| 施宵宵,邱玲华.以助产士为主导的群组式母婴保健模式构建在基层医院的应用[J].中国医药导报,2024,21(5):181-184 |
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| 以助产士为主导的群组式母婴保健模式构建在基层医院的应用 |
| Application of group maternal and child health care model led by midwives in primary hospitals |
| 收稿日期： 修订日期：2023-04-26 |
| DOI：10.20047/j.issn1673-7210.2024.05.43 |
| 关键词: 群组式母婴保健 助产士 妊娠结局 新生儿 |
| Key Words: |
| 基金项目:浙江省杭州市富阳区社会发展科技项目（2022SK020） |
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| 摘要:目的 探讨以助产士为主导的群组式母婴保健模式构建在基层医院的应用。 方法 选择2022年8月至2023年5月在杭州市富阳区妇幼保健院常规产检并分娩的200名产妇作为研究对象，根据随机数字表法将其分为对照组和观察组，每组100名。对照组行常规护理，观察组在对照组的基础上以助产士为主导的群组式母婴保健模式进行护理，从孕12周开始进行，直到产后6周结束。比较两组产妇的分娩方式、产妇产程及新生儿情况，产后1、3、6个月母乳喂养率，干预前后对孕期理论知识掌握情况，产后2、24 h的出血量及产后1个月的妊娠合并症。结果 干预后，观察组产妇自然分娩率高于对照组，而剖宫产率及会阴侧切率低于对照组，差异有统计学意义（P＜0.05）；观察组产妇产后1、3、6个月母乳喂养率均高于对照组，差异有统计学意义（P＜0.05）；干预后，观察组孕期理论知识的掌握情况评分高于对照组，差异有统计学意义（P＜0.05）；干预后，两组合并症例数比较，差异无统计学意义（P＞0.05）；观察组产后2、24 h出血量低于对照组，差异有统计学意义（P＜0.05）。结论 对孕妇使用以助产士为主导的群组式母婴保健模式可以明显改善其妊娠结局，值得在临床中应用。 |
| Abstract:Objective To explore the application of group maternal and child health care model led by midwives in primary hospitals. Methods From August 2022 to May 2023, 200 parturiens giving birth in Hangzhou Fuyang Women and Children Hospital of Hangzhou were selected as the study subjects. According to the random number table method, they were divided into control group and observation group, with 100 in each group. The control group received routine care, and the observation group received group maternal and child health care based on the control group, starting from 12 weeks of pregnancy to six weeks after delivery, the methods of delivery, the course of labor, and the condition of newborns, the rate of breastfeeding at 1, 3, and 6 months after delivery, the knowledge of pregnancy theory before and after intervention, the amount of blood loss at 2 and 24 hours after delivery and the complications of pregnancy at one month after delivery were compared between the two groups. Results After the intervention, the natural delivery rate in the observation group was higher than that in the control group, while the cesarean section rate and lateral perineal resection rate were lower than those in the control group, and the differences were statistically significant (P＜0.05); the breastfeeding rate of postpartum 1, 3, and 6 months in the observation group was higher than that in the control group, and the differences were statistically significant (P＜0.05); After intervention, the score of theoretical knowledge mastery during pregnancy in the observation group was higher than that in the control group, and the difference was statistically significant (P＜0.05). After intervention, there was no significant difference in the number of complications between the two groups (P＞0.05); the amount of blood loss at 2 and 24 h after delivery in the observation group was lower than that in the control group, and the differences were statistically significant (P＜0.05). Conclusion The midwives group maternal and child health care model can shorten labor and improve pregnancy outcome, and is worthy of clinical application. |
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