基于社区“知己健康管理”的孕产妇干预效果研究

Study of Community-based "Friends and Health Management" of Pregnancy and Parturiency Intervention

目的为提高孕产妇及家属对孕产期健康行为的依从性,及时纠正孕产期的误区,最终实现心理健康、营养均衡、合理运动的健康生活方式。方法对初次建卡的孕产妇至产后42天的产妇,主要从营养、运动、环境、心理等方面实施全程的"知己健康管理"干预。结果通过健康管理,干预组孕产妇在整个孕期的体质量增幅异常率、妊娠贫血、妊娠糖尿病的发生率均明显低于对照组;同时孕产妇对高危妊娠的认识有了显著提高;在分娩期,干预组新生巨大儿发生率明显低于对照组,且产后抑郁的发生率亦明显降低。结论对孕产妇实施全程健康管理,可以避免各种危险因素的升级,促进母婴健康,减少并发证;降低母婴死亡率。

Objectives To improve pregnant and parturient women and their family members of maternal health behavior compliance,promptly correct the error of pregnancy,and ultimately build a better state of mental health,balanced nutrition,reasonable exercise and healthy lifestyle. Methods Women who were recorded from the time of the initial construction of the card of pregnancy to 42 days postpartum maternal received complete full implementation of the 'friends and health management' mainly from nutrition,exercise,environment and psychology.Results After such health management throughout the pregnancy period,the experimental group's rate of growth abnormalities,pregnancy anemia,gestational diabetes were significantly lower than the control group; while maternal knowledge of high-risk pregnancies had been significantly improved; in childbirth,the experimental group's rate of macrosomia were significantly lower than the control group,and the incidence of postpartum depression was also significantly reduced. Conclusions The implementation of the entire health management can avoid escalation of these risk factors,with the promotion of maternal and child health and reducing complications,which greatly reduce the maternal and infant mortality.