信息-动机-行为干预对剖宫产孕妇健康行为及心理的影响

目的 探讨信息-动机-行为(IMB)干预对剖宫产孕妇健康行为及心理的影响。方法 选取本院2019年3月—2021年3月84例行剖宫产的孕妇作为研究对象,按照随机数表法分为观察组和对照组,各42例。对照组采取常规产后护理,观察组在对照组基础上采用IMB干预。对比2组干预后健康行为健康行为能力自评量表(SRAHP)评分],评估2组干预前后自我效能感自我效能感量表(GSES)]和心理状态汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]评分。结果 干预后观察组SRAHP各维度评分(健康责任、心理安适、运动、营养)及总分分别为(18.75±5.58)分、(14.41±4.65)分、(14.85±4.79)分、(19.98±6.94)分、(67.85±17.59)分,与对照组(15.14±4.05)分、(11.15±3.78)分、(11.74±3.67)分、(14.75±4.87)分、(52.41±17.45)分]比较,差异有统计学意义(t=3.393、3.526、3.340、3.998、4.028,P 均≤0.001)。重复测量方差分析结果显示:症状管理自我效能、产后康复共性管理自我效能、总均分随时间变化有统计学意义(F时间=11.524、10.857、7.891,P均<0.001),HAMA、HAMD评分随时间变化,差异有统计学意义(F时间=7.242、6.481,P均<0.001)。结论 IMB用于剖宫产孕妇产后护理可提高孕妇健康行为能力水平和自我效能感,改善孕妇负性情绪,促进产后恢复。

Influence of information motivation behavior intervention on health behavior and psychology of pregnant women undergoing cesarean section

Objective To explore the effect of information motivation behavior (IMB) intervention on health behavior and psychology of pregnant women undergoing cesarean section. Methods A total of 84 pregnant women who underwent cesarean section in our hospital from March 2019 to March 2021 were selected as the research objects. They were randomly divided into an observation group and a control group, with 42 cases in each group. The control group received routine postpartum care, while the observation group received IMB intervention on the basis of the control group. The scores of healthy behaviors of the two groups were compared after the intervention, and the scores of self-efficacies , and mental state of the two groups were evaluated before and after the intervention. Results After the intervention, the SRAHP scores (health responsibility, psychological well-being, exercise, nutrition) and total scores of the observation group were (18.75±5.58), (14.41±4.65), (14.85±4.79), (19.98±6.94), and (67.85±17.59) respectively, compared with the control group , the differences were statistically significant (t=3.393, 3.526, 3.340, 3.998, 4.028, all P ≤ 0.001). The results of repeated measurement of ANOVA showed that the changes in symptom management self-efficacy, postpartum rehabilitation common management self-efficacy, and the total average score with time were statistically significant (F time=11.524, 10.857, 7.891, all P<0.001), and the changes of HAMA and HAMD scores with time were statistically significant (F time=7.242, 6.481, both P<0.001). Conclusion The use of IMB in the postpartum care of pregnant women undergoing cesarean section can improve the level of healthy behavior ability and self-efficacy of pregnant women, improve their negative emotions, and promote postpartum recovery.