“四联动”健康教育模式对孕妇自我管理效能的效果研究

孙孝君; 何桂娟; 房佩娣

doi:10.16766/j.cnki.issn.1674-4152.002016

“四联动”健康教育模式对孕妇自我管理效能的效果研究

doi: 10.16766/j.cnki.issn.1674-4152.002016

1.
宁波市鄞州人民医院护理部，浙江宁波 315040
2.
浙江中医药大学护理学院，浙江杭州 310053
3.
宁波市鄞州人民医院产科，浙江宁波 315040

基金项目:

浙江省医药卫生科技计划面上项目 2018KY752

详细信息

通讯作者:
何桂娟，E-mail：sheryhe@163.com

中图分类号: R715.3
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- 文章访问数: 190
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- PDF下载量: 5
- 被引次数: 0
出版历程
- 收稿日期: 2020-07-21
- 网络出版日期: 2022-02-16

Effect of the four-linkage health education model on the self-management efficacy of pregnant women

1.
Nursing Department of Ningbo Yinzhou People's Hospital, Ningbo, Zhejiang 315040, China

摘要

摘要: 目的探讨“四联动”孕产期健康教育模式对孕妇自我效能管理的影响。方法选择2018年11月—2019年8月宁波市鄞州人民医院收入的130例孕妇作为研究对象，采用随机数字表法分成观察组和对照组，每组各65例。对照组采用传统的大班课形式以说教为主的单向传播方式的社区教育，观察组建立一种以“医院-社区-家庭-孕妇”四联动的新健康教育模式，按设计好的培训计划对孕妇实施课程培训。比较2组孕产妇在入组时和培训后的分娩自我效能及母乳喂养自我效能，比较2组初产妇的分娩结局。结果对照组培训前后分娩自我效能自身前后比较，差异无统计学意义(t=1.954，P>0.05);而母乳喂养自我效能自身前后比较，差异有统计学意义(t=135.630，P < 0.001)。观察组培训前后分娩自我效能和母乳喂养自我效能自身前后比较，以及2组干预后组间比较差异均有统计学意义(均P < 0.001)。分娩结局指标显示，观察组的分娩总产程时间和剖宫产率均低于对照组，差异有统计学意义(均P＜0.05)。结论与传统的孕期健康教育模式相比，医院-社区-孕妇-家属“四联动”健康教育模式能使孕妇获得更多专业的孕产期健康教育知识，提高了孕妇参加学习的积极性，提高了孕妇分娩自我效能和母乳喂养自我效能。
- 孕妇 /
- “四联动”教育 /
- 自我管理效能 /
- 分娩
Abstract: Objective To explore the effect of the the new health education model of ' hospital-community-family-pregnant ' four linkages' on improving the efficacy of self-management of pregnant women. Methods A total of 130 pregnant women in Yinzhou People's Hospital of Ningbo City were enrolled in this study from November 2018 to August 2019. They were divided into observation group and control group via the random number table method, with 65 cases in each group. For the control group, the traditional community education in the form of large class and the one-way communication model of preaching was adopted. For the observation group, a new health education model of ' hospital-community-family-pregnant ' four linkages was established. In this new model, the pregnant women underwent a training course according to the designed training plan. The efficacy of self-management of the pregnant women in the two groups in both delivery and breastfeeding were compared at the time of enrolment and after training. The delivery outcomes of primiparas in the two groups were compared. Results In the control group, no significant difference was observed in the efficacy of self-management before and after training (t=1.954, P>0.05). However, a statistically significant difference was found in the efficacy of breastfeeding before and after the training (t=135.630, P < 0.001). The difference in the efficacy of self-management of childbirth and breastfeeding before and after the training between the two groups was statistically significant (all P < 0.001). The total labour duration and caesarean section rate in the observation group were significantly lower than those in the control group (all P < 0.05). Conclusion The The new health education model of ' hospital-community-family-pregnant ' four linkages can provide pregnant women a more comprehensive professional health education knowledge during pregnancy than the traditional health education mode. This new model can enhance the initiative of pregnant women to participate in learning and improve the efficacy of their self-management during childbirth and breastfeeding.
- Pregnant women /
- The new health education model of ' hospital-community-family-pregnant ' four linkages /
- Self-efficacy management /
- Childbirth

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图 1 “四联动”健康教育模式图

下载: 全尺寸图片幻灯片

表 1 2组孕产妇宣教前后自我效能量表得分比较(x±s，分)

组别	例数	分娩自我效能				母乳喂养自我效能
组别	例数	宣教前	宣教后	t值	P值	宣教前	宣教后	t值	P值
观察组	65	95.66±10.02	270.08±27.57	50.362	< 0.001	38.70±2.31	131.45±8.84	79.890	< 0.001
对照组	65	96.27±10.02	99.77±11.37	1.954	0.055	38.86±2.32	91.50±2.54	135.630	< 0.001
t值		0.172	45.691			0.304	34.733
P值		0.864	< 0.001			0.761	< 0.001

下载: 导出CSV

表 2 2组初产妇分娩方式对比[例(%)]

组别	例数	自然分娩	剖宫产
观察组	65	55(84.61)	10(15.39)
对照组	65	43(66.15)	22(33.85)
注：2组分娩方式比较，χ²=4.235，P=0.038。

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