Abstract
ABSTRACT Pregnancy with cardiac disease includes pregnancy in women with a history of heart disease and cardiac disease during pregnancy. Therefore, we aim to investigate the effect of Pender health promotion model (HPM) on the health behaviors and maternal and fetal outcomes in pregnant patients with cardiac disease. 80 pregnant women with cardiac disease were enrolled in the study from January 2016 to December 2017. 40 patients who received HPM health education were selected as treatment group by convenient sampling method. 40 patients were selected to receive routine health education. After 12 weeks of education, the awareness of health knowledge before and after education, health behavior compliance, level of pre-partum cardiac function, and maternal and fetal outcomes were compared between the two groups. After education, the knowledge rate in observation group was higher than that in control group (P < 0.01, P < 0.05); the compliance of health behavior in observation group was higher than that in control group (P < 0.01, P < 0.05); before delivery, the rate of cardiac function(I+II) in observation group was 67.50% and significantly lower than 42.50% in control group (P < 0.05); after education, the incidence rate of severe heart failure, cesarean delivery, premature delivery and full-term infants with low body mass in observation group was significantly lower than that in control group (P < 0.05). The Pender health promotion model can improve the knowledge of health knowledge and compliance of health behaviors of pregnancy with cardiac disease effectively, and it can help reduce heart burden and improve maternal and child outcomes.
Published Version
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