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目的:探讨创立社区卫生孕前保健常态化管理模式,提高孕产妇生活质量,降低母婴并发症。方法:利用属地卫生保健专业卫技人员结合社区居委公干、义工、慈善关爱团队等机构人员对社区育龄妇女建档、复档“一对一”入户调研孕前保健,孕产妇咨询、体检、服务和关爱、问卷调查,对有生育要求的310例育龄妇女进行社区定期围产保健监测和孕期营养指导咨询,追踪服务至产后,同期设立对照组310例,比较产后结局。本组育龄妇女孕前保健至产后,追踪2年,均在社区内完成。结果:2组产后24 h出血量、阴道分娩例数、剖宫产例数、新生儿出生体重、妊娠糖尿病例数、产褥期感染例数的差异有统计学意义(均P<0.05);两组孕妇女生活质量评定显示,生活质量整体评价、健康状况整体评价、生活领域评价、自我评价总分等方面研究组均优于对照组(P<0.05)。结论:创立社区卫生孕前保健常态化管理模式,可以提高围产期管理水平,降低母婴并发症。
Objective: To explore the establishment of community health pre-pregnancy health management model to improve the quality of life of pregnant women, reduce maternal and child complications. Methods: The local health care professionals and health workers combined with the community committees to work, volunteers, charity care team and other agencies to build community-level women of childbearing age, complex files “one to one ” home survey of pre-pregnancy health, maternal counseling, Physical examination, service and care, questionnaire survey were conducted on 310 women of childbearing age who had childbearing requirements. Perinatal health monitoring and nutrition counseling and follow-up services were conducted during the period of postnatal care. During the same period, 310 cases of control group were set up to compare postpartum outcomes. The women of childbearing age during pregnancy to prenatal care, follow-up 2 years, are completed in the community. Results: The blood loss, vaginal delivery number, cesarean section number, newborn birth weight, gestational diabetes mellitus and puerperal infection cases in two groups were statistically significant (all P <0.05) Pregnancy women’s quality of life assessment showed that the overall quality of life evaluation, the overall evaluation of health status, life field evaluation, self-evaluation scores and other aspects of the study group were better than the control group (P <0.05). Conclusion: The establishment of community health pre-pregnancy health management model can improve perinatal management and reduce maternal and child complications.