Development and Clinical Application of a Healthy Behavior Learning Program for Pregnant Women

我们已经开发了一个健康行为学习计划和自我监测检查表，供孕妇使用。该计划由自我监控、设定行为目标和家庭作业、自我强化合意行为、引入自学和通过访谈反馈组成。检查表包含11个监测参数，涉及睡眠、胎动、腹部和出血、体重、饮食、运动、生活方式、情绪状态(舒适度)、作为母亲的形象和与婴儿交谈(交流)，以及写下任何评论或问题的空间。为了评估这一健康行为学习计划的临床应用，从怀孕15周到34周，对怀孕早期的孕妇进行了为期20周的指导，然后评估其效果。由20名受试者组成的访谈指导组接受了自我监控(大致在p…的第15周、第22周和第32周更多的统治权)和与同一个助产士的面谈(大致在第17周、第24周和第34周)。记录组(29人)只接受与访谈指导组相同时间的自我监控。另设34名受试者为对照组。结果，访谈指导组和记录组表现出对自我照顾行为的意图的维持和改善，特别是在饮食和生活方式方面，他们实现了更高水平的自我照顾行为。与对照组相比，孕晚期焦虑略有增加，访谈指导和记录组的焦虑随着孕期的进展而减少。此外，记录组中20%的受试者在监测期间退出了。自我监测有望从时间和经济两个方面证明有效的效果。然而，研究表明，不能继续自我监测一周的孕妇是不能接受通过该方案进行指导的，通过与助产士的个别访谈提供的反馈对于确保持续的自我监测是有效的。根据这些发现，这项健康行为学习计划被证实对改善孕期的自我照顾行为是有效的。较少

We have developed a healthy behavior learning program and self-monitoring check sheet for use by pregnant women. The program is composed of self-monitoring, setting of behavioral goals and homework, self-reinforcement for desirable behavior, the introduction of self-teaching, and feedback through interviews. The check sheet contains eleven monitored parameters relating to sleep, fetal movement, abdominal region and bleeding, body weight, diet, exercise, lifestyle, emotional state (degree of comfort), image of being a mother and talking with the baby (communication), as well as a space for writing any comments or questions.In order to assess the clinical application of this healthy behavior learning program, pregnant women in early pregnancy were guided through the program for 20 weeks from week 15 to week 34 of pregnancy followed by an assessment of its effects. An interview guidance group consisting of 20 subjects underwent self-monitoring (roughly in week 15, week 22 and week 32 of p … More regnancy) and interviews with the same midwife (roughly in week 17, week 24 and week 34). A recording group (29 subjects) only underwent self-monitoring at the same times as the interview guidance group. A control group consisting of 34 subjects was also established. As a result, the interview guidance group and recording group demonstrated maintenance and improvement of the intent towards self-care behavior with respect to diet and lifestyle in particular, and they achieved higher levels of self-care behavior. In contrast to the control group expressing a slight increase in anxiety late in pregnancy, anxiety was observed to diminish as pregnancy progressed in the interview guidance and recording groups.Moreover, 20% of the subjects in the recording group dropped out during the monitoring period.Self-monitoring is expected to demonstrate efficient effects from both time and economic aspects as well. However, it was shown that pregnant women who are unable to continue self-monitoring for one week are unacceptable for guidance through this program, and that feedback through individual interviews with the midwife is effective for ensuring continuation of self-monitoring. On the basis of these findings, this healthy behavior learning program was confirmed to be effective for improving self-care behavior during pregnancy. Less