孕期风险评估管理及干预对妊娠结局的改善探讨

Discussion of improvement effect of pregnancy risk assessment management and mtervention on pregnancy outcome

目的探究孕期风险评估管理及干预对孕妇妊娠结局的影响。方法选取本院进行定期产检的孕妇120例为研究对象,采用随机数字表法分为对照组及观察组,每组60例。对照组采用常规管理,观察组采用孕期风险评估管理及干预。比较两组妊娠结局、妊娠期并发症发生情况、不良情绪、认知行为、产程时间及满意度。结果观察组阴道顺产率高于对照组,妊娠期高血压疾病、妊娠期糖尿病发生率均低于对照组,差异有统计学意义(P<0.05)。干预前,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05);干预后,观察组SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05)。干预前,两组孕期保健知识、自我保健能力评分比较,差异无统计学意义(P>0.05);干预后,观察组孕期保健知识、自我保健能力评分均高于对照组,差异有统计学意义(P<0.05)。观察组第一、第二、第三产程时间均短于对照组,差异有统计学意义(P<0.05)。观察组满意度为96.67%,高于对照组的81.67%,差异有统计学意义(P<0.05)。结论孕期风险评估管理及干预可提升孕妇的孕期保健知识知晓度,帮助其调整生理和心理状态,并强化自我保健能力,使孕妇能规避分娩风险,改善妊娠结局。

Objective To explore the influence of risk assessment management and intervention in pregnancy on pregnancy outcome.Methods A total of 120 pregnant women who underwent regular birth examination in our hospital were selected as research objects.They were divided into a control group and an observation group by random number table method,with 60 cases in each group.The control group adopted routine management,and the observation group adopted pregnancy risk assessment management and intervention.The pregnancy outcome,pregnancy complications,adverse mood,cognitive behavior,labor time and satisfaction were compared between the two groups.Results The vaginal delivery rate of the observation group was higher than that of the control group,the incidences of gestational hypertension and gestational diabetes were lower than those of the control group,the differences were statistically significant(P<0.05).Before intervention,there were no significant difierences in self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores between the two groups(P>0.05);after intervention,the SAS and SDS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).Before intervention,there were no significant difference in the scores of pregnancy health knowledge and self-care ability between the two groups(P>0.05);after intervention,the scores of pregnancy health knowledge and self-care ability of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The first,second and third stages of labor in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The satisfaction of the observation group was 96.67%,higher than 81.67%of the control group,and the difference was statistically significant(P<0.05).Conclusion Pregnancy risk assessment management and intervention can improve pregnant women's knowledge of pregnancy health care,help them adjust their physiological and psychological states,and strengthen their self-care ability,so that pregnant women can avoid childbirth risks and improve pregnancy outcomes.