群组式围生保健干预对初产妇孕期营养及围生期不良情况发生的影响  

Effect of Cluster-based Perinatal Health Intervention on Maternal Nutrition during Pregnancy and the Occurrence of Adverse Perinatal Conditions in Primiparous Women

作　　者：罗莹 杨芳 马婷 包金莲 杨恒 谢琴 Luo Ying;Yang Fang;Ma Ting(Department of Obstetrics and Gynecology,Luohu District Maternal and Child Health Hospital,Shenzhen,Guangdong,518081,China)

机构地区：[1]深圳市罗湖区妇幼保健院妇产科,广东深圳518081

出　　处：《黑龙江医学》2024年第3期268-270,共3页Heilongjiang Medical Journal

基　　金：2021年罗湖区第二批软科学研究计划同意立项项目(LX20210625)。

摘　　要：目的:观察群组式围生保健干预对初产妇孕期营养及围生期不良情况发生的影响。方法:选取2021年3—9月深圳市罗湖区妇幼保健院接收的200例初产妇作为研究对象,采用随机数表法分为对照组(n=100)和观察组(n=100)。对照组接受常规健康教育,观察组按照群组围生保健模式进行健康教育。对比干预前、干预1个月后、待产前、分娩后两组孕妇焦虑自评表(SAS)、抑郁自评表(SDS)情况,比较干预前后两组孕妇健康素养情况(母婴健康素养测评问卷),统计两组孕妇孕期和围生期不良情况发生率以及两组孕妇分娩结局。结果:干预1个月后、待产前、分娩后,观察组孕妇SAS、SDS评分明显低于同期对照组,差异有统计学意义(t=2.520、2.792、5.381、2.118、2.856、2.869,P<0.05)。干预后,观察组孕妇健康素养评分明显优于对照组,差异有统计学意义(t=2.106、2.711、3.081,P<0.05);观察组孕妇孕期及围生期不良事件明显低于对照组,差异有统计学意义(χ^(2)=4.976、6.003,P<0.05);观察组孕妇自然分娩率明显高于对照组,差异有统计学意义(χ^(2)=5.573,P=0.018)。结论:群组式围生保健干预能有效缓解初产妇对孕期和分娩阶段的焦虑、抑郁程度,增强孕妇健康素养,降低孕期营养失衡及围生期不良情况的发生,提高自然分娩率。Objective:To observe the effect of a cluster-based perinatal health intervention on maternal nutrition during pregnancy and the occurrence of adverse perinatal conditions in primiparous women.Methods:200 cases of primigravid women admitted to the hospital from March to September 2021 were selected for the study,and were divided into a control group(n=100)and an observation group(n=100)using the random number table method.The control group received routine health education,and the observation group received health education according to the cluster perinatal care model.Pre-intervention,after 1 month of intervention,before delivery,after delivery the two groups of pregnant women anxiety self-assessment scale(SAS),depression self-assessment scale(SDS)were compared.The health literacy(Maternal and Child Health Literacy Assessment Questionnaire)of pregnant women was compared between the two groups before and after the intervention.The incidence of adverse conditions during pregnancy and perinatal period as well as the outcome of labor and delivery of pregnant women in both groups were counted.Results:The SAS and SDS scores of pregnant women in the observation group were significantly lower than those of the control group in the same period after 1 month of intervention,before delivery,and after delivery,with statistically significant differences(t=2.520,2.792,5.381,2.118,2.856,2.869,P<0.05).After the intervention,the health literacy scores of pregnant women in the observation group were significantly better than those of the control group,and the difference was statistically significant(t=2.106,2.711,3.081,P<0.05).Adverse events during pregnancy and perinatal period of pregnant women in the observation group were significantly lower than those in the control group,and the difference was statistically significant(χ^(2)=4.976,6.003,P<0.05).The rate of spontaneous delivery among pregnant women in the observation group was significantly higher than that in the control group,and the difference was statistically significan

关 键 词：群组式围生保健干预 初产妇 孕期营养 围生期 健康素养 

分 类 号：R714[医药卫生—妇产科学]