基于微信平台微视频教育对再次剖宫产孕妇术前自我效能及产后康复的影响

Influence of micro-video education based on WeChat platform on preoperative self-efficacy and postpartum rehabilitation of pregnant women with repeat cesarean section

目的探讨基于微信平台微视频教育对再次剖宫产孕妇术前自我效能及产后康复的影响。方法选取2022年1月至4月安徽省蚌埠市第三人民医院收治的80例再次剖宫产孕妇作为研究对象,采用随机数字表法将其分为对照组和观察组,每组40例。对照组行传统术前健康教育,观察组术前行基于微信平台微视频教育,两组均干预1周。观察两组干预前后的心理状态、睡眠质量、自我效能情况及产后康复情况。结果干预后,两组睡眠状况、焦虑自评量表评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。干预后,两组结果期望-16、自我效能期望-16及简化中文版分娩自我效能量表评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组产后下床活动、排气、排便时间均短于对照组,差异有统计学意义(P<0.05)。结论对再次剖宫产术孕妇给予基于微信平台的微视频教育干预,可明显缓解其负面情绪,促进孕妇自我效能提升,有助于产后康复。

Objective To explore the influence of micro-video education based on WeChat platform on preoperative self-efficacy and postpartum rehabilitation of pregnant women with repeat cesarean section.Methods A total of 80 pregnant women with repeat cesarean section admitted to the Bengbu Third People’s Hospital in Anhui Province from January to April 2022 were selected as research objects,and they were divided into control group and observation group by random number table method,with 40 cases in each group.The control group received traditional preoperative health education,and the observation group received preoperative micro-video education based on WeChat platform.Both groups were treated for one week.The psychological state,sleep quality,self-efficacy before and after intervention and postpartum recovery of the two groups were observed.Results After intervention,the scores of self-rating sleep status and anxiety scale in two groups were lower than those before intervention,and those in the observation group were lower than those in control group,the differences were statistically significant(P<0.05).After intervention,the scores of outcome expectation-16,efficacy expectation-16,and childbirth self-efficacy inventory-C32 in two groups were higher than those before intervention,and those in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The time of getting out of bed,exhaust,and defecation in the observation group was shorter than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Micro-video education based on WeChat platform intervention can significantly relieve negative emotions,promote self-efficacy of pregnant women with repeat cesarean section,and contribute to postpartum recovery.