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中文摘要: 目的 研究综合教育模式在流动人口孕产妇营养指导中的作用，在综合教育模式的背景下结合各种有利方式，对孕产妇有利宣传教育方式，寻找出了一种更加适合，更加便利，更加经济的教育方式。方法 选取2018年6月—2019年6月我院进行孕检和分娩的外地人口200例作为研究对象，随机表法分为综合模式健康教育组和传统孕妇学校对照组。综合教育组选取参与研究的孕产妇对其进行综合模式健康教育进行孕产妇健康教育宣传，传统孕妇学校对照组进行我院成熟的传统孕妇学校的教育。比较两组孕妇孕期机体代谢状态、胎儿及新生儿体重情况、两组产妇分娩方式、两组孕产妇产科质量及两组孕产妇及家属满意度及顺从性。结果 对照组孕妇孕期体重增长合理率为29%，而综合教育组孕产妇该指标提高至45%。综合教育组孕产妇血糖异常发生率显著降低（P﹤0.05）。而两组间新生儿平均体重无统计学差异（P=0.16）。对照组孕产妇自然分娩率为67%，另外33%的患者需进行剖宫产。而综合教育组孕产妇87%可进行自然分娩，仅13例孕产妇需进行剖宫产。两组间具有统计学差异（P=0.001）。综合教育组孕产妇产科质量显著提高，其中妊高症、胎儿宫内窘迫、产后出血、剖宫产的发生率显著下降。综合教育组患者及家属满意度评分为91.6±4.2，显著高于对照组61.3±75.0，出院后失访率显著下降至8%，孕产期坚持学习率显著提升至65%结论 综合教育模式在流动人口孕产妇营养指导中可提高孕产妇知识，对其营养、机体代谢控制、产科质量及患者满意度均有重要意义，值得临床推广。
中文关键词: 流动人口孕产妇，综合教育模式，营养指导，胎儿生长
Abstract:OBJECTIVE To research the role of comprehensive education model in the guidance of maternal nutrition in floating population. women, and find a more suitable, more convenient and more economical education method for maternal nutrition guidance for floating population.METHODS A total of 200 foreign populations who were pregnant and delivered in target hospital from January 20 to 2019 were selected as subjects. The randomized table method was divided into a comprehensive model health education group and a B traditional pregnant school control group.The comprehensive education group selected the maternal women involved in the study to carry out comprehensive model health education for maternal health education, and the traditional pregnant school control group conducted the education of the mature traditional pregnant women's school in our hospital. The intake of nutrients in the two groups were compared, the metabolic status of the two groups of pregnant women during pregnancy and the weight of the newborn, the mode of delivery of the two groups of maternity, the maternal quality of the two groups, and the satisfaction and compliance of the two groups of maternal and family members. RESULTS Sodium and fat intake decreased significantly (P < 0.05). In the control group, the reasonable rate of weight gain during pregnancy was 29%, while that in the comprehensive education group increased to 45% (P=0.028). The incidence of abnormal blood glucose in pregnant women (7%) was significantly lower in the comprehensive education group (P<0.05). There was no significant difference in the average weight of newborns between the two groups (P=0.16). In the control group, the maternal natural delivery rate was 67%, another 33% of patients required cesarean section. In the comprehensive education group, 87% of pregnant women could have natural childbirth, and only 13% pregnant women needed cesarean section. There was a statistical difference between the two groups (P=0.001). The quality of maternal obstetrics in the comprehensive education group was significantly improved, including pregnancy-induced hypertension, intrauterine distress, postpartum hemorrhage, and cesarean section decreased significantly. The satisfaction scores of patients and their families in the comprehensive education group were 91.6±4.2, which was significantly higher than that of the control group (61.3±75.0). The rate of loss of follow-up after discharge was significantly reduced to 8%, and the rate of persistent learning during pregnancy was significantly improved(up to 65%). CONCLUSION The comprehensive education model could improve maternal knowledge in the guidance of maternal nutrition of floating population, and it had great significance to its nutrition, body metabolism control, obstetric quality and patient satisfaction.
文章编号：3201911014 中图分类号：R1-9 文献标志码：
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