基于健康赋权的NNN-链接健康管理对高血压子痫前期患者自我照护能力及妊娠结局的影响

摘要/Abstract

摘要： 目的观察基于健康赋权的NNN-链接健康管理在高血压子痫前期患者中的应用效果。方法选取2021年1月至2024年1月厦门第五医院68例高血压子痫前期患者作为研究对象,随机数字表法分组,对照组34例予以常规护理,观察组34例予以基于健康赋权的NNN-链接健康管理。比较两组产妇结局和胎儿或新生儿结局、自我照护能力、护理满意度。结果观察组自然分娩率、剖宫产率分别为55.88%（19/34）、44.12%（15/34）,对照组为26.47%（9/34）、70.59%（24/34）,观察组自然分娩率高于对照组,剖宫产率低于对照组,差异有统计学意义（χ²=6.071、4.870,P<0.05）。观察组、对照组的产科并发症发生率分别为14.71%（5/34）、38.24%（13/34）,观察组低于对照组,差异有统计学意义（χ²=4.836,P<0.05）。观察组、对照组的胎儿或新生儿不良结局发生率分别为17.65%（6/34）、41.18%（14/34）,观察组低于对照组,差异有统计学意义（χ²=4.533,P<0.05）。干预后观察组、对照组的自护能力测定量表（ESCA）总分分别为（140.62±10.41）分、（129.57±9.34）分,观察组高于对照组,差异有统计学意义（t=4.607,P<0.05）。观察组、对照组护理满意度分别为94.12%（32/34）、76.47%（26/34）,差异有统计学意义（χ²=4.221,P<0.05）。结论高血压子痫前期患者采用基于健康赋权的NNN-链接健康管理模式不仅能改善母婴结局,提升其自护能力,且能提升护理满意度。

关键词: 子痫前期, 健康赋权, 健康管理, 高血压, 妊娠

Abstract: Objective To observe the effects of NNN-linked health management based on health empowerment in patients with preeclampsia. Methods A total of 68 preeclampsia patients admitted to Xiamen Fifth Hospital between January 2021 and January 2024 were selected as the study subjects. They were divided into two groups using the random number table method. The control group (n=34) received routine nursing care, while the observation group (n=34) received health empowerment-based NNN-linkage health management. Maternal outcomes, fetal or newborn outcomes, self-care ability, and nursing satisfaction were compared between the two groups. Results The natural delivery rate and cesarean section rate in the observation group were 55.88% (19/34) and 44.12% (15/34), respectively, while those in the control group were 26.47% (9/34) and 70.59% (24/34), respectively. The natural delivery rate in the observation group was higher than that in the control group, while the cesarean section rate was lower than that in the control group, and the differences were statistically significant (χ²=6.071, 4.870, P<0.05). The incidence of obstetric complications was 14.71% (5/34) in the observation group and 38.24% (13/34) in the control group, with the observation group showing a significantly lower incidence (χ²=4.836, P<0.05). The incidence of adverse outcomes in fetuses or newborns was 17.65% (6/34) in the observation group and 41.18% (14/34) in the control group, with the observation group showing a significantly lower incidence (χ²=4.533, P<0.05). The total scores of the Exercise of Self-Care Agency Scale for the observation group and the control group after intervention were (140.62±10.41) points and (129.57±9.34) points, respectively, with the observation group showing a significantly higher score than the control group (t=4.607, P<0.05). The nursing satisfaction rates of the observation group and the control group were 94.12% (32/34) and 76.47% (26/34), respectively, with a statistically significant difference (χ²=4.221, P<0.05). Conclusion For patients with preeclampsia, the NNN-linked health management based on health empowerment improves maternal and infant outcomes, enhances their self-care ability, and increases nursing satisfaction.

Key words: Preeclampsia, Health empowerment, Health management, Hypertension, pregnancy

郭亚珍. 基于健康赋权的NNN-链接健康管理对高血压子痫前期患者自我照护能力及妊娠结局的影响[J]. 心血管病防治知识, 2025, 15(18): 131-135.

GUO Yazhen. Effects of health empowerment-based NNN-linked health management on self-care ability and pregnancy outcomes in patients with preeclampsia[J]. Prevention and Treatment of Cardiovascular Disease, 2025, 15(18): 131-135.

参考文献

[1] 苗婧,曹娜,贾莉.联合ABC管理健康教育在子痫前期产妇护理中的应用效果观察[J].贵州医药,2021,45(8):1341-1342.
[2] Rosenberg EA, Seely EW.Update on Preeclampsia and Hypertensive Disorders of Pregnancy.Endocrinol Metab Clin North Am[J],2024, 53(3):377-389.
[3] 张萍霞,袁甜,倪艳,等.健康赋权理论下的干预措施对桡骨远端骨折患者的影响[J].中国医药导报,2024,21(13):128-131.
[4] 肖翠,肖青青,汪莉.健康赋权理论下专项护理结合接纳与承诺疗法对泌尿系结石患者的影响[J].中国医学创新,2024,21(20):99-104.
[5] 周颖,常瑜,孙军侠.基于健康赋权的NNN-链接健康管理对妊娠期糖尿病患者妊娠结局的影响[J].上海护理,2022,22(10):22-26.
[6] 中华医学会妇产科学分会妊娠期高血压疾病学组.妊娠期高血压疾病诊治指南(2020)[J].中华妇产科杂志,2020,55(4):227-238.
[7] 刘佳,王蕊,王怡,等.IMB模型框架下小组个性化干预对PE患者自护能力、血压控制的影响[J].中国计划生育学杂志,2024,32(3):604-608,613.
[8] Chiang YT, Seow KM, Chen KH.The Pathophysiological, Genetic, and Hormonal Changes in Preeclampsia: A Systematic Review of the Molecular Mechanisms[J].Int J Mol Sci, 2024, 25(8):4532.
[9] Chourdakis E, Oikonomou N, Fouzas S, et al.Preeclampsia Emerging as a Risk Factor of Cardiovascular Disease in Women[J].High Blood Press Cardiovasc Prev, 2021, 28(2):103-114.
[10] 苏巧丹,王俊,屠昕.基于NNN-链接的护理模式对2型糖尿病患者健康知识和行为及血糖的影响[J].中华全科医学,2024,22(8):1433-1437.
[11] Martínez Font S, López Domènech G, Juan Esgleas S, et al.Mixed shock in patients with acute myocardial infarction: Nursing interventions[J].Enferm Intensiva (Engl Ed), 2021, 32(4):230-237.
[12] 施丽萍,许震娟.健康赋权在老年病人反刍思维和自我管理的中介作用[J].蚌埠医学院学报,2024,49(11):1539-1545.
[13] 糜华,吴珊珊,黄美维,等.健康赋权模式在脑卒中后失语症老年患者中的应用效果[J].中国当代医药,2023,30(8):189-192.
[14] 张红娟,薛娣,杜加艳,等.以健康赋权理论为指导的集束化护理在肿瘤患者留置期间的应用[J].护理实践与研究,2023,20(24):3761-3767.

[1]	姜峰, 王成海. 原发性高血压患者血清中LPIN1的表达和临床意义[J]. 心血管病防治知识, 2025, 15(9): 10-14.
[2]	魏小林. 高血压合并2型糖尿病患者中血清胰岛素、胰高血糖素及空腹C肽水平与动脉粥样硬化的关系[J]. 心血管病防治知识, 2025, 15(9): 40-43.
[3]	隋红. 沙库巴曲缬沙坦结合苯磺酸氨氯地平片治疗原发性高血压伴稳定型心绞痛患者临床研究[J]. 心血管病防治知识, 2025, 15(9): 48-51.
[4]	李蔚婧. “三高”人群疾病认知度及影响因素分析[J]. 心血管病防治知识, 2025, 15(9): 52-55.
[5]	朱丽津, 苏少清, 陈丽妹. 以Fried衰弱表型评估为基础的护理对老年高血压患者的影响分析[J]. 心血管病防治知识, 2025, 15(9): 85-88.
[6]	童慧珍, 林晓春, 林圣英. 微信小程序为载体的健康追踪管理平台对青年高血压患者遵医行为及自我管理行为的影响[J]. 心血管病防治知识, 2025, 15(9): 89-92.
[7]	薛云清. 自我决定理论干预联合三位一体化延伸护理对社区高血压患者遵医率的影响[J]. 心血管病防治知识, 2025, 15(9): 93-96.
[8]	康燕燕. 家庭访视护理联合互联网为媒介的认知行为指导对社区高血压患者的影响[J]. 心血管病防治知识, 2025, 15(9): 97-100.
[9]	沈燕虹, 郑燕红. 时间护理理论下综合性临床路径对老年高血压性鼻出血患者的影响[J]. 心血管病防治知识, 2025, 15(9): 113-115.
[10]	谢丽妙. 放松式心理护理联合活动性疼痛评估护理对老年高血压骨折患者疼痛度的影响[J]. 心血管病防治知识, 2025, 15(9): 127-129.
[11]	陈雯娟, 朱蔚. 整体护理在高血压合并脑血管瘤介入栓塞围术期中对并发症发生率的影响[J]. 心血管病防治知识, 2025, 15(9): 130-133.
[12]	朱春荣. 预防为导向的预警护理及健康意识理论的康复护理对老年高血压髋部骨折的影响[J]. 心血管病防治知识, 2025, 15(9): 134-137.
[13]	陈铖, 江圳, 卢永芳, 刘雪平. 外周血HDL、Hcy及Lp(a)水平与老年高血压患者并发心血管损害关系研究[J]. 心血管病防治知识, 2025, 15(8): 24-27.
[14]	连雅萍. 高龄心房颤动并高血压病患者血压管理现状及干预对策[J]. 心血管病防治知识, 2025, 15(8): 57-60.
[15]	陈绍权. 莆田市涵江区居民高血压疾病认知度与诊治情况调查[J]. 心血管病防治知识, 2025, 15(8): 61-64.