首页|产前微信平台知信行健康教育对孕产妇妊娠结局影响

产前微信平台知信行健康教育对孕产妇妊娠结局影响

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目的:观察基于微信平台的知信行健康教育对门诊孕产妇妊娠结局的影响.方法:选择2023年3月-2023年9月在本院产前检查80例孕产妇,随机数字表法分为对照组(n=40)采用常规门诊健康教育,观察组(n=40)采用基于微信平台的知信行健康教育.比较两组分娩自我效能、分娩方式、抑郁状态、焦虑状态、母乳喂养率、妊娠结局及新生儿Apgar评分.结果:干预后,两组简化版分娩自我效能量表(CBSEI-C32)评分均大于干预前且观察组(256.93 ±19.92分)大于对照组(187.15±24.55分),(62.5%)高于对照组(20.0%),阴道助产率(17.5%)、剖宫产率(20.0%)低于对照组(37.5%、42.5%);干预后两组汉密顿抑郁量表(HAMD)、汉密顿焦虑量表(HAMA)评分均小于干预前且观察组(8.69±1.63分、11.16±2.03分)小于对照组(14.58±1.82分、14.45±2.92分);产后1周、4周、8周、16周观察组母乳喂养率均高于对照组,产妇不良结局总发生率(7.5%)、新生儿不良结局总发生率(7.5%)均低于对照组(25.0%、27.5%)(均P<0.05),新生儿出生1min Apgar评分两组无差异(P>0.05).结论:微信平台知信行健康教育可增强门诊孕产妇分娩自我效能,提高母乳喂养率、顺产率,改善妊娠结局,减轻抑郁、焦虑.
Impact of the health education of knowledge,belief and practice based on WeChat platform for pregnant women on their pregnancy outcomes
Objective:To observe the impact of knowledge,belief and practice health education based on WeChat plat-form on the pregnancy outcomes of pregnant women from outpatient department.Methods:80 pregnant women who underwent prenatal examination in hospital were collected and divided into two groups using random number table method from March 2023 to September 2023.40 women in the control group received routine outpatient health educa-tion,while 40 women in the research group received knowledge,information and behavior health education based on WeChat platform.The delivery self-efficacy,the delivery method,the depressive state,the anxiety state,the breast-feeding rate,the pregnancy outcomes and the neonatal Apgar score were compared between the two groups.Results:The score by simplified version of the CBSEI-C32 delivery self-efficacy scale(CBSEI-C32)of the women in both groups after intervention had increased significantly,which(256.93±19.92 points)of the women in the study group was sig-nificantly higher than that(187.15±24.55 points)of the women in the control group.The rate of vaginal delivery(62.5%)of the women in the study group was significantly higher than that(20.0%)of the women in the control group.The rates of vaginal midwife delivery(17.5%)and cesarean section(20.0%)of the women in the study group were significantly lower than those(37.5%and 42.5%)of the women in the control group.The scores of Hamilton De-pression Scale(HAMD)and Hamilton Anxiety Scale(HAMA)of the women in the two groups after intervention had decreased significantly,and which(8.69±1.63 points and 11.16±2.03 points)of the women in the study group were significantly lower than those(14.58±1.82 points and 14.45±2.92 points)of the women in the control group.The breastfeeding rates of the women in the study group in 1 week,4 weeks,8 weeks and 16 weeks after delivery were significantly higher than those of the women in the control group.The total incidences of maternal adverse outcomes(7.5%)and neonatal adverse outcomes(7.5%)of the women in the study group were significantly lower than those(25.0%and 27.5%)in the control group(all P<0.05).There was no significant difference in the neonatal Apgar score at 1min after birth between the two groups(P>0.05).Conclusion:Knowledge,belief,and practice health education based on WeChat platform for the pregnant women from outpatient department can improve their delivery self-efficacy,increase their rates of breastfeeding and natural delivery,improve their pregnancy outcomes,and alleviate their depres-sion and anxiety.

Pregnant women and parturientsWeChat platformKnowledge,belief and practice health educationPregnancy outcomesEffect of intervention

王晓婷、王华君、应秀萍

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浙江省仙居县人民医院(浙江省人民医院浙东南院区),杭州医学院附属仙居医院(317300)

孕产妇 微信平台 知信行健康教育 妊娠结局 干预效果

浙江省中医药科技计划项目

2023ZL202

2024

中国计划生育学杂志
国家人口计生委科学技术研究所

中国计划生育学杂志

CSTPCD
影响因子:1.759
ISSN:1004-8189
年,卷(期):2024.32(1)
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