Department of Obstetrics Nursing, West China Second University Hospital, Sichuan University, Key Laboratory of Birth Defects and Related Diseases of Women and Children Sichuan University, Ministry of Education, Chengdu, Sichuan, People's Republic of China.
Medicine (Baltimore). 2023 Oct 13;102(41):e35346. doi: 10.1097/MD.0000000000035346.
To analyze the impact of information-knowledge-attitude-practice (IKAP) health education incorporated with cluster-based care on blood pressure control, pregnancy outcome and life quality in those who have gestational hypertension, and to provide methodological backing for the care of patients. A total of 80 patients with pregnancy-induced hypertension were selected as the research objects and randomly divided into control and experimental groups, with 40 cases in each group. The control group received routine cluster care, which included providing individual and group health information through the distribution of health education manuals to hypertensive patients during pregnancy and their families. The experimental group received additional IKAP health education, including data collection, health knowledge imparted, concept change and behavior generation process. Blood pressure control status was measured and recorded. Adverse pregnancy outcomes include placenta previa, cesarean section, hyperamniotic fluid, fetal distress, and postpartum hemorrhage. Postpartum quality of life conditions, including physical activity, emotional awareness, physical discomfort, mental health, sleep quality, postpartum anxiety or depression, and general health were evaluated. Age, prepregnancy BMI, and educational level did not significantly vary between the 2 groups(P > .05). In comparison to the control group, the experimental group demonstrated healthier behavior. Blood pressure and weight control during pregnancy were better than control group. The frequency of adverse pregnancy was inferior to control group. The number of adverse neonatal conditions was inferior to control group. The postpartum quality of life score was higher in the experimental group compared to the control group. The combination of IKAP health education and cluster based care has a better effect on blood pressure control compared to the sole use of cluster based care. This approach can reduce the likelihood of experiencing adverse pregnancy outcomes and help improve the quality of life for patients after delivery.
分析信息-知识-态度-实践（IKAP）健康教育联合群组护理对妊娠期高血压患者血压控制、妊娠结局和生活质量的影响，为患者护理提供方法学支持。
选择 80 例妊娠高血压患者作为研究对象，随机分为对照组和实验组，每组 40 例。对照组接受常规群组护理，包括通过发放健康教育手册向妊娠期高血压患者及其家属提供个体和群体健康信息。实验组接受 IKAP 健康教育，包括数据收集、健康知识传授、观念转变和行为生成过程。测量并记录血压控制情况。不良妊娠结局包括前置胎盘、剖宫产、羊水过多、胎儿窘迫和产后出血。评估产后生活质量状况，包括身体活动、情绪感知、身体不适、心理健康、睡眠质量、产后焦虑或抑郁以及一般健康。
2 组患者的年龄、孕前 BMI 和教育水平差异无统计学意义（P>0.05）。与对照组相比，实验组表现出更健康的行为。孕期血压和体重控制优于对照组。不良妊娠发生率低于对照组。不良新生儿情况发生率低于对照组。实验组产后生活质量评分高于对照组。
IKAP 健康教育联合群组护理对血压控制的效果优于单纯群组护理。这种方法可以降低不良妊娠结局的发生概率，有助于改善患者产后生活质量。
