产前角色转变健康模拟指导在孕期中的临床应用

目的 探讨产前角色转变健康模拟指导在孕期中的临床应用效果。方法 选取2021年1月至2021年12月赣州市妇幼保健院产科接收的初产妇200例，采用随机数字表法分为对照组（n=100）和观察组（n=100），对照组予常规孕期指导，观察组采用产前角色转变健康模拟指导干预，采用汉密尔顿焦虑量表（Hamilton anxiety scale，HAMA）、汉密尔顿抑郁量表（Hamilton depression scale，HAMD）评价产妇的负性情绪状态，采用母亲角色适应调查问卷评价其角色适应状态，并调查产妇产后照护能力。结果 干预后，两组HAMA、HAMD评分较干预前均降低，且观察组HAMA、HAMD评分均低于对照组，差异均有统计学意义（P<0.05），同时，两组角色认同、亲子哺育照顾行为评分均上升，且观察组的评分均高于对照组，差异均有统计学意义（P<0.05）。观察组母乳喂养、更换纸尿裤、脐部护理合格率均高于对照组，差异均有统计学意义（P<0.05）。结论 在孕期采用产前角色转变健康模拟指导方案有助于改善产妇的负情绪状态，能够提高其角色适应能力以及产后照护能力，值得推广。

Clinical application of health simulation guidance for prenatal role change in pregnancy

Objective To explore the clinical effect of health simulation guidance for prenatal role change in pregnancy. Methods A total of 200 primiparous women admitted to the obstetrics department of Ganzhou Maternal and Child Health Hospital from January 2021 to December 2021 were selected and divided into the control group (n=100) and the observation group (n=100) according to the random number table method, with the control group receiving conventional pregnancy guidance and the observation group using antenatal role change health simulation guidance intervention. In the control group, the mother''s negative emotional state was assessed using the Hamilton anxiety scale (HAMA) and the Hamilton depression scale (HAMD), and her role adjustment status was assessed using the maternal role adjustment questionnaire. Results After the intervention, the HAMA and HAMD scores decreased in both groups compared to the pre-intervention period, and the HAMA and HAMD scores in the observation group were lower than those in the control group, and the difference was statistically significant (P<0.05). Meanwhile, the scores of role identification and parent-child nursing care behaviours increased in both groups, and the scores in the observation group were higher than those in the control group, and the difference was statistically significant (P<0.05). The rates of breastfeeding, nappy changing and umbilical care passed in the observation group were all higher than those in the control group, and all differences were statistically significant (P<0.05). Conclusion The use of antenatal role-transformation health simulation programmes during pregnancy can help to improve negative emotional states and enhance role adaptation and postnatal care.