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Application of family follow-up care under the guidance of IKAP model in pregnant women with heart disease |
SONG Dongmei XIA Meijuan JIN Xing |
Department of Obstetrics, Rugao People’s Hospital, Jiangsu Province, Rugao 226500, China
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Abstract 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.
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[1] 李政,陈倩.美国妇产科医师学会“娠合并心脏病临床实践指南(2019版)”解读[J].中华围产医学杂志,2021,24(2):135-140.
[2] 陈吉,杨超,周峥.心脏病患者围生期心脏不良事件的发生状况及影响因素分析[J].中国妇幼保健,2020,35(20):3861-3864.
[3] 夏丽滨,石鑫,沈艳,等.SHC介导的胰岛素信号转导MAPK途径与先天性心脏病的关系[J].山东医药,2019,59(4):14-18.
[4] 中华医学会妇产科学分会产科学组.妊娠合并心脏病的诊治专家共识(2016)[J].中华妇产科杂志,2016,51(6):401-409.
[5] 何洪程,王增信,王建芳.老年焦虑抑郁障碍共病54例临床研究[J].精神医学杂志,2013,26(4):295-297.
[6] 曹慧,张晋萍,郭蕊,等.两种量表在老年2型糖尿病患者抑郁状态评估中的信效度比较[J].神经疾病与精神卫生,2017,17(10):721-726.
[7] 陈婷.妊娠合并心脏病伴肺动脉高压患者的妊娠结局[J].实用妇科内分泌杂志(电子版),2016,3(20):39-41.
[8] 吴玲,王小丹,刘玉梅,等.SF-36量表用于老年人群信度及效度研究[J].中国老年学杂志,2008,28(11):1114-1115.
[9] 胡思宇,金镇.妊娠合并先天性心脏病伴肺动脉高压孕妇的母婴结局[J].中国医科大学学报,2022,51(7):643- 647.
[10] 张静,朱睿瑶,王卓,等.妊娠合并心脏病相关肺动脉高压诊疗进展[J].武汉大学学报(医学版),2022,43(4):590-595.
[11] 刘宇捷,李春燕,范翠芳.妊娠合并心脏病相关的肺动脉高压的围产期诊治分析[J].武汉大学学报(医学版),2022,43(4):566-571.
[12] 王焕英,杨冬,李燕娜,等.缺血性心脏病合并晚孕妇女的妊娠期管理与结局分析[J].心肺血管病杂志,2022, 41(6):635-639.
[13] 陈伟明,贤晓欣,詹鸿,等.心脏超声监测下重度肺动脉高压产妇剖宫产术中肺栓塞抢救成功一例[J].临床麻醉学杂志,2020,36(10):1038-1039.
[14] 冀涛.妊娠相关缺血性卒中的妊娠特异性危险因素[J].国际脑血管病杂志,2021,29(3):228-231.
[15] 王瑞敏、苗金红、岳晓红.IKAP模式健康教育提高血液净化患者血管通路建立后遵医行为和生活质量的效果观察[J].中华全科医学,2020,18(11):107-110,138.
[16] 赵新召,段燕丽.模拟培训对高危妊娠剖宫产自决定手术至胎儿娩出时间的影响[J].中国医药导报,2021,18(6):123-126.
[17] 赵欣媛,郭婷,丁鹏.妊娠合并心脏病孕妇外周血中miR-27a和GATA6水平与妊娠结局关系[J].临床检验杂志,2020,38(9):676-679.
[18] 罗柳,黄鹏,王婷婷,等.母亲糖尿病及UCP2基因多态性与子代先天性心脏病关联的病例对照研究[J].中国当代儿科杂志,2020,22(10):1092-1099.
[19] 张军.妊娠合并心脏病的多学科(分层)管理[J].中国全科医学,2019,22(3):10-15.
[20] 李晶,杜玉娇,王红丽,等.母亲围孕期被动吸烟与子代先天性心脏病关系的病例对照研究[J].中华流行病学杂志,2020,41(6):884-889.
[21] 李慕子,王强,张恒,等.超声心动图在西南地区危重先天性心脏病产前及产后诊疗中的临床经验[J].中国循环杂志,2020,35(9):904-909.
[22] 苏芳菲,王晶晶,阴赪宏,等.妊娠中期胎儿心轴角度与胎儿先天性心脏病的关系[J].首都医科大学学报,2019, 40(6):838-841.
[23] 孟祥丽,吴青青.妊娠糖尿病母亲子代罹患先天性心脏病的研究进展[J].中华超声影像学杂志,2019,28(11):1006-1008.
[24] 吕元葳,董淼.“三定”急救护理在异位妊娠破裂出血患者中的应用[J].中国医药导报,2021,18(10):180-183.
[25] 葛静,单莉莉,安娜,等.妊娠合并心脏病剖宫产患者围手术期容量管理相关研究[J].中国实用妇科与产科杂志,2020,36(2):159-162. |
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