| ObjectiveIn view of self-monitoring of fetal movement of pregnant women in the third trimester,a comprehensive nursing intervention method based on the health belief model was developed to verify the effect of this method on the self-monitoring of fetal movement of pregnant women in the third trimester;in order to help pregnant women in the third trimester to form a correct understanding of fetal movement self-monitoring and healthy behaviors,Finally obtain the best pregnancy outcome to provide practical guidance.MethodsThis study is a kind of experimental study.According to the inclusion and exclusion criteria,100 pregnant women with 27-28+6 weeks of pregnancy and a week of fetal movement self-monitoring behavior less than 7 days in a tertiary hospital in Inner Mongolia from June 2020 to October 2020 were selected as the study subjects.The control group(50cases)and the intervention group(50 cases)were randomly determined according to the order of maternity examinations.The control group received routine nursing intervention,including health education during pregnancy,childbirth,puerperium,and neonatal period,the intervention group used comprehensive nursing methods based on the health belief model on the basis of routine nursing intervention.The main content of the intervention includes: health education based on health belief model,training of fetal movement self-monitoring methods,psychological care,family and social support and other measures.The frequency of intervention is once every two weeks,15 ～ 30 minutes each time,and the total intervention time is 12 weeks.Before the intervention and at the 12 th week of the intervention,the knowledge level,health beliefs,social support and general self-efficacy of the two groups of study subjects’ fetal movement self-monitoring were compared.At the 12 th week of intervention,the behavior compliance rate of self-monitoring of fetal movement was compared between the two groups.The behavioral compliance of fetal movement selfmonitoring of the two groups of subjects were compared before the intervention,the 6th week of the intervention and the 12 th week of the intervention.Spss22.0 was used to analyze the data.For normal distribution data,mean ± standard deviation((?)±S) is used,two independent sample t test was used for comparison between groups,paired t test was used for comparison within groups.For non normal distribution,median and quartile spacing are used,the Mann-Whitney U test was used for comparison between groups,and the Wilcoxon rank sum test was used for comparison within groups.The count data is described by the number of cases(%),the analysis uses the chi-square test,and when the theoretical frequency is less than 1,the Fisher exact probability method is used.The behavioral compliance scores before the intervention,the 6th week and the 12 th week were analyzed by repeated measures analysis of variance,and the LSD method was used for the post-intervention comparison.P<0.05 means the difference is statistically significant.ResultsAfter the intervention,both groups of subjects completed the study.Before the intervention,there was no statistical difference in the general data,knowledge level,health beliefs,behavioral compliance,social support level of fetal movement self-monitoring,and general self-efficacy between the two groups of study subjects(all P>0.05),and the baselines were comparable.The results of the investigation after the intervention showed:(1)Knowledge level: The knowledge level of the intervention group after the intervention was significantly higher than that of the control group(P<0.05);the knowledge level of the two groups after the intervention was significantly higher than that before the intervention(both P<0.05).(2)Health belief: After the intervention,the total score of health belief and the scores of each dimension in the intervention group were significantly better than those of the control group,and better than before the intervention(P<0.05).The scores of the control group’s perceived behavior control dimension were significantly lower than those before the intervention(P<0.05),and the total score and other dimensions were not statistically different from those before the intervention(all P>0.05).(3)Behavioral compliance rate: After the intervention,the behavioral compliance rate of the intervention group was significantly better than that of the control group(P<0.05).Behavioral compliance: Different intervention expectations significantly affect the total score of behavioral compliance and self-monitoring dimension scores(P<0.001).Different groups significantly affected the total scores of behavioral compliance and the scores of self-monitoring dimensions in the 6th and 12 th weeks of the intervention(P<0.001).In the total score of behavioral compliance and the score of self-monitoring dimension,the two factors interacted significantly(P<0.001).There was no statistically significant difference in the abnormality handling dimension scores between different intervention expectations,groupings and the interaction of the two factors(P>0.05).In the 6th and 12 th weeks of the intervention,the total scores of pregnant women’s behavioral compliance and self-monitoring dimensions of the intervention group were higher than those of the control group,and higher than before the intervention(P<0.05).There was no statistical difference between the two groups in the 6th week and the 12 th week of the intervention in the abnormal handling dimension scores.(P>0.05).(4)Social support: After the intervention,the total score of social support and the two dimensions of the intervention group were significantly higher than those of the control group and before the intervention(P<0.05).The total score of social support and the scores of the two dimensions of the control group were not statistically different from those before the intervention(P>0.05).(5)General self-efficacy: After the intervention,the total score of general self-efficacy of the intervention group was significantly better than that of the control group,and better than before the intervention(P<0.05).The total score of general self-efficacy in the control group was not statistically different from that before the intervention(P>0.05).ConclusionThrough this study,it is concluded that the comprehensive nursing intervention based on the health belief model can effectively improve the behavioral compliance of pregnant women with self-monitoring of fetal movement in the third trimester.Compared with conventional nursing intervention,the comprehensive nursing intervention based on the health belief model improved the knowledge level,health beliefs,behavior compliance,social support level and general self-efficacy of pregnant women’s fetal movement self-monitoring. |
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