孕产妇健康教育工作计划 [健康教育在计划性剖宫产孕产妇家属中的应用]

　　摘 要：目的： 探讨基于计划性剖宫产临床路径的健康教育方法和效果。 方法： 将165名接受计划性剖宫产的孕产妇陪护家属根据孕妇入院时间的不同分为对照组(n=80) 和干预组(n=85)，分别按常规诊疗护理模式和基于临床路径的程序化健康教育路径表进行健康教育，比较2组产褥期保健和新生儿保健知识达标率、新生儿护理操作技能达标率、对医疗护理的满意度及住院时间和并发症发生率。 结果：干预组产褥期保健和新生儿保健知识、新生儿护理操作技能各项指标的达标率及对医疗护理的满意度分别91.76%、94.12%、89.41%和96.47%，优于对照组（80.00%、72.50%、61.25%和75.00%），2组比较有显著性差异（均P＜0.05）；干预组住院时间（9.41±1.21）较对照组（10.03±2.14）短，（P＜0.05）；干预组无并发症，明显低于对照组（5%），差异有统计学意义(P＜0.05)。结论：利用临床路径对陪护家属实施健康教育，更有利于产妇和新生儿的康复和护理。
　　关键词：临床路径; 计划性剖宫产; 健康教育; 陪护家属
　　中图分类号：R17文献标识码：A
　　文章编号：1672-1098(2012)02-0070-05
　　收稿日期：2012-05-27
　　作者简介：苏琳(1963-) 女， 安徽蚌埠人，讲师， 学士，研究方向： 护理教育。
　　Application of Clinical-Pathway-Based Health Education in Family Members of Planned Cesarean Section Women
　　SU Lin1, TIAN Ling2
　　(1. Department of Nursing, Bengbu Medical College, Bengbu Anhui 233030, China; 2. Department of Obstetrics and Gynecology, No. 3 the People"s Hospital, Bengbu Anhui 233000, China.)
　　Abstract:Objective：to evaluate the application effect of health education path in planned cesarean section. Methods：165 cases of planned cesarean section women and family members were divided into experiment group (n=85) and control group (n=80) according to hospital admission date and self-prepared clinical health education path and conventional methods were carried out in experiment group and control group respectivley. The items including grasp degree of disease-related knowledge, nursing skills, satisfaction degree for hospital nursing service, days of hospitalization and the incidence of complications were used to to evaluate the application effect of health education in the planned cesarean section through the comparison with control group. Results：The project compliance rate including puerperium health knowledge, newborn health knowledge, newborn nursing skills and the satisfaction degree for hospital nursing service in experiment group were 91.76%、94.12%、89.41% and 96.47% respectively, which were better than that of control group (80.00%、72.50%、61.25% and 75.00%）(P＜0.05). Compared with control group, days of hospitalization and the incidence of complications in experiment group (9.41±1.21 days and 0 accident rate ) were less than that of control group (9.41±1.21 days and 5% of accident rate) (P＜0.05). Conclusion：The application of Clinical-Pathway-Based health education in planned cesarean section promotes rehabilitation and nursing of parturients and newborns.
　　Key words:Clinical pathway; planned cesarean section; health education; member of patient family