摘要:
Objective Research was performed to test how to improve the effectiveness of health education. Methods 236 patients after cesarean section, during June 1, 2015 to November 31, 2015 from Obstetrics I in our hospital were selected. According to the room number, they were randomly divided into single-number rooms, 119 people in the control group, with the aid of pictures, materials, individual or group concentrated postnatal health education, and double-number rooms, 117 people in the experimental group, based on previous education with the extra use of digital television platform. The effects of the two groups were compared. Results In the experimental group after cesarean section, patients′ anal exsufflation time for less than 24 h and more than 36 h was 41 cases and 5 cases respectively, and patients′defectation time for less than 72 h, more than 72 h and less than 96 h, more than 96 h was 45, 66 and 6 cases respectively, while compared with the control group, there was 21, 83, 15 cases respectively. The differences between the two groups were statistically significant (χ2=36.90, P < 0.05). In the experimental group, the breast-sucking times within 24 hours was (9.41 ± 1.35) times, compared with the (7.29±1.02)times in the control group. The difference between the two groups was statistically significant (t=13.76, P<0.01). In the experimental group, the incidents of newborn adding milk, neonatal jaundice and neonatal erythema was 16, 12, 20 cases respectively, compared with the 33, 25, 47 cases in the control group. The differences between the two groups were statistically significant (χ2=7.08, 5.16, 14.56, P <0.05). In the experimental group, the numbers of individual behaviors like brushing teeth and combing hair, and family consultation was 110, 110, 42 cases, while in the control group was 92, 85, 75 cases respectively. The differences between the two groups were statistically significant (χ2=13.35, 20.97, 17.36, P < 0.01). Conclusion The use of digital TV platform for postpartum maternal health education is suitable for mothers and their families, with the consideration of individual needs, parturients can watch materials repeatedly and whenever they want. The application will come out with better education results.%目的:研究利用数字电视平台提高产后健康宣教的有效性。方法选择2015年6月1日至11月31日我院产科一区收治的剖宫产术后产妇236例,根据房间单双号,随机分为对照组119例,采用图片、资料、个人或小组集中产后健康教育;117例为试验组,在对照组基础上利用数字电视平台进行产后健康教育,比较2组健康教育的效果。结果试验组剖宫产术后肛门排气时间在<24、>36 h的产妇分别为41、5例,对照组分别为19、20例,2组比较差异有统计学意义(χ2=38.35,均P<0.05);试验组排便时间在术后<72、72~96、>96 h的产妇分别为45、66、6例,对照组为21、83、15例,2组比较差异有统计学意义(χ2=36.90,均P<0.05);试验组母乳产后24 h内吸吮次数为(9.41±1.35)次,对照组为(7.29±1.02)次,2组比较差异有统计学意义(t=13.76,P<0.01);试验组新生儿加奶、新生儿黄疸、新生儿红斑发生数分别为16、12、20例,对照组分别为33、25、47例,2组比较差异有统计学意义(χ2=7.08、5.16、14.56,均P<0.05);试验组产妇刷牙、梳头个人行为的依从例数和产妇及家属对相同问题的重复咨询例数分别为110、110、42例,对照组分别为92、85、75例,2组比较差异有统计学意义(χ2=13.35、20.97、17.36,均P<0.01)。结论利用数字电视平台进行产后健康教育适合产妇的产褥期特点,面向产妇及家属,具有根据个人的需要,可以随时、反复收看,有较好的宣教效果。