产前护理门诊对孕产妇健康认知行为依从性的影响

目的探讨提高孕产妇孕产期健康认知行为依从性的健康教育模式。方法观察组100例实行产前护理门诊，采用小讲座、沙龙、技能培训、一对一咨询指导等多形式相结合的方法，对孕产妇根据孕期各阶段特点予以系统的、规范的、连续的、适时的、个体化的咨询和教育指导；同期参加孕妇学校接受常规健康教育100例作为对照组。对比两组孕产妇产前检查次数、孕期体重增加幅度等孕期依从性，临产心理准备、产程检查处置配合、缓解分娩疼痛技巧的应用、社会因素导致的剖宫产率等产时依从性，产褥期合理饮食、卫生、休息与活动等自我护理技巧、母乳喂养知识与技巧、新生儿护理技巧等依从性。结果两组产妇分娩方式、医学指征导致的剖宫产率比较，无统计学意义（P〉0．05）。观察组孕期、产时、产褥期依从性的其他指标明显高于对照组，差异具有统计学意义（P〈0．01）。结论产前护理门诊是一种提高孕产妇自我保健，促进产时、产褥期依从性，保证母婴健康的有效方法。

Outpatient Service of Antepartum Nursing Improves the Compliance to Healthy Cognitive Behaviors in Pregnant Women

Objective To investigate the means for health education to improve the compliance to healthy cognitive behaviors in pregnant women during the peripartum period.Methods Outpatient services of antepartum nursing care were provided to 100 pregnant women by various means such as workshops,saloons,skill training and one-to-one counseling and instructions.According to the characteristics of the different phases of pregnancy,the gravidas were given systematic and specific education with continuous counseling and timely and individualized directions.Meanwhile,another 100 pregnant women attending maternal school regularly for health education served as the control group.The compliance to the healthy cognitive behaviors were evaluated in the two groups during pregnancy,and the frequency of antepartum examination,weight gain during pregnancy,psychological preparation for labor,cooperation during labor,application of pain-relieving measures in labor and the rate of cesarean section due to social factors were compared.The compliance to maintenance of a balanced diet,personal hygiene,adequate puerperium rest and activities,knowledge and skills of breast feeding,and skills of neonatal nursing was also evaluated and compared.Results The two groups did not differ significantly in the delivery modes or in the rates of cesarean section in the presence of medical indications.The former group showed significantly greater compliance than the control group in the antepartum,intrapartum and puerperium periods(P<0.01).Conclusion Outpatient service of antepartum care is an effective means to improve the awareness of self care and promote intrapartum and puerperium compliance of the gravidas,and may help ensure both the maternal and neonatal well-being.