He Yushi, Fan Guangmei, Fan Guangrui, Liu Dandan
Department of Gynecology and Obstetrics, Shanxi Provincial People's Hospital, No. 29 Shuangta East Street, Yingze District, Taiyuan, Shanxi, China.
Department of Anesthesiology, Shanxi Provincial People's Hospital, No. 29 Shuangta East Street, Yingze District, Taiyuan, Shanxi, China.
BMC Nurs. 2025 Apr 26;24(1):459. doi: 10.1186/s12912-025-03108-7.
With the increasing digitization of healthcare, WeChat has emerged as a popular platform for delivering prenatal education in China. While studies have shown its potential benefits, few investigations systematically explore how nurses implement WeChat-based prenatal education and how pregnant women engage with these interventions within public hospital settings. Understanding both provider and patient perspectives is critical for developing equitable, effective digital maternal care.
A qualitative exploratory design was employed in four public hospitals in Shanxi Province, China. Seventeen obstetric nurses and eight pregnant women participated in semi-structured interviews between March and August 2024. Data were analyzed using thematic analysis to identify commonalities and divergences between nurse-driven and patient-driven experiences.
Nurses perceived WeChat as extending their professional reach beyond physical clinic hours and enhancing patient education, aligning with the Technology Acceptance Model constructs of perceived usefulness and ease of use. However, organizational constraints, digital training gaps, and blurred work-life boundaries posed challenges. Pregnant women similarly recognized WeChat's convenience for quick clarifications and access to nurse-vetted information, yet wide variations in digital health literacy led to uneven engagement. Cultural factors, such as extended family involvement and preferences for in-person consultations, further influenced both nurse and patient usage patterns. Despite these challenges, participants converged on WeChat's value as a complementary platform that could reduce clinic visits, offer immediate reassurance, and bolster continuity of care.
WeChat-based prenatal education holds significant promise for improving maternal health outcomes by facilitating frequent, real-time communication between nurses and expectant mothers. Nonetheless, the findings underscore the need for hospital-level policies, structured training programs, and culturally sensitive strategies to address privacy concerns, manage workloads, and reduce digital disparities. An integrated approach that combines nurse acceptance and patient digital literacy is essential to fully harness WeChat's potential in public hospital contexts.
The study highlights practical steps for enhancing digital prenatal interventions, including standardized protocols for WeChat-based interactions, comprehensive nurse training in eHealth communication, and tailored support for pregnant women with limited digital skills. Such interventions can inform wider policymaking on telehealth and guide technology developers in creating user-friendly, secure digital platforms that optimize maternal care and reduce health inequities.
Not applicable.
随着医疗保健数字化程度的提高，微信已成为中国提供产前教育的一个流行平台。虽然研究表明了其潜在益处，但很少有调查系统地探讨护士如何实施基于微信的产前教育，以及孕妇在公立医院环境中如何参与这些干预措施。了解提供者和患者双方的观点对于制定公平、有效的数字孕产妇护理至关重要。
在中国山西省的四家公立医院采用定性探索性设计。2024年3月至8月期间，17名产科护士和8名孕妇参与了半结构化访谈。使用主题分析法对数据进行分析，以确定护士主导和患者主导的体验之间的共性和差异。
护士们认为微信扩展了他们在实际门诊时间之外的专业影响力，并加强了患者教育，这与技术接受模型中感知有用性和易用性的概念相符。然而，组织限制、数字培训差距以及工作与生活界限的模糊带来了挑战。孕妇同样认识到微信在快速答疑和获取经护士审核的信息方面的便利性，但数字健康素养的广泛差异导致参与度不均衡。文化因素，如大家庭的参与以及对面对面咨询的偏好，进一步影响了护士和患者的使用模式。尽管存在这些挑战，但参与者一致认为微信作为一个补充平台具有价值，它可以减少门诊就诊次数、提供即时安慰并加强护理的连续性。
基于微信的产前教育通过促进护士与准妈妈之间频繁、实时的沟通，对于改善孕产妇健康结局具有重大前景。尽管如此，研究结果强调需要医院层面的政策、结构化培训计划以及具有文化敏感性的策略来解决隐私问题、管理工作量并减少数字差距。将护士的接受度与患者的数字素养相结合的综合方法对于在公立医院环境中充分发挥微信的潜力至关重要。
该研究突出了加强数字产前干预的实际步骤，包括基于微信互动的标准化协议、电子健康沟通方面的全面护士培训，以及为数字技能有限的孕妇提供量身定制的支持。此类干预措施可为更广泛的远程医疗政策制定提供参考，并指导技术开发者创建用户友好、安全的数字平台，以优化孕产妇护理并减少健康不平等现象。
不适用。
