信息化延续性健康管理模式在产后母婴保健中的应用探讨  

Discussion on application of information-based continuous health management modeto postpartum maternal and infant health care

作　　者：贾炎峰 JIA Yanfeng(Department of Gynecology,Gansu Provincial Maternal and Child Care Hospital(Gansu Provincial Central Hospital),Lanzhou 730050,Gansu Province,China)

机构地区：[1]甘肃省妇幼保健院(甘肃省中心医院)妇科,中国兰州730050

出　　处：《教育生物学杂志》2024年第3期204-208,共5页Journal of Bio-education

基　　金：中国疾病预防控制中心妇幼保健中心母婴营养与健康研究项目(2020FYH005)。

摘　　要：目的 探讨信息化延续性健康管理模式在产后母婴保健服务中的应用效果。方法 选取在甘肃省妇幼保健院妇产科分娩的220名产妇为研究对象,随机分为对照组和干预组。对照组实施常规产后保健,干预组采用信息化延续性健康管理模式。对比两组产妇在产褥期及产后3个月的母婴健康状况和产妇心理健康状况。结果 在产褥期,干预组纯母乳喂养和产妇产后盆底肌肉锻炼情况显著优于对照组(P<0.01),干预组产妇乳汁分泌不足、乳腺炎及新生儿脐部感染、婴儿尿布疹的发生率均显著低于对照组(P<0.05)。在产后3个月,干预组的纯母乳喂养情况显著优于对照组(P<0.01),干预组产妇乳腺炎、产后抑郁及婴儿消化不良的发生率均显著低于对照组(P<0.05或P<0.01)。结论 信息化延续性健康管理模式对母婴健康具有积极促进作用,且有助于降低产妇产后抑郁的发生率。Objective To discuss the application effect of the information-based continuous health management mode on the postpartum maternal and infant health care service.Methods A total of 220 postpartum women who gave birth at the Department of Obstetrics and Gynecology,Gansu Provincial Maternal and Child Health Hospital were selected as the research subjects,and they were randomly divided into control group and intervention group.The control group received routine postpartum health care,while the intervention group adopted an information-based continuous health management mode.The maternal and infant health status and psychological health status of postpartum women were compared between the two groups during the puerperium and 3 months after delivery.Results During the puerperium period,exclusive breastfeeding rate and postpartum pelvic floor muscle exercise in the intervention group were significantly better than those in the control group(P<0.01).Incident rates of insufficient milk secretion,mastitis,neonatal umbilical infection,and neonatal diaper rash in the intervention group were significantly lower than those in the control group(P<0.05).At the end of 3-month postpartum period,exclusive breastfeeding rate in the intervention group was significantly higher than that in the control group(P<0.01);incident rates of mastitis,postpartum depression,and infant dyspepsia in the intervention group were significantly lower than those in the control group(P<0.05,P<0.01).Conclusion The use of information-based postpartum continuous health management mode can promote maternal and infant health and reduce the incidence of maternal depression.

关 键 词：信息化 延续性健康管理 产后母婴保健 

分 类 号：R473.71[医药卫生—护理学]