以家庭为中心的护理对孕期体重控制及妊娠结局的影响

Effect of Family-Centered Care on Weight Control During Pregnancy and Pregnancy Outcomes

目的探讨以家庭为中心的护理对孕期体重控制及妊娠结局的影响。方法方便选取2017年2—10月江苏大学附属医院产科门诊行产前检查的孕产妇156例,按照随机对照法将其分为观察组78例和对照组78例。对照组给予围产期常规护理,观察组在此基础上实施以家庭为中心的护理模式,比较两组孕妇不同孕周体重指数正常比率、新生儿出生体重及妊娠结局。结果观察组孕妇体重指数正常比率在孕28周、孕36周及分娩前均显著高于对照组,差异有统计学意义(χ~2=4.558、5.028、6.430,P<0.05)。观察组新生儿出生体重在正常范围内比例为96.15%,对照组为64.10%,观察组新生儿出生体重在正常范围内比例明显高于对照组,差异有统计学意义(χ~2=10.815,P<0.05)。观察组孕妇剖宫产率19.23%,对照组剖宫产率34.62%,观察组孕妇剖宫产率明显低于对照组,差异有统计学意义(χ~2=4.692,P<0.05)。结论以家庭为中心的护理干预能使孕期产妇控制体重在合理范围,降低剖宫产率,减少巨大儿和低体重儿发生率,促进孕产妇及婴幼儿的健康。

Objective To investigate the effects of family-centered care on weight control during pregnancy and pregnancy outcomes.Methods A total of 156 pregnant women who underwent prenatal examination in the obstetrics clinic of Jiangsu University Hospital from February 2017 to October 2017 were conveniently enrolled.According to the randomized controlled method,they were divided into observation group(78 cases)and control group(78 cases).The control group received routine perinatal care,and the observation group implemented a family-centered care model.The normal ratio of body weight index,neonatal birth weight and pregnancy outcome were compared between the two groups.Results The normal ratio of body mass index in the observation group was significantly higher than that in the control group at 28 weeks gestation,36 weeks gestation and before delivery(χ2=4.558,5.028,6.430,P<0.05).The birth weight of the observation group was 96.15%in the normal range and 64.10%in the control group.The birth weight of the observation group was significantly higher than that of the control group(χ2=10.815,P<0.05).The cesarean section rate of pregnant women in the observation group was 19.23%,and the cesarean section rate of the control group was 34.62%.The cesarean section rate of the observation group was significantly lower than that of the control group(χ2=4.692,P<0.05).Conclusion Family-centered nursing intervention can control the weight of pregnant women during pregnancy,reduce the rate of cesarean section,reduce the incidence of macro and low birth weight,and promote the health of pregnant women and infants.