中国当代医药2024,Vol.31Issue(10) :92-95.

个体化医学营养指导教育模式对初产妇孕期体重增长及妊娠合并症的影响

Effect of individualized medical nutrition guidance education model on weight gain and pregnancy complications of primiparas during pregnancy

林丽苹 张雪芹
中国当代医药2024,Vol.31Issue(10) :92-95.

个体化医学营养指导教育模式对初产妇孕期体重增长及妊娠合并症的影响

Effect of individualized medical nutrition guidance education model on weight gain and pregnancy complications of primiparas during pregnancy

林丽苹 1张雪芹1
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作者信息

  • 1. 厦门市妇幼保健院 厦门大学附属妇女儿童医院 厦门市产科重大疾病基础与临床重点实验室 厦门市围产医学临床研究中心,福建厦门 361000
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摘要

目的 探究个体化医学营养指导教育模式对初产妇孕期体重增长及妊娠合并症的影响.方法 回顾性选取2020年7月至2021年7月厦门市妇幼保健院收治的106例单胎妊娠初产妇作为研究对象,按照孕期不同护理方案分为对照组(53例)和观察组(53例).对照组采用常规孕期健康教育,观察组采用个体化医学营养指导教育.比较两组产妇的孕期及产前体重指数(BMI)、孕期增重、血红蛋白水平以及妊娠结局.结果 两组产妇的孕前BMI比较,差异无统计学意义(P>0.05).观察组的产前BMI低于对照组,差异有统计学意义(P<0.05).观察组的孕期增重情况优于对照组,差异有统计学意义(P<0.05).两组产妇的孕早期、孕中期、孕晚期血红蛋白水平时间、组间、交互作用比较,差异有统计学意义(P<0.05).观察组的顺产率高于对照组,妊娠高血压、妊娠糖尿病、低出生体重儿、巨大儿发生率低于对照组,差异有统计学意义(P<0.05).结论 个体化医学营养指导教育模式能够有效控制初产妇孕期体重增长,避免孕期血红蛋白水平降低,对于减少妊娠期并发症发生、改善初产妇妊娠结局有积极的作用.

Abstract

Objective To explore the effect of individualized medical nutrition guidance education model on weight gain and pregnancy complications in primiparas during pregnancy.Methods A total of 106 cases of single pregnancy primiparas ad-mitted to Xiamen Maternal and Child Health Care Hospital from July 2020 to July 2021 were retrospectively selected as the study objects,and they were divided into control group(53 cases)and observation group(53 cases)according to different nursing plans during pregnancy.The control group received routine health education during pregnancy,and the observation group received individualized medical nutrition guidance education.Pregnancy and prenatal body mass index(BMI),preg-nancy weight gain,hemoglobin level and pregnancy outcome were compared between the two groups.Results There was no significant difference in prenatal BMI between the two groups(P>0.05).The prenatal BMI of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The pregnancy weight gain of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).There were significant differences in hemoglobin level time,intergroup and interaction between the two groups in the first,second and third trimesters(P<0.05).The incidences of gestational hypertension,gestational diabetes,low birth weight and macrosomia in observation group were lower than those in control group,the differences were statistically significant(P<0.05).Conclusion Individualized medical nutrition guidance education model can effectively control the weight gain of primipara during pregnancy,avoid the decrease of hemoglobin level during pregnancy,and play a positive role in reducing the occurrence of pregnancy complications and improving the pregnancy outcome.

关键词

初产妇/个体化医学营养指导教育模式/孕期体重/妊娠结局

Key words

Primipara/Individualized medical nutrition guidance education model/Weight during pregnancy/Pregnancy outcome

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基金项目

福建省科技厅自然科学研究项目(2022D003)

出版年

2024
中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
参考文献量25
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