| Objective Build a new model of health education combined with health providers in the department of obstetrics and gynecology,community doctors,pregnant women and their families to provide a new method for improving self-efficacy management of pregnant women.Methods A randomized controlled trial was conducted in this paper.Pregnant women were selected according to the inclusion criteria,and these pregnant women were from communities paired with a third-class B hospital in Ningbo,Zhejiang Province.The pregnant women all volunteered and signed informed consent forms.In this paper,130 pregnant women were selected as the study subjects and divided into an observation group and control group according to the random number table method.Each group had 65 new mothers.The pregnant women in the control group learned the relevant knowledge through the traditional curriculum model and received the hospital routine health education during delivery.Pregnant women in the observation group attended a newly designed training course.The newly designed training course adopts the health education mode of "hospital-community-family-pregnant woman".Both groups received routine prenatal care.In this paper,CBSEI-C32,breastfeeding self-efficacy scale and health knowledge awareness questionnaire were used to evaluate the intervention effect,and the total labor duration and cesarean section rate were collected as objective indicators.The delivery self-efficacy scale and the questionnaire of health knowledge were collected before the project and during the hospital delivery.The breastfeeding self-efficacy scale was collected before the program and on the third day postpartum.The data were statistically analyzed by SPSS 21.0 statistical software.Measurement data are expressed as mean-standard deviation(x±S)and use t-test.Enumeration data were expressed by the rate(%)and use the chi-squared test.Results 1.There were no statistically significant differences between the two groups in age,nationality,education level,monthly family income and medical payment type.There was no statistically significant difference between the two groups of pregnant women in terms of their awareness of the birth self-efficacy scale,breastfeeding self-efficacy scale,and relevant knowledge during pregnancy and childbirth before the training.2.The results of the delivery self-efficacy of pregnant women in the two groups showed that the control group of delivery self-efficacy before and after the training in the observation group had statistical significance(t=50.36,P<0.001).There was no statistical significance in the control group(t=1.954,P>0.05).The difference between the two groups was statistically significant after intervention(t=45.691,P<0.001).3.The results of breast-feeding self-efficacy of pregnant women in the two groups showed that the difference in the data of the observation group before and after the training was statistically significant(t=79.89,P<0.001).The data of the control group before and after training were also statistically significant(t=135.63,P<0.001).The difference between the two groups was still statistically significant after intervention(t=34.73,P<0.001).4.After the training,the investigation results of pregnancy health knowledge awareness questionnaires of pregnant women in the two groups showed that the difference between the control group and the control group after the intervention was statistically significant(P<0.001).5.The total labor duration in the observation group was lower than that in the control group after delivery(P<0.05).The cesarean section rate of the observation group was lower than that of the control group(P<0.05).The difference was statistically significant.Conclusion Compared with the traditional pregnancy health education model,the"four linkages" health education model of hospital,community,pregnant women and family members can make the new mothers obtain more professional knowledge during pregnancy and childbirth.The new mode improved the enthusiasm of pregnant women to learn and also improved the self-efficacy of delivery and breast-feeding,shortened the total delivery time,and reduced the cesarean section rate. |
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