李阿丽

【摘要】 目的：探讨孕产期健康教育对分娩方式与妊娠结局的影响。方法：将笔者所在医院2014年6月-2016年6月接诊的孕产期产妇200例作为研究对象，入选对象有完整临床资料，愿意配合本研究，随机分组，各100例。对照组产妇采取常规护理干预，研究组除了常规护理，还加用系统化的健康教育，对两组产妇分娩方式与分娩结局及患者对护理满意率，以及护理前后焦虑、抑郁评分进行观察记录，并对比分析。结果：研究组总满意率、自然分娩率与孕期保健知识知晓率显著高于对照组，产后出血率、胎儿窘迫率、新生儿窒息率则明显低于对照组，两组比较差异有统计学意义（P<0.05）；两组护理前焦虑、抑郁评分差异无统计学意义（P>0.05），护理后研究组则明显低于对照组（P<0.05）。结论：孕产期加强产妇系统化健康教育，可以提高自然分娩率与患者对护理满意率，同时减少产后出血与胎儿窘迫及新生儿窒息，甚至可以缓解产妇负面情绪，值得借鉴。

【关键词】 孕产期； 健康教育； 分娩方式； 妊娠结局

doi：10.14033/j.cnki.cfmr.2017.27.053 文献标识码 B 文章编号 1674-6805（2017）27-0099-02

Effect of Maternal Health Education on Delivery Mode and Pregnancy Outcome/LI A-li.//Chinese and Foreign Medical Research，2017，15（27）：99-100

【Abstract】 Objective：To explore the effect of maternal health education on delivery mode and pregnancy outcome.Method：200 cases of maternal births from June 2014 to June 2016 were enrolled in this study.All the patients had complete clinical data.They were randomly divided into two groups，100 cases in each group.The control group was treated with routine nursing intervention.In addition to routine nursing，the study group also used systematic health education to observe and record the delivery and delivery outcomes of the two groups and the satisfaction rate of the patients and the anxiety and depression scores before and after nursing.The indexes were comparatively analyzed.Result：The rate of satisfaction，natural delivery and the awareness of health care in the study group were significantly higher than those in the control group（P<0.05）.The rate of postpartum hemorrhage，fetal distress and neonatal asphyxia were significantly lower than those in the control group（P<0.05）.There were no significant differences in anxiety and depression scores between the two groups before treatment（P>0.05），the study group were significantly lower than the control group after treatment（P<0.05）.Conclusion：The maternal health education can improve the rate of natural childbirth and the patients satisfaction rate，while reducing postpartum hemorrhage and fetal distress and neonatal asphyxia，and even alleviate the negative feelings of maternal，it is worth learning.

【Key words】 Maternal age； Health education； Delivery mode； Pregnancy outcome

First-authors address：Xiamen Traditional Chinese Medicine Hospital，Xiamen 361000，China

妊娠期女性有著特殊的机体形态与结构，神经内分泌发生显著变化，随之发生身体与心理变化，造成她们发生焦虑、抑郁及担忧等负面情绪，而这些负面情绪会对妊娠期产妇的生理状态与妊娠结局造成不利影响[1]。传统护理模式重视疾病护理，而忽视人自身的护理服务，也缺乏有效的社会与心理疏导，加上一些孕妇对孕期相关保健知识并不了解，孕产期护理依从性较差。为了进一步探讨孕产期健康教育对分娩方式与妊娠结局的影响，笔者所在医院针对接诊的孕产期产妇200例进行研究，将结果作如下报道。endprint

1 资料与方法

1.1 一般资料

本次研究共有对象200例纳入，入选时间2014年6月-2016年