基于社会认知理论的信息技术干预联合健康宣教在单胎初孕妇孕期BMI管理中的应用  

Application of social cognitive theory-based information technology intervention combined with health education in BMI management during pregnancy in singleton primigravid women

作　　者：杨佛岳 Yang Fuyue(Department of Surgery,Women&Infants Hospital of Zhengzhou,Zhengzhou 450000,China)

机构地区：[1]郑州市妇幼保健院手术部,郑州450000

出　　处：《保健医学研究与实践》2023年第1期127-130,135,共5页Health Medicine Research and Practice

摘　　要：目的探讨基于社会认知理论的信息技术干预联合健康宣教在单胎初孕妇孕期体质量指数(BMI)管理中的应用,以期为临床治疗提供参考。方法本研究选取2020年3月—2022年3月在郑州市妇幼保健院建档孕检的112例单胎初孕妇为研究对象。采用随机数字表法将患者分为对照组(n=55)与观察组(n=57)。对照组孕妇接受常规健康宣教。观察组孕妇在常规健康宣教的基础上进行基于社会认知理论的信息技术干预。比较2组孕妇干预前后(分娩时)自我效能感量表(GSES)及孕期体质量管理策略量表(PWMSS)评分。比较2组孕妇分娩方式。比较2组孕妇妊娠期并发症发生率及分娩期并发症发生率。比较2组新生儿出生时体质量、1 min新生儿阿氏(Apgar)评分。结果干预前,2组孕妇GSES、PWMSS评分比较,差异无统计学意义(P>0.05)。干预后,2组孕妇GSES、PWMSS评分高于干预前,且观察组高于对照组,差异均有统计学意义(P<0.05)。观察组孕妇无创助娩率高于对照组,剖宫产率低于对照组,差异均有统计学意义(P<0.05)。2组孕妇会阴侧切率比较,差异无统计学意义(P>0.05)。观察组孕妇妊娠期糖尿病发生率、产后出血发生率均低于对照组,差异均有统计学意义(P<0.05)。2组新生儿1 min Apgar评分及出生时体质量比较,差异无统计学意义(P>0.05)。结论基于社会认知理论的信息技术干预联合健康宣教应用于单胎初孕妇孕期BMI管理中,可提升孕妇自我效能感,促进孕妇应用更多孕期体质量增长值管理策略,从而可有效控制孕期体质量,利于降低妊娠期、分娩期并发症发生率,提高自然分娩率,值得推广应用。Objective To explore the application of information technology intervention combined with health education based on social cognitive theory in the management of body mass index(BMI)during pregnancy in singleton primigravid women,so as to provide a reference for clinical treatment.Methods From March 2020 to March 2022,112 primigravid womens with singleton pregnancies were enrolled in the Women&Infants Hospital of Zhengzhou.The patients were assigned to a control group(n=55)and an observation group(n=57)by random number table.The parturients in the control group received routine health education and the parturients in the observation group received social cognitive theory-based information technology intervention on the basis of routine health education.The scores of the General Self-Efficacy Scale(GSES)and Pregnancy Weight Management Strategy Scale(PWMSS)before and after intervention(at delivery)were compared between the two groups.The mode of delivery was compared between the 2 groups.The incidence of pregnancy complications and intrapartum complications were compared between the two groups.Neonatal weight at birth and Apgar score at 1 min were compared between the 2 groups.Results Before the intervention,there was no significant difference in GSES and PWMSS scores between the two groups(P>0.05).After the intervention,the maternal GSES and PWMSS scores in the two groups were higher than those before the intervention,and the observation group was higher than the control group,with statistical significance(P<0.05).The physiological assisted delivery rate of parturients in the observation group was higher than that in the control group,and the cesarean section rate in the observation group was lower than that in the control group,with statistical significance(P<0.05).There was no significant difference in the delivery rate of lateral incision between the two groups(P>0.05).The incidence rates of gestational diabetes and postpartum hemorrhage in the observation group were lower than those in the control group,with st

关 键 词：社会认知理论 信息技术 健康宣教 单胎 初孕妇 

分 类 号：R714.3[医药卫生—妇产科学]