摘要
目的探讨开展产后随访专科服务对提高产妇产后复查依从性的效果。方法选取2012年3月至2012年8月(未成立产后随访专科)出院产妇2 217人为对照组,2013年3月至2013年8月(成立产后随访专科)出院产妇2 214人为观察组,给予建立产后健康档案,电话随访及产后随访门诊等服务,比较两组产妇的产后复查率、母乳喂养率、乳胀发生率、盆底肌康复治疗率及两组产妇对产科服务的满意度。结果观察组产后42天及3个月复查率均显著高于对照组(均P<0.01),母乳喂养率显著高于对照组(P<0.01),乳胀发生率显著低于对照组(P<0.01),盆底功能治疗率显著高于对照组(P<0.01)。对照组产妇产后42天复查对医院服务的满意度为92.3%(926/1 003),观察组为97.3%(1 543/1 586),P<0.01。结论开展产后随访专科服务能有效提高产妇产后复查依从性,对加强出院产妇延续性护理工作,提高围生期保健质量具有积极的意义。
Objective To explore the effect of postpartum specialized follow-up service to improve the reexamination compliance of puerpera. Methods 2 217 cases of puerpera discharged from March 2012 to August 2012 without postpartum specialized follow-up service were set as the control group, and 2 214 cases of puerpera discharged from March 2013 to August 2013 with postpartum specialized follow-up service were set as the observation group. Postpartum specialized follow-up service included establishment of postpartum health records, telephone follow-up and clinic follow-up. The postpartum reexamination rate, breastfeeding rate, incidence of breast swelling,rehabilitation therapy of pelvic floor muscle rate, and puerpera＇s satisfaction degree to obstetric services were observed and compared between two groups. Results The postpartum reexamination rates after 42 days and 3 months of observation group were significantly higher than those of control group（both P〈0.01）. The breastfeeding rate of observation group was significantly higher than that of control group（P0.01）. The incidence of breast swelling of observation group was significantly lower than that of control group（P〈0.01）. The rehabilitation therapy of pelvic floor muscle rate of observation group was significantly higher than that of control group（P〈0.01）. The puerpera＇s satisfaction degree to obstetric services investigated when postpartum reexamination after 42 days of observation group was 97.3%（1 543/1586）, significantly higher than 92.3%（926/1 003） of control group（P〈0.01）. Conclusions Postpartum specialized follow-up service can improve puerpera＇s postpartum reexamination rate. It has positive significance in strengthening maternal discharge continuity of care and improving the quality of perinatal care.
出处
《临床医学工程》
2015年第3期384-385,388,共3页
Clinical Medicine & Engineering
关键词
产后随访
产后复查
依从性
Postpartum follow-up
Postpartum reexamination
Compliance
