摘要
目的：探索合理的产前体质量管理模式，以改善孕妇健康状态及妊娠结局。方法以结构-过程-结果三维质量评价模式为理论框架，构建本研究的产前体质量管理方案，并将该方案应用于孕中晚期初产妇中。通过对体质量管理服务项目的结构评估、过程评估及结果评价，以确保体质量管理工作的有效落实，同时对孕妇妊娠结局进行评价。结果干预组孕妇分娩前体质量指数[（23.06±1.11） kg/m2]较对照组[（25.52±1.89） kg/m2]低，干预组剖宫产（包括无指征剖宫产）、产程延长或停滞、产后大出血、巨大儿、新生儿窒息、妊娠期糖尿病及高血压的发生率明显低于对照组，2组差异有统计学意义，P<0.01或0.05。结论结构-过程-结果三维质量评价模式是提升产前体质量管理的有效手段。
Objective To evaluate the effects of pregnancy weight control program based on structure- process- outcome model to improve women′s health status and pregnancy outcomes. Methods On the basis of Donabedian′s structure- process- outcome quality of care model, a pregnancy weight control program designed and carried out for the middle and late pregnancy. The structure, process and outcome of the pregnancy weight control program were evaluated to ensure the quality of the pregnancy weight control program. In addition, the women′s pregnancy outcomes were investigated after intervention. Results the prenatal BMI in the intervention group [ (23.06±1.11) kg/m2 ] were lower than those in the control group [(25.52±1.89) kg/m2 ], and the incidence of cesarean section (including cesarean section without indication), neonatal macrosomia, labor block, neonatal asphyxia, postpartum hemorrhage, pregnancy induced diabetes and hypertension in the intervention group were significantly lower than those in the control group, P<0.01 or 0.05. Conclusion Donabedian′s structure- process- outcome quality of care program is an effective approach to improve women′s pregnancy outcomes.
出处
《中国实用护理杂志》
2015年第29期-,共5页
Chinese Journal of Practical Nursing
基金
湖北省卫生计生委科研基金(WJ2015HB021)；2013武汉大学 HOPE 护理学院自主科研项目
关键词
助产士
护理
妊娠结局
体质量指数
Doulas
Nursing care
Pregnancy outcome
Body mass index
