“互联网+”集中群组干预模式在孕晚期初产妇中的应用研究  

Study on the application of"Internet+"Centering Pregnancy health care model in late pregnancy of primiparas

作　　者：胡颖 周明芳 陈世华 钟俊雅 范尧[3] 俞丽丽 大城昌平 顾寿智 HU Ying;ZHOU Mingfang;CHEN Shihua;ZHONG Junya;FAN Yao;YU Lili;Shohei Ohgi;GU Shouzhi

机构地区：[1]重庆城市管理职业学院智慧康养学院,重庆市401331 [2]重庆医科大学附属第三医院妇产中心 [3]重庆医科大学公共卫生学院 [4]圣隶克里斯托弗大学康复学院,日本静冈县滨松市433-8558

出　　处：《中华护理教育》2023年第8期957-962,共6页Chinese Journal of Nursing Education

基　　金：重庆市妇幼卫生学会妇幼健康研究基金(CQMCHA202101001)。

摘　　要：目的探讨“互联网+”集中群组干预模式(远程团体产前教育模式)对孕晚期初产妇孕产期心理的影响。方法招募120例定期在院胎心监护室检查的孕晚期初产妇,随机分为试验组(n=60)与对照组(n=60),两组均给予医院常规健康教育(每次产前检查时的医护宣教、助产士门诊健康宣教等),在此基础上,对照组给予孕妇学校的线下孕晚期课程;试验组则给予以孕晚期保健知识、分娩应对、临产指导、产后护理为核心内容的“互联网+”集中群组保健模式的干预。试验组59例初产妇、对照组57例初产妇完成了研究。比较干预前后两组初产妇的妊娠压力及分娩期望。结果干预后,试验组的妊娠压力总均分为0.53(0.26,0.70),对照组的为0.70(0.35,1.13),差异有统计学意义(Z=2.233,P=0.026);试验组的医疗环境、配偶支持因子得分高于对照组(P<0.05)。结论运用“互联网+”集中群组干预模式对孕晚期初产妇进行远程教育,能降低孕妇的产前妊娠压力,提高其对医疗环境与配偶支持的分娩期望,是线下健康教育的有益补充。Objective To explore the effect of"Internet+"Centering Pregnancy health care model in late pregnancy(remote group prenatal education model)on the psychological condition of primiparas during pregnancy and delivery outcomes.Methods A total of 120 primiparous women in late pregnancy who were regularly examined in the hospital’s fetal heart monitoring unit were randomly divided into the experimental group(n=60)and the control group(n=60).Both groups were given routine health education(medical and nursing education at each antenatal check-up,midwife outpatient health education,etc.).In addition to the routine care,the control group was given offline late pregnancy courses at the maternity school,while the experimental group was given the"Internet+"Centering Pregnancy health care model intervention,which focused on late pregnancy health care knowledge,coping with labor,professional guidance and postnatal care.In the end,59 cases in the experimental group and 57 cases in the contral group completed the intervention.Pregnancy Pressure Scale(PPS)and Childbirth Expectation Question-naire(CEQ)were employed to compare the difference between the two groups before and after the intervention.Results After the intervention,the score on PPS were 0.53(0.26,0.70)and 0.70(0.35,1.13)in the experimental and control groups,respectively,which difference got statistically significant(Z=2.233,P=0.026).The mean scores for the factors of spousal support and medical environment in the experimental group were significantly higher than those of the control group.Conclusion The application of the"Internet+"Centering Pregnancy health care model in late pregnancy to provide distance education for primiparous mothers can reduce prenatal pregnancy stress of pregnant women and increase their expectation of a medical environment and spousal support for delivery.Such model is a beneficial supplement to offline health education.

关 键 词：孕妇 同侪集群 健康教育 教育 远程 

分 类 号：R473.71[医药卫生—护理学]