门诊系统性健康教育在高危孕妇中的应用效果探究  

Study on the Application Effect of Systematic Health Education in Outpatient Department in High-risk Pregnant Women

作　　者：韩新 HAN Xin(Department of Obstetrics,Changzhou Maternal and Child Health Hospital,Changzhou,Jiangsu Province,213003 China)

机构地区：[1]常州市妇幼保健院产科,江苏常州213003

出　　处：《系统医学》2020年第22期152-154,共3页Systems Medicine

摘　　要：目的观察门诊系统性健康教育在高危孕妇中的应用效果。方法选取2019年2月—2020年2月该院门诊收治的50例高危孕妇作为研究对象,按照随机数字表法将其分为观察组(系统性健康教育)25例与对照组(常规健康教育)25例。比较两组孕妇干预前后孕期保健知识评分、自我保健能力评分,随访孕妇并发症发生情况、分娩方式以及胎儿结局。结果观察组孕妇干预后孕期保健知识评分(48.22±4.35)分、自我保健能力评分(46.08±5.41)分、新生儿Apgar评分(8.84±0.46)分显著高于对照组的(39.41±4.34)分、(34.28±4.24)分、(7.38±0.46)分,差异有统计学意义(t=7.862、11.804、11.221,P<0.05);观察组孕妇并发症发生率为8.0%低于对照组的32.0%,观察组顺产率76.0%高于对照组的48.0%,差异有统计学意义(χ2=4.500、4.160,P<0.05)。结论门诊系统性健康教育在高危孕妇中的应用,对孕妇孕期保健知识掌握、自我保健能力提升作用显著,能够减少母婴并发症,提升妊娠结局。Objective To observe the application effect of outpatient systemic health education in high-risk pregnant women.Methods Select 50 high-risk pregnant women admitted to the hospital from February 2019 to February 2020 as the research objects,according to the random number table method,they were divided into observation group(systematic health education)25 cases and control group(routine health education)25 cases.The two groups of pregnant women were compared before and after the intervention in pregnancy health care knowledge score,self-care ability score,follow-up pregnancy complications,delivery methods and fetal outcome.Results The pregnant women's health care knowledge score(48.22±4.35)points,self-care ability score(46.08±5.41)points and neonatal Apgar score(8.84±0.46)points in the observation group were significantly higher than those in the control group(39.41±4.34)points,(34.28±4.24)points,(7.38±0.46)points,the difference was statistically significant(t=7.862,11.804,11.221,P<0.05);the incidence of pregnant women’s complications in the observation group was 8.0%lower than the control group’s 32.0%,76.0%of the observation group was higher than the control group's48.0%,with statistically significant difference(χ2=4.500,4.160,P<0.05).Conclusion The application of systemic health education in outpatient clinics in high-risk pregnant women has a significant effect on the knowledge of pregnant women’s health care during pregnancy and the ability to improve their self-care ability.It can reduce maternal and infant complications and improve pregnancy outcomes.

关 键 词：门诊系统性健康教育 高危孕妇 孕期保健 分娩方式 APGAR评分 

分 类 号：R714[医药卫生—妇产科学]