全程健康教育联合产房内综合干预对妊娠合并慢性乙型肝炎孕产妇治疗依从性妊娠结局及新生儿乙型肝炎病毒感染率的影响  

The influence of therapeutic compliance、pregnancy outcome and chronic hepatitis B infection rate of newborn baby for pregnancy merging chronic hepatitis B parturients by whole course health education combine comprehensive Intervention in delivery room

作　　者：陈利萍 刘景 CHEN Li-Ping;LIU Jing(Department of Obstetrics and Gynecology,Xixi Hospital of Hangzhou,Hangzhou,Zhejiang 310023,China)

机构地区：[1]杭州市西溪医院妇产科,浙江杭州310023

出　　处：《中国妇幼保健》2022年第18期3457-3460,共4页Maternal and Child Health Care of China

基　　金：浙江省医药卫生科研面上项目(2018KY628)。

摘　　要：目的探讨全程健康教育联合产房内综合干预对妊娠合并慢性乙型肝炎孕产妇治疗依从性、妊娠结局及新生儿慢性乙型肝炎感染率的影响。方法选取杭州市西溪医院2018年2月—2020年2月收治的妊娠合并慢性乙型肝炎孕产妇80例,依据随机数字表法分组,对照组40例和观察组40例,对照组采用常规性干预,观察组采用全程健康教育联合产房内综合干预。观察孕产妇治疗依从性、肝功能指标异常、剖宫产率、产后出血发生率、新生儿乙型肝炎病毒感染率及母乳喂养率情况。结果观察组孕产妇治疗依从率明显高于对照组(97.5%,80.0%),差异有统计学意义(P<0.05)。观察组孕产妇肝功能指标异常(7.5%)、剖宫产率(10.0%)及产后出血率(7.5%)均低于对照组(20.0%、30.0%、27.5%),差异有统计学意义(P<0.05)。观察组新生儿乙型肝炎病毒感染率低于对照组(7.5%,20.0%),母乳喂养率高于对照组(75.0%,50.0%),差异均有统计学意义(均P<0.05)。结论全程健康教育联合产房内综合干预在妊娠合并慢性乙型肝炎孕产妇应用,可以提高治疗依从性,改善妊娠结局,降低新生儿乙型肝炎感染率。Objective To approach influence of therapeutic compliance、pregnancy outcome and chronic hepatitis B infection rate of newborn baby for pregnancy merging chronic hepatitis B parturients by whole course health education combine comprehensive Intervention in delivery room.Methods The 80 cases pregnancy merging chronic hepatitis B parturients in Hangzhou city Xixi hospital February from 2018 to February 2020 were selected,while was to be divided into groups by random slip method,control group 40 cases and detection group 40 cases,routine nursing intervention of control group were used,whole course health education combine comprehensive Intervention in delivery room of detection group were used.The therapeutic compliance,abnormal liver function index,rate of cesarean section,postpartum haemorrhage rate,neonatal hepatitis B virus infection rate,breastfeeding rate of parturients were detected.Results The therapeutic compliance of detection group parturients were obviously higher than control group(97.5%,80.0%),the difference were statistical significance(P<0.05).The abnormal liver function index(7.5%),rate of cesarean section(10.0%),postpartum haemorrhage(7.5%)rate of detection group parturients were lower than control group(20.0%,30.0%,27.5%),the difference were statistical significance(P<0.05).The neonatal hepatitis B virus infection rate of detection group were lower than control group,breastfeeding rate were higher than control group(7.5%,20.0%),the difference were statistical significance(P<0.05).Conclusion The application of therapeutic compliance,pregnancy outcome and chronic hepatitis B infection rate of newborn baby for pregnancy merging chronic hepatitis B parturients by whole course health education combine comprehensive Intervention in delivery room,while could increase therapeutic compliance,improve pregnancy outcome,decrease neonatal hepatitis B virus infection rate.

关 键 词：全程健康教育 产房内综合干预 妊娠 慢性乙型肝炎 孕产妇 

分 类 号：R173[医药卫生—妇幼卫生保健]