基于信息化精准追踪管理对初产妇妊娠结局 焦虑抑郁及生活质量的影响

Effects of informatization-based accurate tracking management on pregnancy outcome, anxiety, depression and quality of life of primiparas

目的 探讨基于信息化精准追踪管理对初产妇妊娠结局、焦虑抑郁及生活质量的影响。方法 将200例初产妇按产妇意愿及随机原则均分为两组,各100例。两组均予以常规管理,研究组在此基础上予以基于信息化精准追踪管理,观察3个月。比较两组妊娠结局及管理前后汉密顿焦虑量表、汉密顿抑郁量表、自我效能量表及生活质量量表评分。结果 研究组产妇产后出血及胎儿宫内窘迫发生率均显著低于对照组(P<0.05),自然分娩率略高于对照组,但差异无统计学意义(P>0.05)。管理后两组汉密顿焦虑量表、汉密顿抑郁量表评分均较干预前显著降低(P<0.01),研究组显著低于对照组(P<0.01)。管理后两组自我效能量表的遵医嘱行为、健康行为、药物治疗、日常行为维度评分均较干预前显著升高(P<0.01),研究组显著高于对照组(P<0.01)。管理后两组生活质量量表健康情况、认知功能、角色功能、社会功能和躯体功能维度评分均较干预前显著升高(P<0.05或0.01),研究组显著高于对照组(P<0.01)。结论 基于信息化精准追踪管理能明显改善初产妇的焦虑抑郁状况,提高其自我效能和生活质量,减少不良妊娠结局的发生。

Objective To explore the effects of informatization-based accurate tracking management on pregnancy outcome, anxiety, depression and quality of life of primiparas. Methods A total of 200 primiparas were divided into two groups according to their voluntary and random principle, with 100 cases in each group. Both groups were given routine nursing management, and the study group was given informatization-based accurate tracking management on this basis, and observed for 3 months. The pregnancy outcomes and the scores of Hamilton anxiety scale(HAMA), Hamilton depression scale(HAMD), the short form of 32-item Chinese childbirth self-efficacy inventory(CBSEI-C32) and short form-36 health survey questionnaire(SF-36) before and after management were compared between the two groups. Results The incidence of postpartum hemorrhage and fetal distress in the study group were significantly lower than those in the control group(P<0.05), and the natural delivery rate in the study group was slightly higher than that in the control group, but the difference was not statistically significant(P>0.05). After management, HAMA and HAMD scores of the two groups were significantly lower than those before intervention(P<0.01), and the study group was significantly lower than the control group(P<0.01). After management, the scores of compliance behavior, health behavior, drug treatment and daily behavior dimensions of CBSEI-C32 in the two groups were significantly higher than those before intervention(P<0.01), and the study group was significantly higher than the control group(P<0.01). After management,the scores of physical condition,cognitive function,role function,social function and physical function dimensions of SF-3 6in the two groups were significantly higher than those before intervention(P<0.01),and the study group was significantly higher than the control group(P<0.01).Conclusions The application of informatization-based accurate tracking management can significantly improve the anxiety and depression of primiparas,improve their self-efficacy and quality of life,and reduce the occurrence of adverse pregnancy outcomes.