梁进锦 许秀兰 朱彩霞 何凤喜

【摘要】 目的：评价产前护理门诊在孕产妇中的应用价值，探究其对孕产妇孕产期健康认知与行为依从性的影响。方法：选择2017年11月-2018年7月于笔者所在医院妇产科建立档案的孕产妇150例为研究对象，采用随机数字表法将孕产妇分为对照组75例与观察组75例，对照组开展常规护理，观察组开展产前护理门诊，对比两组孕产妇健康认知情况及行为依从性。结果：护理前，两组孕产妇健康认知度及认知得分比较，差异均无统计学意义（P>0.05）;护理后，观察组孕产妇健康认知度及认知得分均明显优于对照组，差异均有统计学意义（P<0.05）;护理后，观察者孕产妇行为总依从率优于对照组，差异有统计学意义（P<0.05）。结论：产前护理门诊对孕产妇孕产期健康认知有显著提升作用，且能够影响孕产妇相关行为依从性，值得临床推广应用。.

【关键词】 产前护理门诊 孕产妇 健康认知 行为依从性 预防 保健

doi：10.14033/j.cnki.cfmr.2019.28.035 文献标识码 B 文章编号 1674-6805（2019）28-00-03

Influence of Prenatal Care Clinic on Maternal Health Cognition and Behavior Compliance during Pregnancy and Delivery/LIANG Jinjin， XU Xiulan， ZHU Caixia， HE Fengxi. //Chinese and Foreign Medical Research， 2019， 17（28）： -87

[Abstract] Objective： To evaluate the application value of prenatal care clinic in pregnant and parturient women and explore its influence on maternal health cognition and behavioral compliance during pregnancy and parturient. Method： A total of 150 cases of pregnant women who established archives in the department of gynaecology and obstetrics of our hospital from November 2017 to July 2018 were selected as the research objects. The pregnant women were divided into 75 cases in the control group and 75 cases in observation group by random number table method. Result： Before nursing， there were no significant difference in maternal health cognition degree and cognitive score between two groups （P>0.05）. After nursing， maternal health cognition degree and cognitive score in the observation group were significantly better than those in the control group， the differences were statistically significant （P<0.05）. After nursing， the total behavioral compliance rate in the observation group was significantly better than than of the control group， the difference was statistically significant （P<0.05）. Conclusion： Prenatal care clinic can significantly improve maternal health cognition during pregnancy and childbirth， and can affect maternal behavior compliance， which is worthy of clinical application.

[Key words] Prenatal care clinic Pregnant and parturient women Health cognition Behavioral compliance Prevention Care

First-authors address： Yangjiang Maternal and Child Health Hospital， Yangjiang 529500， China

隨着我国二胎政策的日益完善，育龄段孕产妇人数相对有所提升，随之对产前护理要求也日益提升。现代产科护理主要目标在于维持健康、健康教育与自我护理方面，不但要求产科护理人员为孕产妇及其家庭提供相关维持健康、促进健康、预防疾病等方面知识外[1-2]，还需要提供具体措施指导，增加孕产妇自我护理能力。为此，笔者所在医院特开设产前护理门诊，探究其对孕产妇产期健康认知与行为依从性方面的影响，为孕产妇孕产期健康维持与提升提供数据支持。

1 资料与方法

1.1 一般资料

选择2017年11月-2018年7月于笔者所在医院妇产科建立档案的孕产妇150例为研究对象，纳入标准：（1）经影像学、hCG检查确诊为孕妇及待产妇;（2）临床资料完整;（3）未合并严重精神疾病，可有效交流沟通。排除……