“3PR”参与式健康教育对妊娠子痫前期患者疾病认知及睡眠的影响

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AbstractObjective：To explore the efectsof“3PR”modelofparticipatory healtheducationon diseasecognitionand sleep qualityinpregnantpatientswithpreclampsia（PE）.Methods：Atotalof40patientswithPEadmitedtothehospitalbetween January 2022 and December2O23 wereenrolld.Theywere dividedintoacontrol groupandanobservation groupbyrandom numbertable，with2Ocases ineachgroup.Patients inthecontrolgroupreceivedroutinehealtheducationintervention，whilethosein thobservationgrouphad“3PR”participatoryhaltheducation.Allthepatientsreceivedcorrespondingintervention illdelivery.Diseasecognitioninthetwogroups wascomparedbeforeandaftertheintervention.Thesleepqualityofpatients wasevaluated byPitsburghSleepQualityIndex（PSQ）.Theperinatal（neonatalasphyxia，fetalgrowthestriction，stilirth）andmateral（postpartumhemorhage，eclampsia，placentalabruption）adverse pregnancyoutcomes inthetwogroups wereobserved.Results：After theintervention，scoresofdiseasecognitionintheobservationgroupwashigherthanthoseinthecontrolgroupwithstatitialy significant differences（ P<0.05 ）and score of each item in PSQI was lower than that in the control group，showing that the difference was statistically significant（ P<0.05） . There was no difference in the incidence of perinatal adverse pregnancy outcomes between the two groups（ P>0.05 ），but the incidence of maternal adverse pregnancy outcomes in the observation group was lower than that in the control group，indicating there was a statistically significant diference（ P<0.05） . Conclusion：3PR participatory health education can enhance disease cognition and efectively improve sleep quality in PE patients.

KeywordsPreclampsia；“3PR”participatory health education；Disease cognition；Sleepquality；Pregnant women；Adverse pregnancy outcomes ; Pregnancy； Nursing

中图分类号：R473.71；R338.63 文献标识码：A doi：10.3969/j. issn.2095-7130.2025.04.033

子痫前期是妊娠期最常见的并发症之一，其发生率约为所有妊娠产妇的 5%～8% ，会增加心血管疾病、胎儿生长受限等不良妊娠结局的风险[2]睡眠障碍在妊娠期间较为常见，而睡眠障碍会导致缺氧、氧化应激、炎症和交感神经活动增强，进而引发高血压和内皮功能障碍，与子痫前期的发生息息相关[3]。（剩余5623字）