社区产后访视健康管理计划在产褥期母婴健康中的应用效果  

Application of community postpartum visit health management plan in maternal and infant health during puerperium

作　　者：叶春燕 YE Chunyan(Community Health Service Center of Jiangtou Street of Huli District,Xiamen 361100 Fujian,China)

机构地区：[1]厦门市湖里区江头街道社区卫生服务中心,福建厦门361100

出　　处：《中国民康医学》2022年第10期145-147,151,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:探讨社区产后访视健康管理计划在产褥期母婴健康中的应用效果。方法:回顾性分析2018年11月至2020年12月该社区卫生服务中心辖区内的200例产妇及新生儿的临床资料,按照产后保健护理不同分为观察组和对照组各100例。对照组采用常规产后保健护理,观察组给予社区产后访视健康管理计划干预。比较两组产妇干预前后的抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分、产妇产褥期并发症发生率,以及新生儿患病率和体质量变化情况。结果:干预后,观察组产妇SAS、SDS评分明显低于对照组,新生儿体质量明显高于对照组,差异均有统计学意义(P<0.05);观察组产妇产褥期并发症发生率为3.00%,明显低于对照组的10.00%,差异有统计学意义(P<0.05);观察组新生儿患病率为2.00%,低于对照组的9.00%,差异有统计学意义(P<0.05)。结论:社区产后访视健康管理计划用于产褥期产妇和新生儿不仅能改善产妇不良心理状态,降低产妇产褥期并发症发生率和新生儿患病率,还能促进新生儿生长发育,在保障母婴健康方面具有积极意义。Objective:To explore application effects of community postpartum visit health management plan in maternal and infant health during puerperium.Methods:The clinical data of 200 puerperae and neonates in the community health service center from November 2018 to December 2020 were retrospectively reviewed.According to different postpartum health care,they were divided into observation group and control group,100 cases in each group.The control group received routine postpartum health care,while the observation group was given the community postpartum visit health management intervention.The self-rating depression scale(SDS)score,the self-rating anxiety scale(SAS)score,the incidence of puerperium complications,and the changes of neonatal prevalence rate and body weight were compared between the two groups before and after the intervention.Results:After the intervention,the SAS and SDS scores of the puerperae in the observation group were significantly lower than those in the control group;the weight of the newborns was significantly higher than that in the control group;and the differences were statistically significant(P<0.05).The incidence of puerperium complications in the observation group was 3.00%,which was significantly lower than 10.00%in the control group,and the difference was statistically significant(P<0.05).Further,the neonatal prevalence rate in the observation group was 2.00%,which was significantly lower than 9.00%in the control group,and the difference was statistically significant(P<0.05).Conclusions:The community postpartum visit health management has significant effects on the puerperae and the neonates.It can not only improve the maternal unhealthy psychological state,reduce the incidence of puerperium complications and the neonatal prevalence rate,but also promote the neonatal growth and development.Therefore,it has positive significance in the ensurance of the maternal and infant health.

关 键 词：产褥期 产妇 新生儿 社区访视 妇幼健康 产后保健 

分 类 号：R473.2[医药卫生—护理学]