微信平台集中管理在高危孕产妇管理中的价值研究-现代医学

微信平台集中管理在高危孕产妇管理中的价值研究

单位：广元市妇幼保健计划生育服务中心, 四川广元 628000

分类号：R473.71

出版年·卷·期（页码）：2018·46·第十一期（1297-1300）

摘要：

目的：探讨微信平台集中管理在高危孕产妇管理中的价值。方法：选取本中心2016年8月至2017年10月收治的94例高危孕产妇作为研究对象，采取随机双盲法将所有产妇分为观察组与对照组，每组47例。对照组实施常规干预，观察组在常规干预基础上实施微信平台集中管理，对比两组孕产妇孕期保健知识掌握情况、孕检及复诊依从性、干预前后焦虑自评量表（SAS）及抑郁自评量表（SDS）评分、产妇分娩情况。结果：观察组孕产妇孕期保健知识掌握率为97.87%，高于对照组的85.11%（P<0.05）。观察组孕检及复诊依从率为100%，高于对照组的89.36%（P<0.05）。干预后两组患者SAS及SDS评分明显改善（P<0.05），观察组优于对照组（P<0.05）。两组产妇均未见死亡，母婴平安，观察组产妇自然分娩率为89.36%，高于对照组的57.45%（P<0.05）。结论：微信平台集中管理在高危孕产妇中应用价值极高，可提高孕产妇孕期保健知识掌握率及孕检、复诊依从率，改善孕妇心理状态，提高自然分娩率，值得临床推广。

Objective:To explore the value of centralized management on WeChat platform in high-risk maternal management. Methods:94 high-risk pregnant women admitted to our center from August 2016 to October 2017 were selected as subjects. All parturients were divided into the observation group and the control group by random double-blind method. The control group (47 cases) was routinely intervented, and the observation group (47 cases) was intensively managed on WeChat platform.The maternal health knowledge during pregnancy, the compliance with pregnancy test and reexamination, self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores, and maternal delivery were compared before and after the intervention. Results:The prevalence of maternal health knowledge in the observation group was 97.87%, which was higher than 85.11% in the control group(P<0.05). The compliance rate of pregnancy test and reexamination was 100%, which was higher than 89.36% in the control group (P<0.05). SAS and SDS scores of the two groups were poor before the intervention. After the intervention, the scores of each groups improved and the observation group was superior to the control group(P<0.05). At the time of delivery, no deaths were observed in the two groups of parturients, and the maternal women and children were safe. The natural delivery rate of the maternal women in the observation group was 89.36%, which was higher than 57.45% in the control group (P<0.05). Conclusion:The centralized management on WeChat platform is extremely valuable in high-risk maternal women in improving the maternal health knowledge and the compliance rates of pregnancy test and reexamination, as well as their psychological state, and the natural delivery rate, which is worthy of clinical application.

参考文献：

[1] 田丹,李蕊,许琳妍,等.高危孕产妇下肢深静脉血栓形成的预防和护理[J].中国病案,2017,18(7):108-112.
[2] 林小婷,饶晓珍,廖宝珊,等.孕产妇院内感染危险因素分析[J].海南医学,2015,11(16):2470-2471.
[3] 路潞,樊雅静,王丹,等.护理干预对妊娠合并甲状腺功能减退症病人妊娠结局的影响[J].护理研究,2015,29(8c):3060-3061.
[4] 侯金凤,胡周俊.高危妊娠孕产妇752例住院分娩情况分析[J].山西医药杂志,2016,45(22):2714-2716.
[5] 杨素芬,杨苗苗,何丽莲,等.1506例高危妊娠孕产妇住院分娩情况分析[J].检验医学与临床,2017,14(4):547-549.
[6] 颜雪梅,金明华,刘智昱,等.孕产妇心脏骤停的临床研究[J].中国现代医学杂志,2015,25(14):63-66.
[7] 何汝冰,姚凤媚,罗淑贞,等.循证护理对高危产妇产后抑郁症的干预效果[J].国际护理学杂志,2015,34(4):484-486.
[8] 张晗英,魏卫红,徐晓波,等.畸胎妊娠引产孕产妇的心理分析及心理护理干预探讨[J].中西医结合护理(中英文),2016,2(6):57-59.
[9] 曹慧,吴菊芬,訾涔,等.护理质量指标建立和改进在降低产后出血率中的作用[J].中西医结合护理(中英文),2016,2(10):127-129.
[10] 施伟慧,朱晓萍,王玲,等.国外助产士留职意愿的研究进展及对我国的启示[J].中国医药导报,2017,14(15):51-54.
[11] 曾庆兰,刘立波,胡启梅,等.基于知信行模式的音视频健康教育对妊娠结局的影响[J].中国妇幼健康研究,2016,27(6):763-764,783.
[12] 李炫,黄美凌,梁丽霞,等.围生期下肢静脉血栓栓塞症的临床分析和护理[J].护士进修杂志,2016,8(4):340-341.
[13] 梁丽霞,李映桃,王艳,等.妊娠期下肢深静脉血栓栓塞的临床护理[J].护理实践与研究,2016,13(6):70-72.
[14] 胡春眉,吴玲梅,佘燕萍,等.孕产妇信息管理系统对孕产检依从性的影响[J].护理实践与研究,2016,13(9):56-57.
[15] 刘珊珊,刘均娥.北京地区孕妇分娩恐惧现状及影响因素分析[J].中华现代护理杂志,2015,21(9):997-1000.
[16] 韩利红,杨帅,陈云,等.重症孕产妇救治中心207例高危急值患者的危急值分析[J].护理实践与研究,2017,14(2):107-108.
[17] 何蓉.在围生期进行综合护理对预防下肢深静脉血栓形成的价值[J].血栓与止血学,2017,23(4):665-666,669.
[18] 李雪.综合护理对高危妊娠孕产妇阴道分娩产后出血的效果观察[J].中国现代药物应用,2017,11(15):170-171.
[19] 王艳芝.高危妊娠孕妇产前护理需求与护理干预研究[J].当代护士(下旬刊),2016,11(12):76-77.
[20] 黄琴,郑雯珏.基于微信平台的互联网模式与传统随访电话模式进行高危孕产妇健康管理的效果比较及分析[J].医药前沿,2017,7(25):359-360.

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