移动医疗用于孕产妇健康管理的效果研究  

Effect of Mobile Health on Maternal Health Management

作　　者：景联红 肖文霞[1] 肖玲 JING Lianhong;XIAO Wenxia;XIAO Ling(First Maternal and Child Health Hospital of Eastern District in Beijing,Beijing 100007,China)

机构地区：[1]北京市东城区第一妇幼保健院

出　　处：《中外医学研究》2019年第25期160-162,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨移动医疗对于孕产妇健康管理的效果,为推行移动医疗提供理论依据。方法:采用前瞻性研究方法,选取2017年10月1日-12月31日在笔者所在医院门诊建档的230例孕妇为研究对象。将研究对象随机分为两组,每组115例。对照组采用常规规律产检+笔者所在医院正常安排的孕妇学校课程;观察组采用常规规律产检+笔者所在医院正常安排的孕妇学校课程+微信群结合幸运妈咪APP进行移动医疗干预。观察并比较两组孕妇孕期体重增长、新生儿出生体重及孕晚期血红蛋白水平,妊娠期高血压疾病、妊娠期糖尿病及贫血发生率,剖宫产率及产后出血率。结果:(1)观察组孕期体重增长明显少于对照组,差异有统计学意义(P<0.05);两组新生儿出生体重比较,差异无统计学意义(P>0.05);观察组孕晚期血红蛋白水平明显高于对照组,差异有统计学意义(P<0.01)。(2)两组妊娠期高血压疾病发生率比较,差异无统计学意义(P>0.05);观察组妊娠期糖尿病及贫血的发生率均明显低于对照组,差异有统计学意义(P<0.05)。(3)两组剖宫产率及产后出血率比较,差异均无统计学意义(P>0.05)。结论:移动医疗是一种健康教育方式,能减少孕期体重增长,降低妊娠期糖尿病和贫血的发生率,对于新生儿体重、分娩方式及产后出血无明显影响。Objective:To explore the effect of mobile health on maternal health management and to provide theory evidence for the implementation of mobile health.Method:A total of 230 pregnant women who were documented in the outpatient department of our hospital from October 1st to December 31st 2017 were selected as the research object by prospective study.They were randomly divided into two groups,with 115 cases in each group.The control group was treated by routine regular obstetric examination and normal school courses for pregnant women arranged by our hospital.The observation group was treated by routine regular obstetric examination,and normal school courses for pregnant women arranged by our hospital,and wechat group with lucky mummy APP for mobile health.The pregnancy weight gain,neonatal birth weight,hemoglobin level in the third trimester,incidence of hypertensive disorder of pregnancy and gestational diabetes mellitus and anemia,cesarean section rate and postpartum hemorrhage rate were observed and compared between the two groups.Result:(1)The pregnancy weight gain in the observation group was significantly less than that in the control group,the difference was statistically significant(P<0.05).There was no significant difference in neonatal birth weight between two groups(P>0.05).The level of hemoglobin in the third trimester of observation group was significantly higher than that of the control group,the difference was statistically significant(P<0.01).(2)The incidence of hypertensive disorder of pregnancy between the two groups was not statistically significant(P>0.05).The incidence of gestational diabetes mellitus and anemia of the observation group were significantly lower than those of control group,the differences were statistically significant(P<0.05).(3)There were no significant differences in cesarean section rate and postpartum hemorrhage rate between the two groups(P>0.05).Conclusion:Mobile health is a kind of health education,which can reduce pregnancy weight gain,and reduce the incidence of gestati

关 键 词：移动医疗 健康管理 效果 

分 类 号：R473.71[医药卫生—护理学]