孕早期个性化健康教育在初产妇体质量管理中的应用效果分析

Application Effect Analysis of Individualized Health Education at Early Pregnancy on Weight Management of Primiparas

目的:分析孕早期个性化健康教育在初产妇体质量管理中的应用效果。方法:选取2019年1月—2020年12月于泰州市海陵区城西街道社区卫生服务中心建卡的初产妇100例作为研究对象,随机分为对照组与试验组,各50例。对照组实施常规护理,试验组实施孕早期个性化健康教育。比较两组分娩方式、围生期新生儿不良结局发生情况、产妇妊娠并发症发生情况、产妇体质量指数、产妇孕期体质量增长>12.5 kg占比。结果:两组分娩方式比较,差异无统计学意义(P>0.05)。试验组围生期新生儿不良结局总发生率低于对照组,差异有统计学意义(P=0.004)。试验组产妇妊娠并发症总发生率低于对照组,差异有统计学意义(P=0.001)。建卡时,两组体质量指数比较,差异无统计学意义(P>0.05);分娩时,两组体质量指数高于建卡时,但试验组低于对照组,差异有统计学意义(P<0.001)。试验组孕期体质量增长>12.5 kg占比低于对照组,差异有统计学意义(P<0.001)。结论:孕早期个性化健康教育在初产妇体质量管理中的应用效果显著,产妇孕期体质量控制较好,可降低围生期新生儿不良结局发生率及产妇妊娠并发症发生率。

Objective:To analyze the application effect of individualized health education at early pregnancy on weight management of primiparas.Methods:A total of 100 primiparas who were registered in Taizhou City Hailing District Chengxi Street Community Health Service Center from January 2019 to December 2020 were selected as the study subjects.They were randomly divided into control group and experimental group,with 50 cases in each group.The control group implemented routine nursing,and the experimental group implemented individualized health education at early pregnancy.The mode of delivery,the incidence of perinatal neonatal adverse outcomes,the occurrence of maternal pregnancy complications,maternal body mass index,and proportion of primiparas with gestational weight gain>12.5 kg were compared between the two groups.Results:There was no significant difference in delivery mode between the two groups(P>0.05).The total incidence of perinatal neonatal adverse outcomes in the experimental group was lower than that in the control group,and the difference was statistically significant(P=0.004).The total incidence of maternal pregnancy complications in the experimental group was lower than that in the control group,and the difference was statistically significant(P=0.001).There was no significant difference in body mass index between the two groups at the time of the registration(P>0.05);The body mass index in the two groups at the time of the delivery was higher than that at the time of registration,but the body mass index in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.001).The proportion of gestational weight gain>12.5 kg in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.001).Conclusion:The application of individualized health education at early pregnancy has significant effect in the weight management of primiparas,and the gestational weight of primiparas is better controlled,which can reduce the incidence of perinatal neonatal adverse outcomes and the incidence of maternal pregnancy complications.