“互联网+”联合助产士门诊对群组围生保健模式运行的影响  

Impact of"Internet+"Combined with Midwife Clinic on Operation of Group Perinatal Health Care Model

作　　者：罗抗封 温倩兰 周玉霞[1] 刘钧方 曾洁梅 Luo Kangfeng;Wen Qianlan;Zhou Yuxia;Liu Junfang;Zeng Jiemei(Yuebei People's Hospital,Shaoguan 512026,Guangdong Province,China)

机构地区：[1]粤北人民医院,广东韶关512026

出　　处：《中国社区医师》2023年第23期155-157,共3页Chinese Community Doctors

摘　　要：目的:分析“互联网+”联合助产士门诊对群组围生保健模式(GPP)运行的影响。方法:选取2021年3—12月在粤北人民医院产科进行孕期保健的240名孕妇作为研究对象,根据保健运行方式的不同分为对照组和研究组,各120例。对照组实施常规GPP,研究组实施“互联网+”联合助产士门诊的GPP。比较两组不同妊娠阶段体重及体重增长值、不同妊娠阶段的心理状态、分娩结局。结果:孕12周,两组体重、体重增长值比较,差异无统计学意义(P>0.05);孕24周、孕36周、分娩前,研究组体重、体重增长值和总增重低于对照组,差异有统计学意义(P=0.001)。孕12周,两组焦虑评分比较,差异无统计学意义(P>0.05);孕24周、孕36周、分娩前、分娩后,研究组焦虑评分低于对照组,差异有统计学意义(P=0.001)。研究组阴道分娩率高于对照组,转剖宫产、巨大儿、产后出血、会阴侧切发生率均低于对照组,差异有统计学意义(P<0.05);两组新生儿窒息率比较,差异无统计学意义(P>0.05)。结论:“互联网+”联合助产士门诊可促进GPP的顺利运行,有利于控制孕期体重,缓解产妇围产期焦虑情绪,对改善分娩结局、保障母婴健康具有重要意义。Objective:To analyze the impact of"Internet+"combined with midwife clinic on the operation of group perinatal health care model(GPP).Methods:A total of 240 pregnant women who performed pregnancy health care in Obstetrics Department of Yuebei People's Hospital from March 2021 to December 2021 were selected as the study subjects.According to the different health care operation modes,they were divided into the control group and the study group,with 120 cases in each group.The control group implemented the routine GPP.The study group implemented the GPP of"Internet+"combined with midwife clinic.The body weight and weight gain at different stages of pregnancy,psychological state at different stages of pregnancy and delivery outcomes of the two groups were compared.Results:There was no significant difference in body weight and weight gain between the two groups at 12 weeks of pregnancy(P>0.05).At 24 weeks of pregnancy,36 weeks of pregnancy,and before delivery,the body weight,weight gain,and total gain in the study group were lower than those in the control group,and the differences were statistically significant(P=0.001).At 12 weeks of pregnancy,there was no significant difference in anxiety scores between the two groups(P>0.05).At 24 weeks of pregnancy,36 weeks of pregnancy,before delivery,and after delivery,the anxiety scores in the study group were lower than those in the control group,and the difference was statistically significant(P=0.001).The rate of vaginal delivery in the study group was higher than that in the control group,and the incidence of transfer to cesarean section,macrosomia,postpartum hemorrhage and episiotomy in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the rate of neonatal asphyxia between the two groups(P>0.05).Conclusion:The application of"Internet+"combined with midwife clinic can promote the smooth operation of GPP,help to control the body weight during pregnancy,relieve the anxie

关 键 词：互联网+ 助产士门诊 群组围生保健模式 

分 类 号：R473.71[医药卫生—护理学]