摘要目的 探讨知信行（KAP）健康教育模式在初产妇中的应用效果。方法 选择2019年7月～2020年7月江西中医药高等专科学校附属医院生产的60例初产妇，按随机数字表法分对照组和观察组，每组各30例。对照组采取健康教育，观察组采用KAP 健康教育模式。观察并比较两组的剖宫产等不良母婴结局情况，记录两组的产后出血量、产程，干预前和干预7 d 时新生儿照护能力。结果 观察组的不良母婴结局总发生率为3.33%，低于对照组的26.67%，差异有统计学意义（P＜0.05）。观察组的产后出血量为（285.22±20.43）mL，少于对照组的（300.29±20.54）mL；总产程为（225.89±18.57）min，短于对照组（258.36±18.74）min，差异均有统计学意义（P＜0.05）。干预前两组新生儿的照护能力评分比较，差异无统计学意义（P＞0.05）。观察组干预后新生儿照护能力中知识[（60.18±6.57）分]、技能[（38.19±5.64）分]、态度[（16.94±2.75）分]均高于对照组的（43.97±6.24）、（26.35±5.22）、（11.58±2.56）分，差异有统计学意义（P＜0.05）。结论 KAP 健康教育模式应用于初产妇，能保障母婴健康，改善母婴结局，促进新生儿照护能力的提高。
Abstract：Objective To explore the application effect of knowledge,attitude and practice (KAP) health education model in primiparas.Methods A total of 60 primiparas from July 2019 to July 2020 in Affiliated Hospital of Jiangxi College of Traditional Chinese Medicine were selected and divided into control group and observation group according to random number table method,30 cases in each group.The control group was given health education,and the observation group was given KAP health education mode.The incidence of adverse maternal and infant outcomes such as cesarean section were observed and compared.The amount of postpartum hemorrhage,the duration of total labor,and the ability of neonatal care before and after intervention were recorded.Results The total incidence of adverse maternal and infant outcomes in the observation group was 3.33%,which was lower than 26.67% of the control group,the difference was statistically significant (P＜0.05).The postpartum hemorrhage volume of the observation group was (285.22±20.43) mL,which was less than that of the control group of (300.29±20.54) mL;the total labor process time was(225.89±18.57) min,shorter than that of the control group of (258.36±18.74) min,with statistical differences (P＜0.05).There was no significant difference in the score of neonatal care ability between the two groups before intervention (P＞0.05).After intervention,the scores of knowledge ([60.18±6.57]points),skills ([38.19±5.64]points) and attitude([16.94±2.75]points) in the observation group were higher than those in the control group of (43.97±6.24),(26.35±5.22),(11.58±2.56) points in the control group,with statistical differences (P＜0.05).Conclusion The application of KAP health education model in primiparas can protect the health of mothers and infants,improve the outcomes of mothers and infants,and promote the improvement of neonatal care ability.
徐含秀 . 知信行健康教育模式对初产妇母婴结局和婴儿照护能力的影响研究[J]. 中国当代医药, 2020, 27(34): 244-246转250.
XU Han-xiu. Study on the effect of knowledge，attitude and practice health education model on maternal and infant outcomes and infant care ability of primiparas. 中国当代医药, 2020, 27(34): 244-246转250.
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