摘要
目的探究家庭群组式孕期保健模式对妊娠结局的影响。方法选取2018年10月—2019年10月在我院建档且规律产检的70例产妇,依据随机数字表法分为对照组和观察组,每组各组35例。对照组给予传统保健,观察组采用家庭群组式孕期保健模式。观察两组孕妇的妊娠结局、母乳喂养情况以及心理状态。结果观察组阴道分娩率、新生儿1 min Apgar评分显著高于对照组,剖宫产率、孕妇产后2 h出血量显著低于对照组,差异有统计学意义(P<0.05)。观察组孕妇产后第1天、第7天、6个月母乳喂养率显著高于对照组,差异有统计学意义(P<0.05)。干预前,两组孕妇SAS评分及SDS评分比较,差异无统计学意义(P>0.05);干预后,两组评分均降低,且观察组显著低于对照组,差异具有统计学意义(P<0.05)。结论家庭群组式孕期保健模式通过整个家庭的参与,使孕妇获得了医务人员、家属、同伴的全面支持,能够有效改善妊娠结局,促进自然分娩,提升母乳喂养率,缓解孕妇的焦虑与抑郁情绪,值得临床推广。
Objective To explore the effect of family group health care during pregnancy on pregnancy outcomes.Methods A total of 70 puerperae who were archived in our hospital from October 2018 to October 2019 and had regular obstetric examinations were selected and divided into a control group and an observation group,with 35 cases in each group according to random number table method.The control group was given traditional health care,and the observation group was given the family group pregnancy health care model.The pregnancy outcomes,breastfeeding status and psychological state of the two groups of pregnant women were observed.Results The vaginal delivery rate and 1 minute Apgar score of newborns in the observation group were significantly higher than those in the control group,while the rate of cesarean section and the amount of 2hpostpartum hemorrhage in pregnant women were significantly lower than those in the control group(P<0.05).The rate of breastfeeding cases on the 1st day,7th day and 6th month after delivery in the observation group were significantly higher than those in the control group(P<0.05).There was no significant difference in SAS score and SDS score between the two groups before intervention(P>0.05),but after intervention,the scores in both groups decreased,and the score in the observation group was significantly lower than that in the control group(P<0.05).Conclusion Through the participation of the whole family,the family group pregnancy care model enables pregnant women to obtain the comprehensive support of medical staff,family members and peers,which can effectively improve the pregnancy outcome,promote natural delivery and increase the rate of breastfeeding.It is worth clinical promotion to alleviate the anxiety and depression of pregnant women.
作者
李艳
游桂梅
樊芳利
王英
LI Yan;YOU Guimei;FAN Fangli;WANG Ying(Department of Obstetrics,The First People's Hospital of Shaoguan City,Shaoguan Guangdong 512000,China)
出处
《中国卫生标准管理》
2022年第4期187-190,共4页
China Health Standard Management
关键词
家庭群组式
孕期保健
妊娠结局
母乳喂养率
焦虑
抑郁
family group
health care during pregnancy
pregnancy outcome
breastfeeding rate
anxiety
depression
