基层医院孕妇学校对不同文化层次瘢痕子宫再次妊娠孕妇健康教育效果的观察与分析  

Observation and Analysis on the Health Education Effect of Repeated Pregnancy of Women with Scarred Wombs from Different Education Levels in Pregnancy School of Primary Hospital

作　　者：闫敬梅 陈淑红[1] 韩新贞 张秋萍[1] 李志红[1] 

机构地区：[1]冀州市医院产房,冀州053200

出　　处：《中国医药导刊》2015年第8期860-861,864,共3页Chinese Journal of Medicinal Guide

摘　　要：目的：探讨基层医院孕妇学校对不同文化层次的瘢痕子宫再次妊娠孕妇选择阴道分娩影响的调查分析。方法：随机选取我院2012年3月~2014年3月150名瘢痕子宫再次妊娠孕妇,其中对照组75名未参加孕妇学校,观察组75名按照文化层次不同分为4组;分别参加孕妇学校不同形式的健康教育,观察不同文化层次的瘢痕子宫孕妇再次妊娠对分娩方式的选择及妊娠合并症的发病率。结果：文化层次不同对知识的需求程度、授课效果存在较大差异,差异有统计学意义（P〈0.05）;通过孕妇学校的教育瘢痕子宫再次妊娠孕妇阴道试产率大幅度提升、妊娠合并症减少。结论：在基层医院孕妇学校应该针对不同文化层次孕妇采取不同的教育形式和方法,提高孕妇试产率,降低再次剖宫产率,减少妊娠合并症,提高产科质量,保证母婴健康。Objective： To probe and analyze the influence of pregnancy schools in primary hospitals on the choice of vaginal delivery by secondary pregnancy women with scar uterus and from different cultural levels.Methods： 150 secondary pregnancy women with scar uterus in our hospital from March 2012 to March 2014 are random selected.Among them,75 of the control group have not participated in the Pregnancy School.75 of the observation group are divided into 4 small groups according to cultural levels,and participated in different health education in the Pregnancy School.Observation work is done to their choices of delivery modes and the morbidity of pregnancy complications.Results： Women from different cultural levels have different demands to knowledge and teaching effects.Such differences are statistically significant（ P〈0.05）.Through education in the Pregnancy School,vaginal trial delivery rate of secondary pregnancy women with scar uterus increased dramatically,and pregnancy complications reduced.Conclusion： Pregnancy Schools of primary hospitals should adopt various education styles and methods to women from different cultural levels,so as to increase vaginal trial delivery rate,lower re-cesarean rate,reduce pregnancy complications,improve quality of Obstetrical Departments,and ensure maternal and infant health.

关 键 词：基层医院 孕妇学校 文化层次 瘢痕子宫再次妊娠 顺产 

分 类 号：R473.71[医药卫生—护理学]