摘要
目的 探讨计划妊娠二胎妇女的孕前保健护理对策,为有针对性地开展和指导计划妊娠二胎妇女的孕前保健护理工作提供借鉴.方法 采用方便抽样法,选取2015年1—10月广州市番禺区妇幼保健计划生育服务中心进行孕前检查的1028名计划妊娠二胎的育龄妇女作为调查对象,按照进入妇幼保健计生中心时间先后顺序将其分为对照组和观察组,其中对照组514名给予常规孕前保健,观察组514名联合护理干预.对所有妇女进行18~24个月的随访,比较两组干预前后孕前优生健康检查相关知识知晓情况,焦虑自评量表和抑郁自评量表评价的心理状态,以及孕前健康体检依从性.结果 观察组优生检查、健康检查、遗传病检查、风险评估等孕前优生健康检查相关知识知晓情况均明显高于对照组,差异有统计学意义（P〈0.05）;两组干预后SDS、SAS评分与干预前比较,差异均有统计学意义（P〈0.05）;干预后观察组SDS、SAS评分明显低于对照组,差异有统计学意义（P〈0.05）;两组干预后依从性均明显提高,与干预前比较差异均有统计学意义（P〈0.05）;干预后观察组依从性明显高于对照组,差异有统计学意义（P〈0.05）.结论 综合护理干预明显提高计划妊娠二胎妇女健康知识知晓情况,对改善孕前妇女心理状态效果满意.
Objective To explore the prenatal care before pregnant for women having plan to get second child, and to provide references for the development and guidance of the nursing work for the second pregnant women.Methods From January to October 2015, 1028 pregnant ages women who had plan to have second child were randomly selected and divided into control group and experimental group according to the order of entry into Maternal and Child Health Care Center. The control group （n=514） received routine pre-pregnancy care, while the experimental group （n=514） were given combined nursing intervention. All the women were followed up for 18 to 24 months. The results of the two groups before and after the intervention were analyzed in preconception eugenic health examination related knowledge of the situation. Self-Rating Anxiety Scale （SAS） and Self-Rating Depression Scale （SDS） were used to evaluate the mental state and the compliance of pre-pregnancy health examination were compared.Results Compared with the control group, the knowledge of prenatal health examination was significantly higher in the experimental group than that in the control group, as well as health examination, inherited diseases, risk assessment, and pregnant related health knowledge （P〈0.05）. After the intervention, the scores of the two groups were significantly lower than that before intervention in SDS and SAS, and the difference was statistically significant （P〈0.05）; after intervention, SDS, SAS and other psychological scores in the experimental group were significantly lower than those of the control group, and the differences were statistically significant （P〈0.05）. The compliance of the experimental group after intervention was significantly higher than that of the control group （P〈0.05）.Conclusions Nursing intervention can significantly improve the health knowledge of women having second child plan, and the awareness rate is improved after intervention. The effect of nursing intervention on improving the psychological status of pregnant women is satisfactory.
作者
温小鲜
陈晓梅
梁建文
赵如青
陈惠初
陈莲芬
Wen Xiaoxian Chen Xiaomei Liang Jianwen Zhao Ruqing Chen Huichu Chen Lianfen(Guangzhou Maternal and Child Health Care Family Planning Service Center, Panyu District, Guangzhou 511400, China Pharmacy Department, the Second People＇s Hospital, Panyu District, Guangzhou 511430, China)
出处
《中华现代护理杂志》
2017年第20期2604-2608,共5页
Chinese Journal of Modern Nursing
基金
广东省人口和计划生育委员会科研项目（20132040）
关键词
妇女卫生保健服务
健康教育
二胎
护理干预
健康知识、态度、实践
Women＇s health care services
Health education
Second children
Nursing intervention
Health knowledge,attitude,practice
