Objective To investigate effect of postpartum health care for discharged parturient women by seting up a blog and telephone follow-up so as to improve quality of postpartum health care. Methods 300 urban parturient women were randomly extracted from all parturient women delivered in our hospital in a period from January, 2008 to June, 2008 and were randomly divided into observation group and control group (in each group, n = 150). Registration book of follow-up with detailed records of gestational age, pattern of delivery,related information, contact telephone number were established when they discharged. The puerperae in the two groups were all given conventional discharge guidance. Beside conventional discharge guidance, puerperae in the observation group were followed up by telephone at one week after discharged and guided them to log postnatal care blog to learn knowledge about postnatal health care, infant care, infant feeding and reasonable drug use during the puerperial period. When the encountered problems, they could communicate with doctors online and obtain health education immediately. Results 146 puerperae (97.3％) in the observation group qualified for daily self-care, while only 107 puerperae (71.3％) in the control group qualified for daily self-care, and there was a significant difference between the two groups (X2 = 38.37, P ＜0.01 ). 143 puerperae (95.3％) in the observation group qualified for routine neonatal care, while only 108 puerperae (72％) in the control group could do so, and there was a significant difference between the two groups (X2 = 29.88, P ＜0.01). 134 puerperae (89.3％) gave their babies exclusive breasffeeding, 11 puerperae (7.3％) gave mixed feeding, 5 puerperae (3.3％) had no breastmilk in the observation group. While in the control group, 113 puerperae (75.3％) gave exclusive breasffeeding,22 puerperae ( 14.7％ ) gave mixed feeding, 15 puerperae ( 10％ ) had no breastmilk. There were significantly differences between the two groups (X2 = 10.45, P ＜ 0.01 ). In the observation group, 147 puerperae ( 98％ ) were very satisfactory to the hospital, 3 puerperae (2.0％) were satisfactory and none was dissatisfactory, while in the control group, 125 puerperae (83.3％) were very satisfactory to the hospital, 21 puerperae (14％) were satisfactory and 4 puerperae (2.7％ ) were dissatisfactory, there were significantly differences between the two groups (X2 = 19.28, P ＜0.01 ). Conclusion The use of information technology (IT) for multi-channel health education can improve maternal self-care ability; promote breastfeeding; enhance health care of the newborn, improve quality of perinatal health care, expanding the hospital's reputation.%目的 探讨开设保健博客配合电话随访对出院产妇进行产后随访的效果评价,以提高保健质量.方法 在南京医科大学附属淮安第一人民医院2008年1～6月住院分娩的城区产妇中随机抽取300例,并分为观察组和对照组各150例.出院时建立随访登记本,详细记录孕周、分娩方式、联系电话及其他相关信息.对两组产妇均予常规出院指导,观察组在此基础上出院1周后给予电话随访并指导其登录产后保健博客,学习有关产后保健知识,遇到疑难问题可在网上留言进行交流,及时进行健康教育.结果 观察组和对照组能胜任日常自我保健者分别为146例(97.3%)、107例(71.3%),两组比较有显著性差异(χ2=38.37,P<0.01).观察组和对照组能胜任日常新生儿护理者分别为143例(95.3%)、108例(72.0%),两组比较有显著性差异(χ2=29.88,P<0.01).观察组纯母乳喂养者为134例(89.3%)、混合喂养者11例(7.3%)、无母乳者5例(3.3%);对照组纯母乳喂养者113例(75.3%)、混合喂养者22例(14.7%)、无母乳者15例(10.0%),两组比较均有显著性差异(χ2=10.45,P<0.01).观察组对医院很满意者147例(98.0%)、较满意者3例(2.0%)、无不满意者;对照组对医院很满意者125例(83.3%),较满意者21例(14.0%)、不满意者4例(2.7%),两组比较均有显著差异(χ2=19.28,P<0.01).结论 运用信息技术进行多渠道健康教育提高了孕产妇自我保健能力,促进了母乳喂养,增强了新生儿的健康护理,提高了围产期的保健质量,扩大了医院的知名度.
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