微信平台集中管理在高危孕产妇管理中的价值研究

Value of centralized management on WeChat platform in high-risk maternal management

目的:探讨微信平台集中管理在高危孕产妇管理中的价值。方法:选取本中心2016年8月至2017年10月收治的94例高危孕产妇作为研究对象,采取随机双盲法将所有产妇分为观察组与对照组,每组47例。对照组实施常规干预,观察组在常规干预基础上实施微信平台集中管理,对比两组孕产妇孕期保健知识掌握情况、孕检及复诊依从性、干预前后焦虑自评量表(SAS)及抑郁自评量表(SDS)评分、产妇分娩情况。结果:观察组孕产妇孕期保健知识掌握率为97. 87%,高于对照组的85. 11%(P <0. 05)。观察组孕检及复诊依从率为100%,高于对照组的89. 36%(P <0. 05)。干预后两组患者SAS及SDS评分明显改善(P <0. 05),观察组优于对照组(P <0. 05)。两组产妇均未见死亡,母婴平安,观察组产妇自然分娩率为89. 36%,高于对照组的57. 45%(P <0. 05)。结论:微信平台集中管理在高危孕产妇中应用价值极高,可提高孕产妇孕期保健知识掌握率及孕检、复诊依从率,改善孕妇心理状态,提高自然分娩率,值得临床推广。

Objective:To explore the value of centralized management on WeChat platform in high-risk maternal management.Methods:94 high-risk pregnant women admitted to our center from August 2016 to October 2017 were selected as subjects.All parturients were divided into the observation group and the control group by random double-blind method.The control group (47 cases)was routinely intervented,and the observation group (47 cases)was intensively managed on WeChat platform.The maternal health knowledge during pregnancy,the compliance with pregnancy test and reexamination,self-rating anxiety scale (SAS)and self-rating depression scale (SDS)scores,and maternal delivery were compared before and after the intervention.Results:The prevalence of maternal health knowledge in the observation group was 97.87%,which was higher than 85.11% in the control group(P<0.05).The compliance rate of pregnancy test and reexamination was 100%,which was higher than 89. 36% in the control group (P<0.05).SAS and SDS scores of the two groups were poor before the intervention. After the intervention,the scores of each groups improved and the observation group was superior to the control group(P<0.05).At the time of delivery,no deaths were observed in the two groups of parturients,and the maternal women and children were safe.The natural delivery rate of the maternal women in the observation group was 89.36%,which was higher than 57.45% in the control group (P<0.05).Conclusion:The centralized management on WeChat platform is extremely valuable in high-risk maternal women in improving the maternal health knowledge and the compliance rates of pregnancy test and reexamination,as well as their psychological state,and the natural delivery rate,which is worthy of clinical application.