孕妇胎动自我监测行为微信干预方案的构建与应用评价

A WeChat Intervention Program to Improve Self-monitoring of Fetal Movement among Pregnant Women:Development and Validation

目的构建妊娠晚期妇女胎动自我监测行为微信干预方案,并验证微信干预效果。方法采用德尔菲法评价和修订胎动自我监测微信干预方案。便利抽样法选择上海某所医院138例孕妇为研究对象,微信组(n=62)给予为期13周的微信干预,对照组(n=61)给予一次性手册干预。比较两组孕妇干预前后胎动自我监测知识水平、健康信念和行为依从性差异。结果胎动自我监测微信干预方案专家权威系数、判断系数和熟悉程度分别为0.965、0.950和0.980,专家对微信短文专业性和可读性评分均值为4.7～5.0,专家意见变异系数为0～0.103。微信组的胎动自我监测健康信念高于对照组(P=0.043),但两组的胎动计数行为依从性及知识水平差异无统计学意义(P>0.05)。结论微信干预方案具有科学、可靠性,采用此干预方案可有效增强孕妇胎动自我监测健康信念,但对其行为依从性效果有待探究。

Objective To develop an intervention project0x0E0xFF?倓0x030x0Fbased on WeChat technique,in order to evaluate the effect of WeChat intervention.Methods The initial intervention project was evaluated and revised by the Delphi method.Then,138 cases from a hospital in Shanghai were selected by convenience sampling method.The cases were divided into two groups,the WeChat group(n=62)received the 13-week WeChat intervention,while the control group(n=61)received education manual.The knowledge level,health belief and behavior compliance of fetal movement self-monitoring before and after intervention were compared between the two groups.Results Experts’coefficients of authority,judgment coefficient and familiarity were 0.965,0.950 and 0.980,respectively.Mean scores of specialty and readability were from 4.7 to 5.0,the variation coefficient of expert opinion was from 0 to 0.103.The health belief of fetal movement self-monitoring in WeChat group was higher than that in control group(P=0.043).In terms of behavior compliance and knowledge level,no significant intergroup difference between the two groups(P>0.05).Conclusions The WeChat intervention project is scientific and reliable,it effectively improves the health belief of fetal movement self-monitoring,but does not improve behavior compliance.