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目的:评价电话督导对高危孕妇复诊的依从性及妊娠结局的影响。方法:产科门诊根据本市制定的高危评分标准进行高危筛查评分,随机将佛山市高明区人民医院2014年6月1日至2015年5月30日在本院高危门诊筛查出的高危孕妇按高危号顺序抽出200例高危孕妇按常规实施高危管理编为常规组。2015年6月1日至2016年6月30日的高危孕妇按高危号顺序抽出200例高危妊娠孕妇在此基础上配合电话督导复诊编为干预组。结果:两组孕妇经电话督导随访后对孕期保健相关知识的掌握情况存在明显差别,观察组掌握情况优于对照组,差异具有统计学意义(P<0.05);通过对随访孕妇的信息进行汇总后得知干预组孕妇在复诊中的依从性明显好于对照组,差异具有统计学意义(P<0.05);两组孕妇分娩后的随访,观察两组高危孕妇产科质量指标的情况,干预组产科质量指标优于对照组,差异具有统计学意义(P<0.05)。干预组围生期母婴并发症发生率明显下降。结论:专人专职的孕期保健管理和个性化健康教育指导可明显提高孕妇定期产前检查的依从性,对降低围生期母婴并发症的发生率及保障母婴安全意义重大。
OBJECTIVE: To evaluate the effect of telephone supervision on adherence to follow-up of high-risk pregnancies and pregnancy outcome. Methods: Obstetric outpatients were screened for high-risk screening according to the high-risk score standards set by this Municipality. The high-risk pregnant women who were screened by Gaoming District People’s Hospital of Foshan from June 1, 2014 to May 30, 2015 in our hospital were randomly selected. According to the order of high-risk numbers out of 200 cases of high-risk pregnant women according to the routine implementation of high-risk management as the conventional group. High-risk pregnant women from June 1, 2015 to June 30, 2016 were drawn 200 high-risk pregnant women according to the order of high-risk numbers. On the basis of this, they cooperated with the telephone supervision and referral clinic as the intervention group. Results: There was a significant difference between the two groups in grasping the health-related knowledge during pregnancy after telephone follow-up. The grasping situation in the observation group was better than that in the control group (P <0.05). The information of the follow-up pregnant women was summarized Obviously, the compliance of pregnant women in the intervention group was significantly better than that of the control group (P <0.05). The follow-up of pregnant women after delivery was observed, and the quality of obstetrics of the two groups were observed. The intervention group Obstetric quality indicators better than the control group, the difference was statistically significant (P <0.05). The incidence of perinatal maternal and infant complications in the intervention group decreased significantly. CONCLUSIONS: Dedicated full-time pregnancy health management and personalized health education guidance can significantly improve the compliance of pregnant women with regular antenatal examinations, which is of great significance in reducing the incidence of perinatal maternal and infant complications and ensuring the safety of mother and infant.