摘要
目的分析IKAP模式指导下的家庭跟进照护在妊娠合并心脏病患者中护理效果。方法选取2019年3月至2021年3月江苏省如皋市人民医院产科妊娠合并心脏病患者78例,以随机数字表法将其分为对照组和观察组,各39例。对照组行常规家庭延续照护干预,研究组实施IKAP模式指导下的家庭跟进照护。采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)及简明健康调查表36(SF-36)评估患者负性情绪、并发症的发生率及生活质量。结果干预后,两组HAMA、HAMD评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05);两组总体健康、精神健康、情感职能、生理职能评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论在妊娠合并心脏病患者中应用IKAP模式指导下的家庭跟进照护,疏导不良心理情绪,减少妊娠和分娩期间并发症的发生,提升其生活质量。
Objective To analyze the application of family follow-up care under the guidance of IKAP model in pregnant women with heart disease.Methods A total of 78 pregnant patients with heart disease in the Department of Obstetrics,Rugao People’s Hospital,Jiangsu Province from March 2019 to March 2021 were selected,they were divided into control group and observation group by random number table method,with 39 cases in each group.The control group received routine family extended care intervention,while the observation group received family follow-up care under the guidance of IKAP model.Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD),and 36-item short form health survey(SF-36)were used to evaluate the incidence of negative emotions,complications and quality of life.Results After intervention,HAMA and HAMD scores in both groups were lower than those before intervention,and the observation group was lower than that of the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The scores of overall health,mental health,emotional function,and physiological function of the two groups were higher than those before intervention,and the observation group was higher than that of the control group,the differencel were statistically significant(P<0.05).Conclusion Family follow-up care under the guidance of IKAP model is applied to patients with pregnancy complicated with heart disease,so as to ease bad psychological emotions,reduce the occurrence of complications during pregnancy and delivery,and improve their quality of life.
作者
宋冬梅
夏美娟
金杏
SONG Dongmei;XIA Meijuan;JIN Xing(Department of Obstetrics,Rugao People’s Hospital,Jiangsu Province,Rugao226500,China)
出处
《中国医药导报》
CAS
2023年第27期175-178,共4页
China Medical Herald
基金
江苏省中医药科研项目(YB2018057)。
关键词
妊娠合并心脏病
IKAP模式
家庭跟进照护
Pregnancy complicated with heart disease
IKAP model
Family follow-up care
