中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2014年
27期
83-85,89
,共4页
分娩方式%妊娠结局%健康教育%产前检查
分娩方式%妊娠結跼%健康教育%產前檢查
분면방식%임신결국%건강교육%산전검사
Mode of delivery%Pregnancy outcomes%Health education%Prenatal care
目的：探讨孕产期健康教育对分娩方式及妊娠结局的影响。方法选择符合纳入标准的孕妇385例，随机分为观察组194例和对照组191例，其中观察组脱落退出24例，对照组脱落退出27例，最终观察组170例，对照组164例。观察组在孕产期进行分阶段健康教育，对照组采用常规健康教育。结果观察组健康知识评价分数显著高于对照组，产检次数显著多于对照组，完成全部产检计划率(完整产检率)显著高于对照组(P<0.05)。观察组阴道分娩率显著高于对照组，观察组剖宫产产妇中出于个人意愿选择比例显著低于对照组(P<0.05)。两组不良妊娠结局发生率差异有统计学意义(χ2=4.242，P<0.05)，其中观察组妊娠期糖尿病、早产发生率显著低于对照组，产后出血量、泌乳时间均显著少于对照组，护理满意度显著高于对照组(P<0.05)。结论孕产期健康教育有助于提高孕妇健康知识水平和产检次数，减少剖宫产率，减少不良妊娠结局的发生。
目的：探討孕產期健康教育對分娩方式及妊娠結跼的影響。方法選擇符閤納入標準的孕婦385例，隨機分為觀察組194例和對照組191例，其中觀察組脫落退齣24例，對照組脫落退齣27例，最終觀察組170例，對照組164例。觀察組在孕產期進行分階段健康教育，對照組採用常規健康教育。結果觀察組健康知識評價分數顯著高于對照組，產檢次數顯著多于對照組，完成全部產檢計劃率(完整產檢率)顯著高于對照組(P<0.05)。觀察組陰道分娩率顯著高于對照組，觀察組剖宮產產婦中齣于箇人意願選擇比例顯著低于對照組(P<0.05)。兩組不良妊娠結跼髮生率差異有統計學意義(χ2=4.242，P<0.05)，其中觀察組妊娠期糖尿病、早產髮生率顯著低于對照組，產後齣血量、泌乳時間均顯著少于對照組，護理滿意度顯著高于對照組(P<0.05)。結論孕產期健康教育有助于提高孕婦健康知識水平和產檢次數，減少剖宮產率，減少不良妊娠結跼的髮生。
목적：탐토잉산기건강교육대분면방식급임신결국적영향。방법선택부합납입표준적잉부385례，수궤분위관찰조194례화대조조191례，기중관찰조탈락퇴출24례，대조조탈락퇴출27례，최종관찰조170례，대조조164례。관찰조재잉산기진행분계단건강교육，대조조채용상규건강교육。결과관찰조건강지식평개분수현저고우대조조，산검차수현저다우대조조，완성전부산검계화솔(완정산검솔)현저고우대조조(P<0.05)。관찰조음도분면솔현저고우대조조，관찰조부궁산산부중출우개인의원선택비례현저저우대조조(P<0.05)。량조불량임신결국발생솔차이유통계학의의(χ2=4.242，P<0.05)，기중관찰조임신기당뇨병、조산발생솔현저저우대조조，산후출혈량、비유시간균현저소우대조조，호리만의도현저고우대조조(P<0.05)。결론잉산기건강교육유조우제고잉부건강지식수평화산검차수，감소부궁산솔，감소불량임신결국적발생。
Objective To investigate the impact of maternal health education on the mode of delivery and pregnancy outcome. Methods All 385 pregnant women had been chosen, were randomly divided into observation group of 194 cases and control group of 191 cases,of which 24 cases exit off observation group,27 cases exit off the control group,included the observation group of 170 cases and the control group of 164 cases, the observation group used stages of maternal health education, control group used conventional health education. Results The evaluation of health knowl-edge scores in observation group were significantly higher, the number of prenatal significantly more than the control group,complete check-rate rate were significantly higher(P<0.05).The vaginal delivery rate in observation group were significantly higher than control group,cesarean section own volition choose the ratio in observation group were signifi-cantly lower than the control group(P<0.05). The incidence of adverse pregnancy outcomes between groups were signifi-cantly different(χ2=4.242,P<0.05),in which the observation group gestational diabetes,preterm birth were significantly higher incidence of postpartum hemorrhage, lactation period were significantly less than the control group, nursing satisfaction were significantly higher(P<0.05). Conclusion Maternal health education helps to improve maternal health and prenatal knowledge of the number of times to reduce the cesarean section rate, reduce the incidence of adverse pregnancy outcomes.
