Abstract：Objective To explore the impact of information-knowledge-attitude-practice (IKAP) model out-of-hospital continued management on the self-management and pregnancy outcomes of high-risk pregnant women during the COVID-19 pandemic. Methods A total of 76 high-risk pregnant women who were filed in our hospital and underwent regular check-ups and whose expected delivery date was from April to July 2020 were selected as the research objects, and they were randomly divided into a study group and a control group. The control group was given the regular out-of-hospital continuation management, and the study group was given the out-of-hospital continuation management based on the IKAP model during the COVID-19 pandemic period. Both interventions were performed for 3 months. The patients' self-management efficacy was evaluated before and after the intervention, and the pregnancy outcomes were compared between the two groups. Results Before the intervention, there was no significant difference in the GSES scores between the two groups (all P>0.05). After the intervention, the average GSES score of the pregnant women in the control group was (29.52±3.76) points, higher than that before the intervention (t=3.644, P=0.001); the average GSES score of the study group was (35.17±2.49) points, which was higher than that (17.76±3.64) points before the intervention (t=4.459, P<0.001). After the intervention, the GSES score of the study group was (35.17±2.49) points, which was higher than that (29.52±3.76) points of the control group, (t=3.018, P=0.004). The normal delivery rate in the study group was 84.21%, which was higher than that (52.63%) in the control group (χ2=8.769, P=0.003). The cesarean section rate in the study group was 10.53%, and the transfer rate was 5.26%, both lower than those (26.32% and 21.05%) in the control group (Fisherχ2=8.739, P=0.014). The 1-min and 5-min Apgar scores of the newborns in the study group were (7.76±0.83) and (9.13±0.46) points, respectively, which were higher than those of the control group, (t=2.299, 2.842, both P<0.05). Conclusion The out-of-hospital continuation management model based on the IKAP model can significantly improve the out-of-hospital self-management efficiency of high-risk pregnant women, reduce the cesarean section rate and the transition rate of cesarean section, and increase the rate of natural delivery.
周琼,张萍. 新冠疫情期间IKAP模式院外延续管理对高危孕妇妊娠结局的影响[J]. 中国校医, 2022, 36(4): 268-270,279.
ZHOU Qiong, ZHANG Ping. Influence of IKAP model out-of-hospital continuation management on pregnancy outcome of high-risk pregnant women during COVID-19 pandemic. Chinese Journal of School Doctor, 2022, 36(4): 268-270,279.
2022, Vol. 36 
