【摘要】 目的 探讨基于医院信息系统的孕期妊娠风险五色管理在孕妇中的应用效果。方法 选取2020年4月至12月江西省妇幼保健院进行产检的90例孕妇作为对照组，采取传统健康管理模式；选取2021年1月至6月进行产检的90例孕妇作为观察组，采取基于医院信息系统的孕期妊娠风险五色管理个性化服务。两组均持续护理至孕妇分娩。比较两组孕妇依从性、心理状态、分娩方式、不良分娩结局发生率以及孕妇满意度。结果 观察组孕妇总依从率高于对照组，差异有统计学意义（P<0.05）；两组护理前焦虑自评量表（SAS）、抑郁自评量表（SDS）评分比较，差异无统计学意义（P>0.05），观察组护理后SAS、SDS评分均低于对照组，差异有统计学意义（P<0.05）；观察组剖宫产率低于对照组，阴道分娩率高于对照组，差异有统计学意义（P<0.05）；观察组不良分娩结局总发生率低于对照组，差异有统计学意义（P<0.05）；观察组孕妇总满意度高于对照组，差异有统计学意义（P<0.05）。结论 基于医院信息系统的孕期妊娠风险五色管理能够有效提升孕妇依从性，缓解其负面情绪，利于提升阴道分娩率，减少不良分娩结局的发生，有效保障母婴健康，从而提升孕妇满意度。更多还原

【Abstract】 Objective To explore the application effect of five color management of pregnancy risk based on hospital information system in pregnant women. Methods Ninety pregnant women who underwent prenatal examinations in Jiangxi Maternal and Child Health Hospital from April to December 2020 were selected as the control group and adopted the traditional health management mode. Ninety pregnant women who underwent prenatal examinations from January to June 2021 were selected as the observation group, and personalized services of five color management of pregnancy risks during pregnancy based on the hospital information system were adopted. Both groups were continuously cared for until the pregnant women delivered. The compliance, psychological state, mode of delivery, incidence of adverse delivery outcomes and satisfaction of pregnant women in the two groups were compared. Results The total compliance rate of pregnant women in the observation group was higher than that in the control group, and the difference was statistically significant(P<0.05). There was no statistically significant difference in the scores of the self-rating anxiety scale(SAS) and self-rating depression scale(SDS)before nursing between the two groups(P>0.05). After nursing, the scores of SAS and SDS in the observation group were lower than those in the control group, and the differences were statistically significant(P<0.05). The cesarean section rate in the observation group was lower than that in the control group, and the vaginal delivery rate was higher than that in the control group, and the differences were statistically significant(P<0.05). The total incidence of adverse delivery outcomes in the observation group was lower than that in the control group, and the difference was statistically significant(P<0.05). The total satisfaction of pregnant women in the observation group was higher than that in the control group, and the difference was statistically significant(P<0.05). Conclusion The five color management of pregnancy risks based on hospital information systems can effectively improve pregnant women’s compliance, alleviate their negative emotions, increase vaginal delivery rates, reduce the occurrence of adverse delivery outcomes, effectively protect maternal and infant health, and thus enhance pregnant women’s satisfaction.更多还原