医生助理协助的健康管理模式对孕产妇保健效果的临床研究
The Clinical Study on the Health Management Model Assisted by Physician Assistants for Maternal and Child Health Care Effectiveness

目的：探讨医生助理协助的健康管理模式对孕产妇保健的效果。方法：选取2022年1月至2023年12月在暨南大学附属第一医院门诊产检自愿选择医生助理协助通过线上线下健康管理指导至产后42天的全流程服务的健康管理组孕妇1020人，随机配对选取同期规律产检提供常规保健服务的1020名孕妇作为对照组，比较两组孕妇对孕期知识掌握度及就医满意度，对两组孕妇心境情绪进行评估，对妊娠常见合并症和并发症及分娩结局进行比较。结果：通过加强孕期保健管理后，健康管理组的孕产妇孕期知识掌握度及就医满意度明显高于对照组，健康管理组的孕妇心理疾病及妊娠期并发症发病率低，其中妊娠期糖尿病孕妇的孕期血糖控制良好，且巨大儿、新生儿窒息率低，围产期并发症总发生率低，差异有统计学意义(P < 0.05)。结论：医生助理协助的线下线上孕产妇保健服务模式明显提高孕产妇保健效果，更好保障了母婴安全，值得临床推广应用。
Objective: To explore the effectiveness of a health management model assisted by physician assistants for maternal and child health care. Methods: A total of 1020 pregnant women who voluntarily chose to receive a full-process health management service (including both online and offline health guidance) from January 2022 to December 2023 at the outpatient obstetrics clinic of the First Affiliated Hospital of Jinan University were selected as the health management group. Another 1020 pregnant women who received routine prenatal care were randomly selected as the control group. The two groups were compared in terms of knowledge acquisition about pregnancy, satisfaction with healthcare services, mood assessments, common pregnancy-related complications, and delivery outcomes. Results: Enhanced antenatal care management significantly improved pregnancy-related knowledge and satisfaction with medical services among the health management group compared to the control group. The incidence of mental health issues and pregnancy complications was lower in the health management group. Specifically, pregnant women with gestational diabetes in the health management group had better blood glucose control, and the rates of macrosomia and neonatal asphyxia were lower. The overall incidence of perinatal complications was also lower, with statistically significant differences (P < 0.05). Conclusion: The health management model for pregnant women assisted by physician assistants, combining both offline and online services, significantly improved maternal and child health care outcomes and better ensured the safety of mothers and infants. This model is worthy of clinical promotion and application.