基于计划行为理论的孕期保健结合风险分级预警管理对妊娠期高危孕产妇分娩结局和产后抑郁的影响  

The Impact of Antenatal Care Based on Planned Behavior Theory Combined with Risk Classification Early Warning Management on Birth Outcomes and Maternity Blues in High-Risk Pregnant Women

作　　者：杨珏红[1] 张崇杰[2] 王瑞丽[1] 丁婷萍 马萍 YANG Juehong;ZHANG Chongjie;WANG Ruili;DING Tingping;MA Ping(Department of Gynecology and Obstetrics,Yuncheng Central Hospital Affiliated to Shanxi Medical University,Yuncheng,Shanxi 044000,China;Department of Imaging,Yuncheng Central Hospital Affiliated to Shanxi Medical University,Yuncheng,Shanxi 044000,China)

机构地区：[1]山西医科大学附属运城市中心医院妇产科,山西运城044000 [2]山西医科大学附属运城市中心医院医学影像科,山西运城044000

出　　处：《转化医学杂志》2024年第11期1834-1837,共4页Translational Medicine Journal

基　　金：山西省卫生健康科研课题(2020036);山西省运城市中心医院院级课题(YJ2022053)。

摘　　要：目的探讨基于计划行为理论的孕期保健结合风险分级预警管理对妊娠期高危孕产妇分娩结局和产后抑郁的影响。方法选取山西医科大学附属运城市中心医院2022年1月至2023年12月收治的1192例妊娠期高危孕产妇,随机分2组,对照组采取常规孕产妇管理,研究组采取基于计划行为理论的孕期保健结合风险分级预警管理。比较两组分娩结局和产后抑郁。结果研究组阴道分娩优于对照组(P<0.05)。研究组产后出血、产妇入住ICU、新生儿窒息低于对照组,而新生儿7日生存高于对照组(P<0.05)。产后两组爱丁堡产后抑郁量表(EPDS)、屈服、回避评分均降低,个体解决问题、达成目标、应对事情的自信心、总分、面对评分均升高,且研究组更甚(P<0.05)。结论基于计划行为理论的孕期保健结合风险分级预警管理对妊娠期高危孕产妇分娩结局和产后抑郁均具有积极地影响。Objective To explore the impact of antenatal care based on planned behavior theory combined with risk classification early warning management on birth outcomes and maternity blues in high-risk pregnant women.Methods A total of 1192 high-risk pregnant women admitted to Yuncheng Central Hospital Affiliated to Shanxi Medical University from January 2022 to December 2023 were randomly divided into 2 groups.The control group adopted routine maternal management,and the research group adopted pregnancy health care combined with risk classification early warning management based on the theory of planned behavior.Birth outcomes and postpartum depression were compared between the two groups.Results Vaginal delivery in the study group was better than that in the control group(P<0.05).Postpartum hemorrhage,hospitalization in ICU,and neonatal asphyxia in the study group were lower than those in the control group,while the 7-day survival of newborns in the study group was higher than that in the control group(P<0.05).After delivery,the scores of Edinburgh Postpartum Depression Scale(EPDS),submission,and avoidance were all decreased in both groups,and the individual confidence in solving problems,achieving goals,and coping with things,total score,and facing score were all increased,especially in the study group(P<0.05).Conclusion Pregnancy health care combined with risk classification early warning management based on planned behavior theory has a positive impact on the delivery outcome and postpartum depression of high-risk pregnant women during pregnancy.

关 键 词：计划行为理论 风险分级预警 产后抑郁 妊娠结局 

分 类 号：R473.71[医药卫生—护理学]