初产妇经基于“互联网+运动管理”的综合护理对预后状态及围产结局的作用

摘要/Abstract

摘要： 目的研究基于“互联网+运动管理”的综合护理对初产妇预后状态及围产结局的作用。方法将2020年10月~2021年2月于广东省深圳市福田区妇幼保健院产科进行分娩的225例初产妇纳入研究,以电脑随机数表法分为互联网组112例和常规组113例。常规组开展常规护理干预,互联网组于常规组的基础之上增用基于“互联网+运动管理”的综合护理干预。分析两组产程时间以及产后出血量,体质量变化情况,分娩结局以及新生儿出生情况方面的差异。结果互联网组第一产程及第二产程时间均短于常规组,且产后出血量少于常规组（均P<0.05）。互联网组干预后体质量变化均低于常规组（P<0.05）。互联网组阴道顺产人数占比高于常规组,而剖宫产人数占比低于常规组（均P<0.05）。互联网组低出生体重儿及巨大儿发生率均低于常规组（均P<0.05）。两组新生儿窒息的发生率比较,差异无统计学意义（P>0.05）。结论基于“互联网+运动管理”的综合护理可明显提高阴道顺产率,缩短产程,减少产后出血量,同时有效控制孕期体质量,降低低出生体重儿及巨大儿发生风险。

关键词: 初产妇, 互联网, 运动管理, 预后状态, 围产结局

Abstract: Objective To study the effect of comprehensive nursing based on “Internet+Exercise Management” on the prognosis and perinatal outcome of primipara. Methods A total of 225 primiparas who gave birth in Futian District Maternal and Child Health Hospital, Shenzhen City, Guangdong Province from October 2020 to February 2021 were included in the study. They were divided into Internet group (112 cases) and routine group (113 cases) by computer random number table. The routine group carried out routine nursing intervention, while the Internet group added comprehensive nursing intervention based on “Internet+Exercise management” on the basis of routine group. The differences in labor time, postpartum hemorrhage, weight change, delivery outcome and newborn birth between the two groups were analyzed. Results The time of the first and second stages of labor in the Internet group was shorter than that in the conventional group, and the amount of postpartum hemorrhage was less than that in the conventional group (all P<0.05). After intervention, the changes of body weight in Internet group were lower than those in routine group (P<0.05). The proportion of vaginal spontaneous delivery in Internet group was higher than that in conventional group, while the proportion of cesarean section was lower than that in conventional group (all P<0.05). The incidence of low birth weight and macrosomia in Internet group was lower than that in conventional group (all P<0.05). There was no significant difference in the incidence of neonatal asphyxia between the two groups (P>0.05). Conclusion Comprehensive nursing based on “Internet+Exercise Management” can obviously improve the vaginal spontaneous delivery rate, shorten the labor process, reduce the amount of postpartum hemorrhage, effectively control the weight during pregnancy, and reduce the risk of low birth weight infants and macrosomia.

Key words: primipara, internet, exercise management, prognostic status, perinatal outcome

中图分类号:

R473

温雪恒, 刘萍, 陈晓玲, 黄爱梅, 潘茹丹. 初产妇经基于“互联网+运动管理”的综合护理对预后状态及围产结局的作用[J]. 中华养生保健, 2022, 40(12): 27-30.

WEN Xue-heng, LIU Ping, CHEN Xiao-lin, HUANG Ai-mei, PAN Ru-dan. Effect of Comprehensive Nursing Based on “Internet + Exercise Management” on Prognosis and Perinatal Outcome of Primipara[J]. ZHONGHUA YANGSHENG BAOJIAN, 2022, 40(12): 27-30.

参考文献

[1] 王鑫,王秀梅,王芳,等.产程中不同体位与运动对分娩结局的影响[J].蚌埠医学院学报,2020,45(1):131-133.
[2] 赵海艳,于雪娟,董慧,等.自由体位助产联合分娩球运动在初产妇足月分娩中的应用价值[J].河北医药,2019,41(22):3518-3520.
[3] 张秋娥,刘春兰.家庭-社会支持结合情志相胜心理干预对产后抑郁初产妇身心健康的影响[J].检验医学与临床,2019,16(4):545-548.
[4] 刘文娟,宋明芬,王伟,等.重复经颅磁刺激联合舍曲林对产后抑郁症患者抑郁症状及外周血相关miR表达的影响[J].中华全科医学,2021,19(3):441-445.
[5] 冯雅慧,湛永乐,吴散散,等.初产妇和经产妇孕早期体力活动的调查研究[J].中国生育健康杂志,2020,31(6):512-516.
[6] 陈春芳,黄奕,金乙红,等.孕期凯格尔运动在产妇分娩中对减轻产后膀胱功能障碍的作用分析[J].中国妇幼保健,2020,35(3):421-423.
[7] 林岸芸,于红静,武彦,等.应用分娩球运动纠正胎儿臀先露及改善分娩结局[J].实用医学杂志,2020,36(3):406-409.
[8] 吴晓蕾,张月珍,戴亚端,等.早产初产妇互联网+医院—社区—家庭联动延续管理研究[J].护理学杂志,2021,36(4):86-90.
[9] 赵蔚,唐萍,顾翼洋,等.互联网医疗对孕期保健利用和不良妊娠结局的影响[J].中国妇幼保健,2020,35(23):4402-4405.
[10] 张晓霞. 基于微信平台的延续护理在初产妇产褥期中的应用效果分析[J].中国药物与临床,2019,19(10):1762-1764.
[11] 刘黔霖,马星卫.孕期“快乐孕育”课程对孕妇分娩结局的影响探讨[J].贵州医药,2019,43(5):839-840.
[12] 彭检妹,谭云欢,黄仉红,等.孕期运动对初产妇分娩结局的影响[J].中国妇幼保健,2021,36(3):502-505.
[13] 何莹,朱玮,李红,等.基于自我效能理论的孕晚期运动方案对妊娠期糖尿病患者产后盆底功能恢复的效果评价[J].解放军护理杂志,2021,38(1):29-32.
[14] 黄新妹. 孕晚期分娩球运动锻炼对产程及分娩结局的影响[J].蚌埠医学院学报,2017,42(4):540-542.
[15] 马梅英,王丽萍,程蔚蔚,等.孕妇体操对分娩结局和孕产妇心理健康的影响[J].中国妇幼保健,2009,24(29):4094-4096.
[16] Adjei C A, Atibila F, Apiribu F, et al.Hepatitis B Infection among Parturient Women in Peri-Urban Ghana[J].Am J Trop Med Hyg,2018,99(6): 1469-1474.
[17] Noh J W, Kim Y M, Akram N, et al.Determinants of timeliness in early childhood vaccination among mothers with vaccination cards in Sindh province, Pakistan: a secondary analysis of cross-sectional survey data[J].BMJ Open,2019,9(9):28922-28923.
[18] Nakamura Y, Okada T, Morikawa M, et al.Perinatal depression and anxiety of primipara is higher than that of multipara in Japanese women[J].Sci Rep,2020,10(1):17060-17061.