高血压、糖尿病家庭健康教育对孕期妇女保健的影响

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目的:探讨高血压、糖尿病家庭健康教育对孕期妇女保健的影响。方法:选取120例孕期妇女作为研究对象,随机分为对照组和观察组,各60例;对照组孕期妇女采取常规的孕期保健,观察组孕期妇女在对照组的基础上,采取高血压、糖尿病家庭健康教育;对比两组孕期妇女的分娩方式(剖腹产与自然分娩)及并发症发生情况,包括妊娠期高血压、妊娠期糖尿病、胎儿窘迫、早产及围产期大出血发生率。结果:观察组剖腹产率为28.33%、自然分娩率为71.67%,对照组剖腹产率为51.67%、自然分娩率为48.33%;观察组剖腹产率显著小于对照组,而自然分娩率显著大于对照组,两组剖腹产率及自然分娩率均具有显著性差异(P<0.05);观察组妊娠期高血压发生率、妊娠期糖尿病发生率、胎儿窘迫发生率、早产发生率及围产期大出血发生率均显著小于对照组(P<0.05)。结论:高血压、糖尿病家庭健康教育对孕期妇女保健的效果确切,显著减少妊娠期高血压、糖尿病等并发症的发生,改善孕期妇女的预后,提高妊娠质量,具有临床可行性。 Objective: To investigate the impact of hypertension and diabetes family health education on pregnant women’s health care. Methods: 120 pregnant women were selected as study subjects and randomly divided into control group and observation group, with 60 cases in each group. The pregnant women in the control group took routine prenatal care. The pregnant women in the observation group took hypertension and diabetes Family health education was conducted. The mode of delivery (caesarean section and spontaneous delivery) and complications of the two groups were compared, including gestational hypertension, gestational diabetes, fetal distress, preterm birth and perinatal bleeding. Results: The rate of caesarean section in observation group was 28.33%, the rate of natural delivery was 71.67%, the rate of caesarean section in control group was 51.67% and the rate of natural delivery was 48.33%. The rate of caesarean section in observation group was significantly less than that in control group, The caesarean section rate and spontaneous delivery rate were significantly different between the two groups (P <0.05). The incidence of gestational hypertension, gestational diabetes mellitus, fetal distress rate, preterm birth rate and perinatal bleeding rate in the observation group were all significantly lower than those in the control group Significantly less than the control group (P <0.05). Conclusion: Hypertension and diabetes family health education have definite effect on the health care of women during pregnancy, significantly reduce the incidence of complications such as hypertension and diabetes in pregnancy, improve the prognosis of pregnant women and improve the quality of pregnancy, and have clinical feasibility.
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