基于行为转变理论模型的健康教育对孕妇体质量管理及妊娠结局的影响

目的 探究基于行为转变理论模式的健康教育对孕妇体质量管理及妊娠结局的影响。 方法 选取2012年8月—2015年7月无锡市第九人民医院收治的84例孕妇采用随机数字表法分为研究组和对照组,每组各42例。其中对照组开展常规护理,研究组则在对照组基础上引入基于行为转变理论模型的健康宣教。记录2组孕妇在干预前及干预后第10周所处的具体行为转变阶段,比较2组孕妇的妊娠结局及体质量控制合格率。 结果 研究组孕妇妊娠期体质量控制合格率为78.6%(33/42),高于对照组的50.0%(21/42),差异有统计学意义(P<0.05)。2组孕妇在干预前的各行为转变阶段所占比例差异无统计学意义(P>0.05);干预后,研究组孕妇处于行动期及保持期的比例分别为23.8%(10/42)和31.0%(13/42),均高于对照组的14.3%(6/42)和11.9%(5/42),差异有统计学意义(P<0.05)。研究组自然分娩率、正常儿率均高于对照组,差异有统计学意义(P<0.05),而剖宫产率及巨大儿率均小于对照组,差异有统计学意义(P<0.05)。 结论 基于行为转变理论模型的健康教育策略应用于孕妇,能帮助孕妇建立正确及健康的行为方式,且能提高孕妇体质量管理的合格率,并能改善妊娠结局。 

Effect of health education based on the model of behavioral change theory on quality management of pregnant women and pregnancy outcome

Objective To explore the effect of health education based on the model of behavioral change theory on the quality management and pregnancy outcome of pregnant women. Methods Eighty-four cases of pregnant women who were treated in our hospital from August, 2012 to July, 2015 were randomly divided into study group and control group, 42 cases in each group. The control group carried out routine nursing intervention, while the research group introduced the health education based on the model of behavioral change theory on the basis of the control group. Two groups of pregnant women before and after intervention were recorded in the tenth week for the specific behavior of the transition phase, comparing pregnancy outcome and body quality control between the two groups. Results In the study group, the qualified rate of body mass during the pregnancy was 78. 6% (33/42), higher than the control group which is 50. 0% (21/42), and the difference was statistically significant (P < 0. 05). There was no significant difference between the two groups before and after intervention (P > 0. 05); the proportion of pregnant women in the period of operation and maintenance period was23. 8% (10/42) and 31% (13/42), respectively, 14. 3% (6/42) and 11. 9% (5/42), thus the difference was statistically significant (P < 0. 05). The natural labor rate and normal children in the study group were significantly higher than those in the control group, and the difference was statistically significant (P < 0. 05), and the rate of cesarean section and the rate of birth rate were significantly lower than those in the control group, and the difference was statistically significant (P < 0. 05). Conclusion Applying health education strategy based on behavioral change theory to pregnant women can help to establish correct and healthy behavior, and can improve the qualified rate of body mass of pregnant women, and can improve the pregnancy outcome.