个案管理模式对妊娠期乙型肝炎母婴阻断传播结局的影响  

Effect of case management model on outcome of blocking mother-to-child transmission of hepatitis B during pregnancy

作　　者：邱素萍 龙丽娟 QIU Suping;LONG Lijuan(Department of Obstetrics and Gynecology,Ganzhou Fifth People's Hospital,Jiangxi Province,Ganzhou341000,China)

机构地区：[1]江西省赣州市第五人民医院妇产科,江西赣州341000

出　　处：《中国当代医药》2022年第34期63-65,69,共4页China Modern Medicine

基　　金：江西省赣州市卫生健康委员会市级科研计划项目(2020-2-71)。

摘　　要：目的研究个案管理模式对妊娠期乙型肝炎母婴阻断传播结局的影响。方法选取2019年12月至2020年12月赣州市第五人民医院妇产科收治的200例妊娠期乙型肝炎患者作为研究对象,按照随机抽签法分为观察组(100例)与对照组(100例),观察组采用个案管理模式,对照组采用常规管理模式。比较两组的自我护理能力、生活质量评分、母婴阻断知识知晓程度。结果观察组妊娠期乙型肝炎患者自我概念、健康知识、自我护理技术、自护责任感水平均高于对照组,差异有统计学意义(P<0.05);观察组生活质量评分均高于对照组,差异有统计学意义(P<0.05);观察组母婴阻断知识知晓程度高于对照组,差异有统计学意义(P<0.05)。结论个案管理模式对妊娠期乙型肝炎母婴阻断传播结局具有明显改善效果,能够促进患者对该方面的知识进行了解,同时能够提高患者的生命质量水平。Objective To investigate the effect of case management model on outcome of blocking mother-to-child transmission of hepatitis B during pregnancy.Methods A total of 200 patients with hepatitis B during pregnancy admitted to the Department of Gynecology and Obstetrics,Ganzhou Fifth People's Hospital from December 2019 to December 2020 were selected as the research objects,and they were divided into observation group(100 cases)and control group(100 cases)according to random sampling method.The observation group adopted case management mode and the control group adopted routine management mode.The self-care ability,quality of life score and knowledge of maternal and infant block were compared between the two groups.Results The level of self-concept,health knowledge,self-care technology and self-care responsibility in the observation group were higher than those in the control group,with statistically significant differences(P<0.05).The scores of quality of life in the observation group were higher than those in the control group,with statistically significant differences(P<0.05).The knowledge of maternal and infant block in the observation group was higher than that in the control group,with statistically significant difference(P<0.05).Conclusion The case management model can significantly improve the outcome of mother-to-child transmission of hepatitis B in pregnancy,promote patients'understanding of this knowledge,and improve the quality of life of patients.

关 键 词：个案管理模式 妊娠期乙型肝炎 母婴阻断 影响 

分 类 号：R714[医药卫生—妇产科学]