孕期群组化健康教育对孕妇产后出血、妊娠结局、自我管理能力及心理状态的影响  

Effect of Group Health Education During Pregnancy on Postpartum Hemorrhage,Pregnancy Outcome,Self-Management Ability and Psychological State of Pregnant Women

作　　者：宋颍丽 张蓟[2] SONG Yingli;ZHANG Ji(Department of Obstetrics,Qinling District,Zhengzhou Maternal and Child Health Care Hospital,Zhengzhou 450000,China;Department of Nursing Care,Zhengzhou Maternal and Child Health Care Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州市妇幼保健院秦岭院区产科三区,河南郑州450000 [2]郑州市妇幼保健院护理部,河南郑州450000

出　　处：《河南医学研究》2021年第31期5931-5934,共4页Henan Medical Research

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20200747)。

摘　　要：目的探究孕期群组化健康教育对孕妇产后出血、妊娠结局、自我管理能力及心理状态的影响。方法选取2021年2—8月于郑州市妇幼保健院行围产保健的妊娠14~18周孕妇200例,依据随机数表法分为观察组和对照组,每组100例。观察组严格按照孕期群组化健康教育课程接受指导,对照组接受常规孕期健康教育指导。比较两组孕妇妊娠结局、自我管理能力和心理状态,评估群组化健康教育的效果。结果观察组孕妇的产后2 h出血量、剖宫产率、分娩恐惧率、会阴损伤率低于对照组,新生儿Apgar评分和母乳喂养率高于对照组,差异有统计学意义(P<0.05)。干预后两组孕妇的自我管理能力均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组和对照组干预后焦虑自评量表(SAS)和抑郁自评量表(SDS)评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论孕期群组化健康教育有助于减少产后出血,改善妊娠结局和心理状态,提高自我管理能力。Objective To explore the effect of group health education during pregnancy on postpartum hemorrhage,pregnancy outcome,self-management ability and psychological state of pregnant women.Methods A total of 200 pregnant women from 14 to 18 weeks of gestation who were undergoing perinatal care in Zhengzhou Maternal and Child Health Care Hospital from February 2021 to August 2021 were selected and divided into observation group and control group with 100 cases each by random number table method.The observation group was guided strictly according to the group-based health education curriculum during pregnancy,and the control group was guided by routine health education during pregnancy.The pregnancy outcome,self-management ability and psychological state of the two groups of pregnant women were compared to evaluate the effect of group-based health education.Results The bleeding volume,cesarean section rate,childbirth fear rate,and perineal injury rate of the pregnant women in the observation group were lower than those of the control group,the newborn Apgar score and breastfeeding rate were higher than those of the control group(P<0.05).After the intervention,the self-management ability of the two groups of pregnant women was higher than that of the control group,and the observation group was higher than the control group(P<0.05).The self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores of the observation group and the control group after the intervention were lower than before intervention,and the observation group were lower than those of the control group(P<0.05).Conclusion Group health education during pregnancy can help reduce postpartum hemorrhage,improve pregnancy outcome and mental state,and improve self-management ability.

关 键 词：孕期群组化 健康教育 产后出血 妊娠结局 自我管理能力 心理状态 

分 类 号：R473.71[医药卫生—护理学]