高校附属医院社区妇女围产期保健服务模式与效果评价
发布时间：2018-07-29 20:42
【摘要】：目的 通过依托高校附属医院实施良好的健康教育路径模式，在其管理的社区对育龄初产妇实施路径式健康教育，以降低孕产妇的剖宫产率，提高母乳喂养率，提升社区护理服务质量，增加孕产妇对社区健康教育工作的满意度。 方法 本研究分为两个步骤，第一步，查阅近几年相关文献、相关书籍、实地走访、咨询妇科、产科专家等方法编制并生成阶段性孕产妇健康教育路径文本，确定具体实施流程。第二步，将在锦州市古塔区敬业社区卫生服务中心建立健康档案且符合纳入标准的140例孕妇定为研究对象，对照组为在2011年9月前在辽宁省锦州市古塔区敬业社区卫生服务中心建立健康档案且符合纳入标准的70例孕妇，干预组为在2011年10月至2012年10月期间建立健康档案且符合纳入标准的70例孕妇。对照组应用传统的健康教育方式，根据健康教育小组成员（未经过高校附属医院培训的不同资历、文化程度，工作经历的护士）的个人经验随机进行，干预组依据健康教育路径文本的内容和时间严格执行。两组研究对象的评价指标包括：保健知识得分、剖宫产率、母乳喂养率、孕产妇对健康教育满意度。评价实施高校附属医院社区妇女围产期保健服务模式对孕产妇的效果及对社区护理服务质量的影响。采用SPSS17.0统计软件对所获得的的资料进行统计分析，计数资料采用2检验，计量资料采用t检验。 结果 1、比较两组研究对象的剖宫产率、母乳喂养率：干预前，两组研究对象的剖宫产意愿、母乳喂养意愿无差异(P＞0.05)；干预后，干预组产妇的剖宫产率明显低于对照组，母乳喂养率明显高于对照组(P＜0.05)。 2、比较两组研究对象健康教育知识评分：孕早、中、晚期及产后各个阶段干预前两组组间比较，两组孕妇保健知识掌握情况无差异(P＞0.05)；各个阶段干预前后保健知识评分差值d比较有差异(P＜0.05)。干预组干预前后有差异（P＜0.05），对照组无差异（P＜0.05）。 3、比较两组研究对象对社区健康教育满意度评分：干预前两组研究对象对社区健康教育满意度评分情况无差异(P＞0.05)；干预前后满意度评分差值d比较，有差异(P＜0.05)。干预组干预前后有差异（P＜0.05），对照组无差异（P＜0.05）。 结论 1、高校附属医院社区妇女围产期保健服务模式可以有效改善孕产妇的剖宫产率和母乳喂喂养率。 2、高校附属医院社区妇女围产期保健服务模式提升了社区护理服务质量。 3、高校附属医院社区妇女围产期保健服务模式提高了孕产妇对社区护理健康教育工作的满意度。
[Abstract]:Objective to reduce the rate of cesarean section and increase the rate of breast-feeding by implementing a good health education path model in the affiliated hospitals of colleges and universities, and implementing the path-type health education in the community managed by the health education route for primiparous women of childbearing age, so as to reduce the cesarean section rate of pregnant women. Improve the quality of community nursing service, increase maternal satisfaction with community health education. Methods the study was divided into two steps. The first step was to review the relevant literature, relevant books, field visits, consulting gynecology, obstetrics experts and other methods to compile and generate the text of the stage maternal health education path. Determine the specific implementation process. In the second step, 140 pregnant women who met the inclusion criteria and set up health records at the dedicated Community Health Service Center in Guta District, Jinzhou City, were selected as the study objects. The control group consisted of 70 pregnant women who had established health records in Guta District, Jinzhou City, Liaoning Province before September 2011 and met the inclusion criteria. The intervention group consisted of 70 pregnant women who had established health files and met the inclusion criteria between October 2011 and October 2012. In the control group, the traditional health education method was used, and the individual experience of the members of the health education group (nurses with different qualifications, education level and work experience without training in the affiliated hospital) was randomly selected. The intervention group was strictly executed according to the content and time of the health education path text. The evaluation indexes of the two groups included: health knowledge score, cesarean section rate, breast-feeding rate and maternal satisfaction with health education. To evaluate the effect of implementing community women's perinatal health service mode on pregnant women and the quality of community nursing service in affiliated hospitals of colleges and universities. The data obtained are analyzed by SPSS17.0 software. The counting data are analyzed by 2 tests and the measurement data by t test. Results 1. The rates of cesarean section and breast-feeding were compared between the two groups: before the intervention, there was no difference in the willingness of cesarean section between the two groups (P > 0.05), and after the intervention, there was no significant difference between the two groups in the willingness of cesarean section and breast-feeding (P > 0.05). The cesarean section rate of the intervention group was significantly lower than that of the control group, and the breast-feeding rate was significantly higher than that of the control group (P < 0.05). There was no difference in the knowledge of health care between the two groups (P > 0.05), and there was significant difference in the scores of health care knowledge between the two groups before and after the intervention (P < 0.05). There was significant difference before and after intervention in the intervention group (P < 0.05), but there was no difference in the control group (P < 0.05). 3. The scores of satisfaction with community health education were compared between the two groups. There was no difference (P > 0.05). The difference of satisfaction score before and after intervention was significant (P < 0.05). There were differences before and after intervention in the intervention group (P < 0.05), but no difference in the control group (P < 0.05). Conclusion 1. The mode of community women's perinatal health service in affiliated hospitals of colleges and universities can effectively improve the cesarean section rate and breast-feeding rate of pregnant and parturient women. 2. Community women's perinatal health clothing in the affiliated hospitals of colleges and universities. The mode of community nursing service improved the quality of community nursing service. 3. The mode of community women's perinatal health service in affiliated hospitals of colleges and universities improved the satisfaction of pregnant and lying-in women to the work of community nursing health education.
【学位授予单位】：辽宁医学院
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R473.1
本文编号：2153957
[Abstract]:Objective to reduce the rate of cesarean section and increase the rate of breast-feeding by implementing a good health education path model in the affiliated hospitals of colleges and universities, and implementing the path-type health education in the community managed by the health education route for primiparous women of childbearing age, so as to reduce the cesarean section rate of pregnant women. Improve the quality of community nursing service, increase maternal satisfaction with community health education. Methods the study was divided into two steps. The first step was to review the relevant literature, relevant books, field visits, consulting gynecology, obstetrics experts and other methods to compile and generate the text of the stage maternal health education path. Determine the specific implementation process. In the second step, 140 pregnant women who met the inclusion criteria and set up health records at the dedicated Community Health Service Center in Guta District, Jinzhou City, were selected as the study objects. The control group consisted of 70 pregnant women who had established health records in Guta District, Jinzhou City, Liaoning Province before September 2011 and met the inclusion criteria. The intervention group consisted of 70 pregnant women who had established health files and met the inclusion criteria between October 2011 and October 2012. In the control group, the traditional health education method was used, and the individual experience of the members of the health education group (nurses with different qualifications, education level and work experience without training in the affiliated hospital) was randomly selected. The intervention group was strictly executed according to the content and time of the health education path text. The evaluation indexes of the two groups included: health knowledge score, cesarean section rate, breast-feeding rate and maternal satisfaction with health education. To evaluate the effect of implementing community women's perinatal health service mode on pregnant women and the quality of community nursing service in affiliated hospitals of colleges and universities. The data obtained are analyzed by SPSS17.0 software. The counting data are analyzed by 2 tests and the measurement data by t test. Results 1. The rates of cesarean section and breast-feeding were compared between the two groups: before the intervention, there was no difference in the willingness of cesarean section between the two groups (P > 0.05), and after the intervention, there was no significant difference between the two groups in the willingness of cesarean section and breast-feeding (P > 0.05). The cesarean section rate of the intervention group was significantly lower than that of the control group, and the breast-feeding rate was significantly higher than that of the control group (P < 0.05). There was no difference in the knowledge of health care between the two groups (P > 0.05), and there was significant difference in the scores of health care knowledge between the two groups before and after the intervention (P < 0.05). There was significant difference before and after intervention in the intervention group (P < 0.05), but there was no difference in the control group (P < 0.05). 3. The scores of satisfaction with community health education were compared between the two groups. There was no difference (P > 0.05). The difference of satisfaction score before and after intervention was significant (P < 0.05). There were differences before and after intervention in the intervention group (P < 0.05), but no difference in the control group (P < 0.05). Conclusion 1. The mode of community women's perinatal health service in affiliated hospitals of colleges and universities can effectively improve the cesarean section rate and breast-feeding rate of pregnant and parturient women. 2. Community women's perinatal health clothing in the affiliated hospitals of colleges and universities. The mode of community nursing service improved the quality of community nursing service. 3. The mode of community women's perinatal health service in affiliated hospitals of colleges and universities improved the satisfaction of pregnant and lying-in women to the work of community nursing health education.
【学位授予单位】：辽宁医学院
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R473.1
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