【摘要】 【目的】探讨基于健康信念模型的综合护理对妊娠期高血压患者自我管理能力和健康信念的影响。【方法】选取2025年5月至12月本院收治的180例妊娠期高血压患者，依据就诊时间分为对照组(给予常规护理干预)和观察组(基于健康信念模型的综合护理干预),每组90例。比较两组血压[收缩压(SBP)、舒张压(DBP)]、情绪状态[广泛性焦虑障碍7项量表(GAD-7)评分、患者健康问卷抑郁量表(PHQ-9)评分]、自我管理能力[高血压患者自我管理行为测评量表(HPSMBRS)评分]、健康信念[健康信念量表(HBMS)评分]。【结果】干预后，观察组SBP、DBP、GAD-7评分、PHQ-9评分均低于对照组(P<0.05),HPSMBRS各维度评分、HBMS各维度评分均高于对照组(P<0.05)。【结论】基于健康信念模型的综合护理能够改善妊娠期高血压患者血压状况，缓解焦虑和抑郁情绪，提高自我管理能力，增强健康信念。更多还原

【Abstract】 【Objective】To explore the effect of comprehensive nursing based on the health belief model on self-management ability and health belief in patients with gestational hypertension. 【Methods】A total of 180 patients with gestational hypertension admitted to our hospital from May to December 2025 were enrolled and divided into the control group(receiving routine nursing intervention) and the observation group(receiving comprehensive nursing intervention based on health belief model) according to the admission time, with 90 cases in each group. The blood pressure [systolic blood pressure(SBP), diastolic blood pressure(DBP)], emotional status [Generalized Anxiety Disorder-7(GAD-7) score, Patient Health Questionnaire-9(PHQ-9) score], self-management ability [Hypertension Patients Self-Management Behavior Rating Scale(HPSMBRS) score] and health belief [Health Belief Model Scale(HBMS) score] were compared between the two groups. 【Results】After intervention, the levels of SBP, DBP, GAD-7 score and PHQ-9 score in the observation group were lower than those in the control group(P<0.05), while the scores of all dimensions of HPSMBRS and HBMS in the observation group were higher than those in the control group(P<0.05). 【Conclusion】Comprehensive nursing based on the health belief model can improve blood pressure status, relieve anxiety and depression, enhance self-management ability and strengthen health belief in patients with gestational hypertension.更多还原