连续动态随访护理方案在育龄妇女增补叶酸预防胎儿神经管缺陷中的应用效果

Application of folic acid supplement in the prevention of fetal neural tube defects in women of childbearing age by continuous dynamic follow-up nursing program

目的探讨连续动态随访护理方案在育龄妇女增补叶酸预防胎儿神经管缺陷中的应用效果。方法选取240例育龄妇女,根据随机数字表法分为对照组与观察组,各120例。对照组采用常规护理,观察组在对照组基础上采用连续动态随访护理方案。比较两组护理前后增补叶酸知识知晓评分、每月服用叶酸≥25 d依从率、胎儿神经管缺陷发生率及护理满意度。结果护理前,两组增补叶酸知识知晓评分比较,差异无统计学意义(P>0.05);护理后,两组增补叶酸知识知晓评分高于护理前,且观察组明显高于对照组,差异具有统计学意义(P<0.05)。观察组每月服用叶酸≥25 d依从性明显高于对照组,差异有统计学意义(P<0.05)。观察组胎儿神经管缺陷发生率为1.67%,明显低于对照组的7.50%,差异有统计学意义(P<0.05)。观察组护理满意度为95.00%,显著高于对照组的87.50%,差异有统计学意义(P<0.05)。结论连续动态随访护理方案在育龄妇女增补叶酸中的护理效果明显,能够有效预防胎儿神经管缺陷的发生,具有临床应用价值。

Objective To explore the effect of continuous dynamic follow-up nursing program on folic acid supplementation in women of childbearing age to prevent fetal neural tube defects.Methods 240 women of childbearing age were selected and divided into control group and observation group according to random number table method,with 120 cases in each group.The control group adopted routine nursing,and the observation group adopted continuous dynamic follow-up nursing program on the basis of the control group.Folic acid knowledge score,compliance rate of taking folic acid≥25 d per month,incidence of fetal neural tube defects and nursing satisfaction were compared between the two groups before and after nursing.Results Before nursing,there was no significant difference in knowledge score of folic acid supplement between the two groups(P>0.05).After nursing,the knowledge score of folic acid supplement in both groups was higher than before,and the observation group was significantly higher than the control group,the difference was statistically significant(P<0.05).The compliance of the observation group taking folic acid≥25 d per month was significantly higher than that of the control group,the difference was statistically significant(P<0.05).The incidence of fetal neural tube defects in the observation group was 1.67%,significantly lower than that in the control group(7.50%),and the difference was statistically significant(P<0.05).Nursing satisfaction in observation group was 95.00%,significantly higher than 87.50%in control group,the difference was statistically significant(P<0.05).Conclusion The continuous dynamic follow-up nursing program has obvious nursing effect in women of childbearing age supplemented with folic acid,which can effectively prevent the occurrence of fetal neural tube defects and has clinical application value.