| Objective To explore the effect of nursing health education program based on Cox’s Interaction Model of Client Health Behavior(IMCHB)on the health quotient of puerperal women in order to provide theoretical reference for developing targeted health education programs among this group of people.Methods A quasi-experimental design was used.Totally,60 postpartum women were recruited from a local level 3 hospital in Wuhan.They were assigned into the control group(n = 30)and the intervention group(n = 30).The level of health quotient of the two groups were evaluated before intervention.The control group received routine health education and follow-up in puerperium,while the intervention group received health education program which,under the guidance of IMCHB,was based on the assessment of maternal health quotient and individual demands.After 42-day’s follow-up,the data on puerperal women’s health quotient,the quality of life,the prevalence of complication during puerperium,their satisfaction with postpartum teaching methods,and the level of postnatal depression were collected and compared between the two groups.SPSS 22.0 software was used for data analysis.Results(1)There was no significant difference in age,educational level,occupational status,occupational type,type of medical payment,and gestational weeks between the two groups(P > 0.05).(2)After health education,the scores of health quotient increased in both groups.However,the level of knowledge related to maternal and neonatal health maternal health ability,and the total score of health quotient in the intervention group were significantly higher than those in the control group(P <0.05).(3)The prevalence of postpartum complications was lower in the intervention group than that in the control group,in which there was a significant difference in low back pain and constipation(P < 0.05).(4)The quality of life in the intervention group was significantly higher than that in the control group(P < 0.05).(5)The dimensions of women’s satisfaction with the teaching method were significantly higher in the test group than in the control group(P < 0.05).(6)There was no significant difference in the incidence of postpartum depression between the two groups(P > 0.05).Conclusions Compared with the routine health education method,the health education method guided by the IMCHB could effectively enhance puerperal women’s health quotient,improve their quality of life,and reduce the incidence of postpartum complications.In addition,it has better effect on the clients’ satisfaction. |
