Study On The Application Of Primipara Health Education Program Based On Flipped Class Concept

ObjectivesTo evaluate the effect of prenatal health education program based on flipped class concept in primiparas,so as to provide reference for prenatal health education.MethodsUsing the convenient sampling method,according to the inclusion criteria,220primiparas,which were given continuous prenatal education,in the early pregnancy(6weeks of pregnancy)in a major hospital of Heze(6 weeks of pregnancy)were selected as the subjects for the study of 220 primiparas.According to the number of odd numbers in the pregnant women’s school,they were divided into the experimental group and the even group into the control group,with two cases in each group and 110 cases in each group.In the control group,the traditional prenatal health education mode was adopted by the pregnant group school group,and the experimental group implemented the prenatal health education mode based on the flipped class concept.The general data questionnaire,self rating Anxiety Scale(SAS),self rating Depression Scale(SDS),self efficacy scale of childbirth,breast feeding self efficacy scale,and pain grading standard were used to collect the data of primipara.The pregnancy weight and newborn weight of the primipara were measured and the first,second,third and total birth process time of the primipara were calculated.To assess the way of childbirth in primipara.SPSS 21 statistical software was used for data analysis.The statistical methods included independent sample t test,chi square test,and repeated ANOVA.Results(1)The final experimental group(103 cases)and the control group(100 primiparas)completed the study.(2)The first,second and total labor time were lower than the control group(he first labor time P<0.05,The second and total labor time P<0.01),and the self-efficacy score of delivery(263.17±47.79 vs 248.48±38.66)and the evaluation of breastfeeding self-efficacy(127.04+17.66 vs 107.20+19.57)were all clear.Significantly higher than the control group(P<0.01),the first stage of labor(latency,active phase)and the second stage of pain were lower than those of the control group(P<0.01).(3)The analysis of repeated measurements of weight gain of two groups of primiparas in the early pregnancy,mid trimester and late trimester of pregnancy showed that the effects of time and intergroup effects were statistically significant(P<0.01),and the effect of interaction was not statistically significant(P>0.05).Multivariate analysis of variance showed that there was no significant difference in weight gain between the two primiparas in the early pregnancy(P>0.05).The weight gain of the primipara in the middle and late pregnancy of the experimental group was lower than that of the control group(P<0.05,P<0.01).(4)The SAS scores of two groups of primiparas in the early pregnancy,mid trimester and late trimester of pregnancy were analyzed by repeated measurements of variance:time effect,intergroup effect and interaction effect were statistically significant(P<0.01).Multivariate analysis of variance showed that there was no statistical difference between the two groups of primiparas before and during the middle pregnancy(P>0.05).The SAS scores of 24h in the early pregnant,late pregnancy and post birth of the experimental group were all lower than those of the control group(P<0.01).(5)The SDS scores of two groups of primiparas in the early pregnancy,mid trimester and late trimester of pregnancy were analyzed by repeated measurements of variance:time effect,intergroup effect and interaction effect were statistically significant(P<0.01).Multivariate analysis of variance showed that there was no statistical difference between the two groups of primiparas before the intervention(P>0.05).The SDS scores of 72h in the early pregnant,mid pregnancy,late pregnancy and post labor of the experimental group were all lower than those of the control group(P<0.01).(6)The birth weight of the normal weight newborns in the experimental group was higher than that in the control group(χ~2=6.61,P<0.05).(7)The natural childbirth rate of primipara in experimental group was higher than that in control group(χ~2=15.93,P<0.01).ConclusionThe prepartum health education based on the concept of flipped class can effectively control the weight gain during pregnancy,alleviate the degree of anxiety and depression in pregnant women during pregnancy,improve the self-efficacy and self-efficacy of the primipara,shorten the first,second and total labor time,and reduce the pain degree of the first and second labor stages,and improve their self-delivery,the birth rate and the birth rate of normal weight newborns.