnancy outcome of pregnant women with heart disease,and improve their negative emotions such as depression and anxiety.
作者
孟令媛
孙丹
MENG Lingyuan;SUN Dan(Beijing Chaoyang Hospital Affi liated to Capital Medical University,Beijing,100020,China)
出处
《护理实践与研究》
2023年第2期270-273,共4页
Nursing Practice and Research
关键词
冰山理论
妊娠合并心脏病
产前护理
妊娠结局
个体化护理
Iceberg theory
Pregnancy with heart disease
Antenatal care
Pregnancy outcome
Individualized nursing
