Patient-family online management in prenatal care of high-risk pregnant women

Abstract

Objective To explore the effect of patient-family online management in prenatal care of high-risk pregnant women. Methods From January to December 2016, 400 high-risk pregnant women were selected from our hospital, and were divided into a control group and an experimental group, 200 for each group. The control group were given regular prenatal care guidelines; in addition, the experimental group got patient-family online management. The maternal health knowledge during pregnancy, emotional state, self-care management level, and pregnancy outcomes of the two groups were compared. Results After the intervention, the scores of physical knowledge, self-monitoring, nutrition and rest, fetal development, abnormal pregnancy and complications, delivery knowledge, and health care during puerperal period were (89.21±3.57) , (90.62±2.85) , (91.45±2.96) , (89.21±2.36) , (92.15±2.69) , (92.68±3.02) , and (92.70±3.75) in the experimental group and were (82.44±2.69) , (84.22±3.41) , (85.12±3.26) , (81.69±3.06) , (84.62±3.15) , (84.79±2.95) , and (85.68±2.75) in the control group, with statistical differences (all P<0.05). The scores of SAS and SDS were lower in the experimental group than in the control group [ (45.06±3.20) vs. (51.60±3.80) and (47.26±3.15) vs. (51.03±3.45) ], with statistical differences (all P<0.05). The scores all self-management and all self-care management dimensions were higher in the experimental group than in the control group [(69.60±5.40) vs. (60.21±6.40), (74.15±5.30) vs. (64.59±4.75), (46.85±4.10) vs. (37.56±4.05), (74.68±4.10) vs. (65.82±4.95), (73.65±5.10) vs. (66.95±4.95), with statistical differences (all P<0.05). The incidence of complications and cesarean section rate were lower in the experimental group than in the control group (16.00% vs. 43.00% and 23.00% vs. 42.50%), with statistical differences (all P<0.05). The neonatal 5 min Apgar score was higher in the experimental group than in the control group [(9.10±0.89) vs. (8.03±0.75)], with a statistical difference (P<0.05). Conclusions Patient-family online management can effectively improve the maternal health knowledge level and self-care management ability during pregnancy and outcomes of high-risk pregnant women and alleviate their negative emotions. Key words: High-risk pregnant women; Patient-family online management; Prenatal care; Outcomes of pregnancy