| Objective:Understanding of knowledge application letter education patterns for elderly primipara during pregnancy weight change and delivery outcomes and with routine health education model compared to know the theory and value of application effect of elderly primiparous pregnant women.Methods:From January 2014 to October 2014 in Xingtai People's Hospital maternity clinic for regular prenatal examination of the elderly primipara 200 cases,pregnant women were randomly divided into the experimental group and control group 100 cases in each group.As for the experimental group,systematic standardization of the experimental group KAP comprehensive theory of education was implemented on the basis of routine obstetric examination and nursing measures,for the control group,just giving them routine obstetric examination and nursing measures.All studies were observed before delivery for baseline evaluation,including the basic situation of pregnant women,the delivery intention,the reasons for choosing Cesarean Section,pre-pregnancy body weight index,the life style and delivery intention of health education under the guidance of KAP 4 weeks,8 weeks and 12 weeks after 32 weeks pregnant,36 weeks before pregnancy and childbirth evaluate cesarean delivery intentions again and select the reason should be noted that prior to birth weight gain during pregnancy need to measure the index.after observing the production mode of delivery,cesarean section causes birth weight.The data were analyzed by SPSS software package(version 17.0).Statistical methods included Chi-Square test for the enumeration data.Results:1 The comparison of pre-pregnancy body weight index and the weight growth index during pregnancy between two groups of women.The difference between the pre-pregnancy body weight indexes was not staistically significant(?2 =0.801,P=0.670).After giving nutrition guidance to intervention group,the weight gain index >7 in intervention group was 12,it is significantly lower than in control group which is 38,the weight gain index ?7 in intervention group was 88,it is significantly higher than in control group which is 62,the difference between the two groups was statistically significant(?2 =18.027,P=0.001).2 The comparison of delivery intention,reasons for choosing cesarean,delivery outcome between two groups of pregnant women.The difference in delivery intention between two groups at 28 weeks' gestation was not significant(?2 =0.82,P=0.628).After the intervention of stepped and tailored health education for intervention group,the number of pregnant women who chose natural childbirth in intervention group was significantly higher than that in that in the control group at 32,36 weeks' gestation respectively,there was significant difference between two groups(P<0.01).In two groups,the main reason for selecting cesarean section is that they considered it most secure,KAP intervention group selection theory the number of cesarean section from 66 down to 14,who changed significantly,the difference statistically significant(P <0.01).The rate of cesarean section in the intervention group was 12%,cesarean section rate was 73% in the control group,the difference was statistically significant(?2 =76.133,P<0.001).3 The comparison of reasons for cesarean section between two groups of pregnant women.Medical indications were compared between the two groups in pregnant women with cesarean section,the intervention group and the control group which accounted for 83.3%,45.2%,the intervention group was significantly higher than that of the control group,the difference has statistical significance(?2 =5.994,P=0.014).Among them,the number of medical indications of cesarean section cases of macrosomia,pregnancy complications,fetal distress,cephalopelvic disproportion of the occur rate differences were not statistically significant(?2 =0.784,P=0.859).4 Comparison of two groups of elderly primiparous pregnant women breastfeeding rate.Feeding patterns of two groups of elderly primipara compared intervention group and control group of pure breast feeding rates were 78% and 61% of intervention group pure breastfeeding rate was significantly higher than that of the control group.Compared the two groups of pure breast feeding rate was statistically significant(?2 =6.893,P=0.032).Conclusions:1 KAP theoretical models can improve the elderly primiparous pregnant women giving birth to normal level of awareness,and enhance the confidence of natural childbirth,select the correct mode of delivery,thereby reducing the cesarean section rate social factors.2 KAP theory correctly guid interventions reasonable diet of pregnant women,and effectively control weight gain during pregnancy.3 KAP theory can ruduce the non-ceasarean section rate of the elderly primiparous pregnant women.4 KAP theory can improve elderly primiparous pregnant women breastfeeding rate. |
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