基于互联网+新型家庭医生契约服务在孕期健康管理中的应用  

Application of Internet+new family doctor contract service in pregnancy health management

作　　者：阚滨 叶江红 沈爱娣 陈桂黄 郑爱梅 龚海梅 刘晓燕[1] 王海银 陈晨[1] KAN Bin;YE Jiang-hong;SHEN Ai-di;CHEN Gui-huang;ZHENG Ai-mei;GONG Hai-mei;LIU Xiao-yan;WANG Hai-yin;CHEN Chen(Department of Obstetrics and Gynecology,Rugao Boai Hospital(Rugao Hospital,Nantong University School of Medicine),Nantong,Jiangsu 226500,China)

机构地区：[1]如皋博爱医院南通大学附属医院如皋分院妇产科,江苏南通226500

出　　处：《中国临床研究》2022年第2期222-225,共4页Chinese Journal of Clinical Research

基　　金：江苏省南通市基层卫生健康研究课题(2020JCC038)。

摘　　要：目的观察基于互联网+新型家庭医生契约服务模式在孕期健康管理中的应用效果。方法选取2020年5月至2021年4月如皋博爱医院接受孕检的孕妇650例,按照随机数表法分为观察组和对照组,各325例。观察组采用基于互联网+的新型家庭医生契约服务模式;对照组通过线下途径对孕产妇进行常规建档、孕检、宣教。比较两组孕妇分娩相关知识、母乳喂养相关知识知晓率、自然分娩率、并发症发生率。结果两组孕妇干预后对分娩相关知识知晓率、母乳喂养相关知识知晓率较干预前增加,且观察组高于对照组(P<0.01)。观察组孕妇自然分娩率高于对照组(81.53%vs 51.38%,P<0.01),并发症发生率(3.38%vs 17.23%,P<0.01)、妊娠期糖尿病发生率(19.08%vs 35.08%,P<0.01)低于对照组。结论基于互联网+新型家庭医生契约服务模式用于孕期健康管理,可提高分娩相关知识、母乳喂养相关知识知晓率及自然分娩率,降低分娩并发症发生率。Objective To investigate the application effects of Internet+new family doctor contract service in pregnancy health management.Methods A total 650 pregnant women with pregnancy examination in Rugao Boai Hospital from May 2020 to April 2021 were selected,and were divided into observation group(n=325)and control group(n=325)according to the random number table method.The observation group received contract service model based on Internet+new family doctor.The control group conducted routine documentation,pregnancy checkups,and education for pregnant through offline channels.Awareness rate of childbirth-related knowledge and breastfeeding-related knowledge,the rate of natural childbirth and complications in the two groups was compared.Results After intervention,the awareness rate of childbirth-related knowledge and breastfeeding-related knowledge of pregnant women in the two groups increased,and they were higher in the observation group rather than those in control group(P<0.01).The natural delivery rate of pregnant women in the observation group was higher than that in control group(81.53%vs 51.38%),the incidence of complications(3.38%vs 17.23%)and gestational diabetes(19.08%vs 35.08%)lower than those in control group(P<0.01).Conclusion Based on the Internet+new family doctor contract service model for pregnancy health management,it can improve the knowledge about parturition and breastfeeding and the rate of natural childbirth,reduce the incidence of complications in parturition.

关 键 词：互联网+ 家庭医生服务 契约式管理 孕产妇 孕期健康管理 

分 类 号：R715.3[医药卫生—妇产科学]