【摘要】 目的探讨思维导图式健康教育对妊娠期高血压疾病患者的应用效果。方法选取2018年7月至2020年6月于平顶山市妇幼保健院产检发现的208例妊娠期高血压疾病患者。根据健康教育模式将患者分为对照组(102例)和观察组(106例)。由围保医生给予对照组患者基于传统模式的健康教育,观察组患者在此基础上接受思维导图式健康教育模式的干预。采用妊娠期自我保健管理问卷(SQHMP)评估患者的自我管理能力。比较两组不良妊娠结局。结果观察组SQHMP中的自我防护、胎儿监护、依从性和日常生活4个维度得分均高于对照组(P<0.05)。观察组子痫前期、早产、胎盘早剥和剖宫产的发生率均低于对照组(P<0.05)。结论思维导图式健康教育模式可有效提高妊娠期高血压疾病患者的自我管理能力,减少子痫前期、早产、胎盘早剥等并发症的发生,降低剖宫产率,有利于妊娠结局的改善。更多还原

【Abstract】 Objective To explore the effect of the mind-mapped health education on patients with hypertensive disease during pregnancy.Methods A total of 208 patients with hypertensive disease during pregnancy in the obstetric examination in Pingdingshan Maternal and Child Health Hospital from July 2018 to June 2020 were selected. According to the health education models, the patients were divided into control group(102 cases) and observation group(106 cases). The patients in control group were given health education based on the traditional model by encirclement doctors, and the patients in observation group were given the mind-mapped health education model on this basis. The self-management ability of patients was evaluated by self-rating questionnaire of health care management for pregnancy(SQHMP). Adverse pregnancy outcomes were compared between the two groups.Results The scores of self-protection, fetal monitoring, compliance and daily life in SQHMP of observation group were higher than those in control group(P<0.05). The incidences of preeclampsia, premature birth, placental abruption and cesarean section in observation group were lower than those in control group(P<0.05).Conclusion The mind-mapped health education model could effectively improve the self-management ability of patients with hypertensive disorder complicating pregnancy, and reduce the occurrence of complications such as preeclampsia, premature delivery and placental abruption, and reduce the rate of cesarean section, which is beneficial to the improvement of pregnancy outcome.更多还原