孕期健康教育在产妇分娩中的应用【荐】.docVIP

孕期健康教育在产妇分娩中的用摘 要：目的：探讨孕期健康教育干预在产妇分娩中的用。方法：结果：组剖宫产、产时配合不佳、难产、产后出血、产程时间（≥10h）差异有（P＜0.01）；干预组健康教育后知识掌握差异有意义（P＜0.01）。结论：孕期健康教育关键词：孕期健康教育；产妇；分娩 Application of health education during pregnancy ot childbirth Dai Mingliang Nanchan District People’s Hospital of Chongqing Municipality Chongqing 408400,China Abstract: Objective: To explore the application of health education during pregnancy to childbirth. Methods: 186 pregnant women who chose delivery in the hospital and voluntaryily accepted health education during pregnancy were taken as an internention group and other 186 pregnant women who did not receive health education during pregnancy were taken a control group.The delivery mode,intrapartum cooperation,dystocia, postpartum hemorrhage,labor time and neonatal one minute Apgar score were evaluated. Results：cooperation, dystocia, postpartum hemorrhage,labor time(≥10h)and one minute Apgar score(8≥points) between the two groups (P0.01); the difference in the comparison of grasp arte of knowledge before and afthe health education during pregnancy was statically significant in the intervention group (P0.01).Conclusions: Health education during pregnancy can reduce the cesarean section rate and incidence of complications. Key words: Health education during pregnancy; Pregnant women; Delivery 分娩虽是一个自然生理过程，但对产妇却是一个强烈而持久的应激事件，尤其是初产妇，非常容易出现复杂的心理变化，对分娩产生不良影响，精神心理与产力、产道胎儿一起被列为影响分娩的四大因素[1]。随着社会发展和医学模式的转变，人们对围产期保健的要求日益提高，呈现出多层次、多样化、个性化的需求。2009年6月～2010年6月我孕期健康教育186例产妇，现报告如下。 1资料与方法 1.1资料：选择住院分娩且自愿接受孕期健康教育的186例产妇为干预组，年龄22～36岁，平均（25.5±2.5）岁；初产妇101例，经产妇85例。选择同期住院分娩但未接受孕期健康教育的186例产妇为对照组，年龄22～37岁，平均（26.0±2.5）岁；初产妇105例，经产妇81例。全部产妇初中以上文化程度，单胎头位妊娠，孕前无躯体疾病、严重合并症及并发症等高危妊娠因素。两组产妇一般资料统计学意义（P＞0.05）。 1.2方法：对照组孕期健康教育干预组实施系统规范的孕期健康教育，在整个孕期健康教育过程中给予产妇持续的生理、心理、情感支持，最大限度调动产妇的主观能动性。开展形式：建立母婴保健手册：详细询问年龄、职业、家族史、既往史、月经史、孕产史、合并症、并发症，本次妊娠末次月经日期，推算预产期。同时，监测血压、心率、凝血功能、B超，最终确定分娩方式。集中授课：每周六上午集中授课，发放授课安排表和授课内容相关材料。举办活动：举办宣传栏、宣传画册、电视录像，门诊走廊张贴海报和图片，开通热线电话，随时给予咨询指导一对一指导：针对产妇的不同文化层次、不同心理特点和不同孕期的个性化需求，由专职护士进行一对一