关键节点追踪干预对唐筛临界、高风险孕妇实施进一步检测依从性的影响

The impact of key node tracking intervention on the compliance of critical risk and high-risk pregnant women for further examination in Down syndrome serological screening

目的:探讨关键节点追踪干预对唐氏综合征血清学筛查临界、高风险孕妇出生缺陷二级预防措施实施依从性和对产前门诊服务质量满意度的影响。方法:采用便利抽样历史对照的方法,将某医院2020年1月至2020年12月接受检测的173例孕妇设为对照组,将2021年1月至2021年12月接受检测的165例孕妇设为干预组。对照组孕妇接受常规管理方法,干预组接受关键节点追踪干预方法。比较两组孕妇实施产前筛查与诊断技术依从性情况和对产前门诊服务质量满意度情况。结果:两组孕妇检测依从性比较,干预组的临界、高风险孕妇检测实施依从性均高于对照组(χ^(2)=14.449,P<0.001;χ^(2)=4.696,P<0.05);干预组对产前门诊服务质量的满意度高于对照组(χ^(2)=12.736,P<0.05)。结论:关键节点追踪干预可以有效提高唐氏综合征血清学筛查临界、高风险孕妇进一步检测实施依从性和提高孕妇对产前门诊服务质量的满意度。

Objective:To explore the impect of key node tracking intervention on the compliance of the implementation of secondary prevention measures for birth defects of women with critical and high-risk pregnancy in Serological screening for Down syndrome and on the satisfaction of antenatal outpatient service quality.Methods:173 pregnant women who received Down's screening from January to December 2020 were set as the control group by the method of convenient sampling and historical control;From January to December 2021,165 pregnant women who received Down's screening were set as intervention group..The pregnant women in the control group received routine management methods;The intervention group received the key node tracking intervention method.The compliance of antenatal screening and diagnosis technology and the satisfaction of antenatal outpatient service quality were compared between the two groups.Results:The comparison of compliance between the two groups of pregnant women showed that the compliance of borderline and high risk Pregnant women in the intervention Eroup was higher than that in the control group(χ^(2)=14.449,P<0.001;χ^(2)=4.696,P<0.05);The satisfaction of the intervention group with the quality of prenatal outpatient services was higher than that of the control group(χ^(2)=12.736,P<0.05).Conclusion:The key node tacking intervention can efectively improve the compliance of the implementation of further detection of the critical and high risk pregnant women and improve the satisfaction of pregnant women with the quality of antenatal outpatient service.