互联网+助产士门诊服务模式对孕产妇妊娠结局及产后抑郁状况的影响研究  

Effects of internet combind with midwife outpatient service on pregnancy outcome and postpartum depression in pregnant women

作　　者：孙英[1] 潘培芳[2] 张庆金[1] 戴竹君[1] 苏琼[1] SUN Yin;PAN Peifang;ZHANG Qingjin;DAI Zhujun;SU Qiong(Department of Nursing in Medical Department,Guangxi University of Science and Technology,Liu zhou,Guangxi 545006,China;Department of Obstetrics,First Affiliated Hospital of Guangxi University of Science and Technology,Liu zhou,Guangxi 545002,China)

机构地区：[1]广西科技大学医学部护理系,广西柳州545006 [2]广西科技大学第一附属医院产科,广西柳州545002

出　　处：《现代医药卫生》2020年第22期3537-3540,3543,共5页Journal of Modern Medicine & Health

基　　金：广西壮族自治区教育厅广西高校中青年教师基础能力提升项目(2017KY0335);广西壮族自治区教育厅广西高等教育本科教学改革工程项目(2018JGB231)。

摘　　要：目的探讨互联网+助产士门诊服务模式对孕产妇妊娠结局及产后抑郁状况的影响。方法选取2017年1月至2019年1月广西科技大学第一附属医院的孕产妇1882例,分为干预组(952例)和对照组(930例)。干预组采用互联网+助产士门诊服务模式进行干预,对照组采用常规模式进行干预。比较2组妊娠结局及产后抑郁状况等指标。结果干预组体重指数、焦虑自评量表评分、抑郁自评量表评分、妊娠期并发症发生率、妊娠结局及产后出血发生率均低于对照组,差异有统计学意义(P<0.05)。干预组在了解助产士门诊服务、经常学习妊娠期知识、经常与其他孕产妇交流等方面的比例明显高于对照组。结论互联网+助产士门诊服务模式是一种全程连续化、系统化、网络化的护理干预管理模式,可控制孕产妇体重,降低妊娠期并发症发生率,促进自然分娩,改善孕产妇心理状态。Objective To explore the influence of internet combind with midwife outpatient service on pregnancy outcome and postpartum depression in pregnant women.Methods 1882 pregnant women from the First Affiliated Hospital of Guangxi University of Science and Technology from January 2017 to January 2019 were selected and divided into intervention group(952 cases)and control group(930 cases).The intervention group was intervened by internet combind with midwife outpatient service mode,while the control group was intervened by conventional mode.The pregnancy outcome,postpartum depression and other indicators were compared between the two groups.Results The body mass index,self rating anxiety scale score,self rating depression scale score,incidence of complications during pregnancy,pregnancy outcome and incidence of postpartum hemorrhage in the intervention group were lower than those in the control group,and the differences were statistically significant(P<0.05).The proportion of the intervention group was significantly higher than that of the control group in understanding the outpatient service of midwives,often learning pregnancy knowledge,often communicating with other pregnant women and other aspect.Conclusion The internet combind with midwife outpatient service mode is a continuous,systematic,and network based nursing intervention management mode,which can control the weight of pregnant women,reduce the incidence of complications during pregnancy,promote natural childbirth and improve the mental state of pregnant women.

关 键 词：互联网 助产士门诊 妊娠并发症 妊娠焦虑 产后抑郁 

分 类 号：R473.71[医药卫生—护理学]