摘要
目的探讨基于微信小程序的个体化、全程护理干预对孕妇孕期体重增长及分娩结局的影响。方法选取2019年7月~2019年10月在北京大学首钢医院建档分娩的产妇114例作为对照组,2021年1月~2021年4月在北京大学首钢医院建档分娩的产妇114例作为观察组。对照组给予常规门诊指导;观察组除常规门诊指导外,应用微信小程序进行体重管理。对比2组孕妇体重增长情况、体重增长异常率、阴道分娩侧切率、产程中转剖宫产率、妊娠期糖尿病发生率、巨大儿发生率、产妇出院满意度等。结果观察组孕妇孕期增重(12.906±3.779)kg,新生儿体重(3336.67±352.021)g;对照组孕妇孕期增重(15.547±4.973)kg,新生儿体重(3419.56±433.711)g,差异有统计学意义(P<0.05)。观察组孕期增重异常率、阴道分娩侧切率、产程中转剖宫产率、妊娠期糖尿病发生率、巨大儿发生率、新生儿低血糖发生率均下降,差异有统计学意义(P<0.05)。产妇出院满意度提高,差异有统计学意义(P<0.05)。结论基于微信小程序的个体化、全程护理干预能有效降低孕妇体重异常增重率、阴道分娩侧切率、产程中转剖宫产率、妊娠期糖尿病发生率、巨大儿发生率及新生儿低血糖发生率,有效改善母婴分娩结局;在一定程度上提高了产妇出院满意度,增加产妇及家属分娩体验感,值得其他助产机构推广。
Objective To explore the effects of individualized whole-course nursing intervention based on WeChat mini program on pregnancy weight gain and delivery outcome.Methods A total of 114 women who gave birth at Peking University Shougang Hospital from July 2019 to October 2019 were selected as a control group,and 114 women who gave birth at the same hospital from January 2021 to April 2021 were selected as an observation group.The control group was given routine outpatient guidance.In addition to routine outpatient guidance,the observation group applied WeChat mini program for weight management.The weight gain,abnormal weight gain rate,lateral resection rate of vaginal delivery,cesarean section rate during labor,gestational diabetes rate,macrosomia rate,maternal discharge satisfaction rate,and so on were compared between the two groups.Results The pregnant women in the observation group gained 12.906±3.779 kg during pregnancy and the newborn weight was 3336.67±352.021 g.The pregnant women in the control group gained 15.547±4.973 kg during pregnancy and the newborn weight was 3419.56±433.711 g.The difference in the pregnancy weight gain and newborn weight was statistically significant between the two groups(P<0.05).Compared with the control group,In the observation group,the abnormal rate of weight gain during pregnancy,the rate of lateral resection of vaginal delivery,the rate of cesarean section during labor,the incidence of gestational diabetes,the incidence of macrosomia,and the incidence of neonatal hypoglycemia all decreased significantly in the observation group(P<0.05),while maternal discharge satisfaction was increased significantly(P<0.05).Conclusion Individualized whole-course nursing intervention based on WeChat mini program can effectively reduce the rate of abnormal weight gain of pregnant women,the rate of lateral resection of vaginal delivery,the rate of cesarean section during labor,and the incidence of gestational diabetes,macrosomia,and neonatal hypoglycemia,and effectively improve maternal and infant delivery outcomes.To some extent,it improves the degree of satisfaction of the puerpera after discharge,and increases the sense of childbirth experience of the puerpera and their family.
作者
刘雪云
范颖
姚爱军
张胜苗
吕亚妮
张冰清
张晓宇
刘恒
Liu Xueyun;Fan Ying;Yao Aijun;Zhang Shengmiao;Lv Yani;Zhang Bingqing;Zhang Xiaoyu;Liu Heng(Department of Obstetrics,Shougang Hospital,Peking University,Beijing 100144,China)
出处
《中华临床医师杂志（电子版）》
CAS
北大核心
2023年第4期455-460,共6页
Chinese Journal of Clinicians(Electronic Edition)
关键词
孕妇
体重增长
微信小程序
护理
体重管理
Pregnant women
Weight gain
WeChat mini program
Nursing
Weight management
作者简介
通信作者:范颖,Email:zhaoyingmin-0502@163.com
