基于群组化母婴保健的助产士门诊服务模式对孕妇妊娠结局的影响  

Effect of midwife outpatient service mode based on group care global on pregnancy outcome

作　　者：翟巾帼[1] 吕海荣 李静 王文娟 ZHAI Jinguo;LYU Hairong;LI Jing;WANG Wenjuan(Southern Medical University,Guangdong 510000 China)

机构地区：[1]南方医科大学,广东510000 [2]西安市人民医院(西安市第四医院) [3]南方医科大学深圳医院

出　　处：《护理研究》2023年第13期2294-2300,共7页Chinese Nursing Research

基　　金：陕西省重点研发计划项目,编号:2022SF-341;广东省教育科学规划项目,编号:2021GXJK163;南方医科大学教学质量与教学改革工程项目,编号:ZL202207。

摘　　要：目的:探讨群组化母婴保健助产士门诊服务模式对孕妇孕期体质指数(BMI)增长、妊娠期合并症发病率、妊娠风险及孕妇对产前护理服务模式满意度的影响。方法:采用便利抽样法,在深圳市1所三级甲等综合医院进行一项阶梯式楔形随机对照试验,将349名孕妇随机分为干预组165例和对照组184例。对照组给予常规孕期保健模式,干预组给予群组化母婴保健模式,比较两组孕妇干预后孕期BMI增长、妊娠风险、妊娠期合并症发病率及孕妇对产前护理服务模式的满意度。结果:干预组孕妇从基线到住院分娩时的BMI增长低于对照组,干预组的妊娠期贫血发病率低于对照组,差异有统计学意义(P<0.05);干预前后两组孕妇妊娠风险评估均有所上升,两组孕妇妊娠期糖尿病、妊娠期高血压疾病、妊娠期抑郁症的发病率比较,差异无统计学意义(P>0.05);干预组孕妇对产前护理服务的满意度高于对照组,差异有统计学意义(P<0.05)。结论:群组化母婴保健助产士门诊服务模式的实施有利于控制孕妇孕期BMI的增长,降低妊娠期贫血发病率,提高孕妇对产前护理服务的满意度。Objective:To evaluate the effect of global group care of maternal and child health service mode on maternal BMI during pregnancy,incidence rate of pregnancy complications,pregnancy risk and satisfaction of pregnant women to prenatal care service mode.Methods:A stepped wedge-shaped randomized controlled trial was conducted in a tertiary grade A hospital in Shenzhen by convenient sampling.The subjects were randomly divided into experimental group(n=165)and control group(n=184).The women in the control group received the conventional pregnancy health care model,and the pregnant women in the intervention group received the global group care model of maternal and infant health.The BMI growth,pregnancy risk,incidence rate of pregnancy complications and satisfaction of pregnant women to prenatal care service mode were compared between two groups.Results:The increase of BMI of pregnant women in the intervention group from baseline to hospital delivery after intervention was lower than that in the control group,and the incidence of pregnancy anemia in the intervention group was lower than that in the control group,the difference was statistically significant(P<0.05).The risk assessment of pregnancy increased in both groups before and after intervention,and there was no statistical significance in the incidence of gestational diabetes,gestational hypertension and gestational depression between two groups(P>0.05).The satisfaction of pregnant women in the intervention group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The implementation of global group care of maternal and child healthcare of midwife out-patient service is helpful to control the pregnant women's BMI increase during pregnancy,reduce the incidence of anemia during pregnancy,and improve the satisfaction of pregnant women with prenatal care services.

关 键 词：群组化母婴保健 孕妇 妊娠期合并症 满意度 妊娠风险 

分 类 号：R473.71[医药卫生—护理学]