| 优化高危妊娠管理模式初探 |
| |
| 引用本文： | 董晓超,秦敏,杜莉,朱丽萍.优化高危妊娠管理模式初探[J].中国妇幼保健,2010,25(15). |
| |
| 作者姓名： | 董晓超 秦敏 杜莉 朱丽萍 |
| |
| 作者单位： | 上海市妇女保健所,同济大学附属第一妇婴保健院,上海,200040 |
| |
| 基金项目： | 卫生部社区孕产妇保健适宜技术规范推广的研究，上海市公共卫生体系建设新三年行动计划 |
| |
| 摘 要： | 目的:探讨新的高危妊娠管理模式,提高对孕期重点人群的保健质量,进一步降低孕产妇死亡率。方法:从高危筛查、转诊、确诊、随访等管理环节对上海市现行的高危妊娠管理模式进行修订,设计新的重点孕妇管理方案,并在全市各区(县)试点,通过新方案实施前后(2008年4～9月与2009年4～9月)的高危妊娠管理成效对比,评估该方案的优越性。结果:新方案实施后,高危筛查的疾病阳性预测值从28.17%提高到45.83%(P0.01);转诊单回收率从49.58%增加到71.77%(P0.01),转诊周期从(31.75±9.57)天缩短到(14.56±3.97)天(P0.01);随访落实率从63.14%提高到77.40%(P0.01),失访率从7.63%下降到2.88%(P0.05);全市共确诊重点孕妇841人,确诊不宜继续妊娠孕妇9人并已安全终止妊娠;新方案的实施者(医务人员)与接受者(孕妇)对该方案的各项工作给予了肯定与好评。结论:新的重点孕妇管理方案提高了疾病筛查效果,使转诊与随访更加及时、落实,此方案的不断完善终将形成一个更加优化的高危妊娠管理模式。
|
| 关 键 词： | 高危妊娠 重点孕妇 管理模式 优化 |
Preliminary exploration on optimized management model for high risk pregnancy |
| |
| Institution: | DONG Xiao-Chao,Qin Min,DU Li et al.Shanghai Women's Health Institute·The First Maternity and Infant Health Hospital Affiliated to Tongji University,Shanghai 200040,China |
| |
| Abstract: | Objective:To explore a new management model for high risk pregnancy so as to improve the quality of health care for target population and further reduce maternal mortality.Methods:A new management scheme for key pregnant women with high risk diseases,involving disease screening,referral,confirmed diagnosis and follow-up visits,was designed to replace the traditional management model for high risk pregnancy,which was applied to some pilot study areas in every administrative district in Shanghai.The effects o... |
| |
| Keywords: | High risk pregnancy Key pregnant women Management model Optimization |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
|
