| Objective: to analyze the effects of mind-map health education on maternal and infant health knowledge,Self-efficacy in Infant care Scale,postpartum depression,puerperal complications and the incidence of neonatal diseases by comparing mind map-health education with routine health education,so as to provide a more effective model for postpartum health education.MethodsPart I:(1)Construct the "Maternal and Child Health knowledge questionnaire" :before the formal trial,the research group preliminarily constructed the initial items of the "Maternal and Child Health knowledge questionnaire" by consulting literature,books and communicating with patients,and screened and modified the items after expert consultation.Finally,the "Maternal and Child Health knowledge questionnaire" was formed as the evaluation tool of this study.(2)making the mind mapof maternal and infant health knowledge of hysterotolcotomy primiparia : On the basis of the original content of health education,the team members consult the literature and clinical practice,take the mind map as the framework,draw the mind map according to the content of health education,use X-Mind software to draw the mind map,and make the health education manual after expert consultation,which is used as the health education tool of this study.Part II:In a randomized controlled trial,a total of 160 parturientwho met the inclusion and exclusion criteria in the department of obstetrics of a third-class hospital in Harbin from April 2019 to December 2019 were selected in a randomized controlled trial.They were 80 parturients in the test group and 80 in the control group and these parturients were randomly divided into the experimental group(n=80)and the control group(n=80).Routine health education was used in the control group and mind map-health education wasused in the experimental group.On the day of admission,the tested parturient filled in the general condition questionnaire,maternal and infant health knowledge questionnaire and Self-efficacy in Infant care Scale(Self-efficacy in Infant care Scale SICS).On the first day after delivery,the researchers assessed the pregnant women with the Edinburgh Postnatal Depression scale(Edinburgh Postnatal Depression Scale EPDS).On the day of discharge,the researchers assessed the maternal and infant health knowledge questionnaire and the SICS scale again.The researchers added the two groups of parturient to the We Chat group of the control group and the experimental group respectively for follow-up investigation.42 days after delivery,the scores of EPDS scale,puerperal complications and the incidence of neonatal related diseases were compared between the two groups.The collected questionnaires were checked by SPSS25.0 for statistical analysis.Results Part1: select 10 experts,the positive coefficient of the two rounds of experts is 1,the authority coefficient of experts is 0.885,Cronbach’s is 0.83,S-CVI is0.93,and finally form a total of 25 items of maternal and infant health knowledge questionnaire with good reliability and validity.Part 21.Most of the ways for pregnant women to obtain parenting experience come from the Internet or books,and the proportion of access to parenting experience is the least among medical staff.2.Before intervention,there was no significant difference in general data,maternal and infant health knowledge and SICS scale between the two groups.The ages of parturient in the two groups were 30.57±3.423 years old and 30.42±3.332 years old respectively,and more than 88.235% of the parturienthad college education or above,and 66.013% of them obtained parenting information through books and the Internet.3.After intervention,the understanding of maternal and infant healthknowledge was significantly improved in both groups(P < 0.001),but the mastery of maternal and infant health knowledge in the experimental group was significantly better than that in the control group(P < 0.001).4.After intervention,comparison in group 1:there were significant differences in the dimensions and total scores of maternal SICS scale in promoting development,health care,feeding and safety between the two groups(P < 0.001),but there was no significant difference in the dimension of self-evaluation.Comparison between the two groups:there was no difference in the overall evaluation of parenting self-efficacy between the two groups(P >0.001),but the experimental group was significantly better than the control group in promoting development,health care,safety,feeding and total scores(P < 0.05).5.There was no significant difference in the percentage of postpartum Edinburgh depression tendency between the two groups on the first day after delivery,but the percentage of depression tendency in the control group was higher than that in the experimental group at the end of 6 weeks of puerperium(P < 0.001).In the experimental group,the number of parturient with Edinburgh postpartum depression scale scores above 13 decresed from 6.494% before intervention to 0.Mind map health-education could effectively reduce the incidence of postpartum depression in the experimental group(P < 0.001).6.The puerperal complications and the incidence of neonatal diseases in the test group were lower than those in the control group(P < 0.05).Conclusions1.Mind map health-education can improve maternal and infant health knowledge and child-rearing self-efficacy of hysterotolcotomy primiparia.2.Mind map-health education can effectively reduce and prevent the occurrence of postpartum depression of hysterotolcotomy primiparia and reduce the incidence of puerperal complications and neonatal diseases. |
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