"一贯制"责任护理模式对产妇产后恢复的影响

Impact of Consistency Primary Nursing Model on Hospitalized Postpartum Women

目的探讨在产科实施"一贯制"责任护理模式对产妇产后恢复和常见问题的影响。方法比较实施"一贯制"责任护理模式的产妇与实施岗位功能制护理模式的产妇产后尿潴留、奶胀的发生率、出院时和产后6周时的母乳喂养率,及产妇产后母乳喂养知识的知晓情况。结果观察组产妇出院时及产后6周的母乳喂养率均高于对照组,差异有统计学意义(P<0.01);观察组母乳喂养知识知晓得分高于对照组,差异有统计学意义(P<0.01);观察组产后6h尿潴留发生率明显低于对照组,差异有统计学意义(P<0.01);产后72h内观察组未发生奶胀的人数明显多于对照组,发生奶胀的人数少于对照组,差异有统计学意义(P<0.01)。结论"一贯制"责任护理是一种先进的护理模式,降低了产妇产后尿潴留、奶胀的发生率,提高了母乳喂养率,值得推广。

Objectives To investigate the effects of the consistency primary nursing model on the common conditions in the wowen after delivery.Methods A comparison was conducted on the frequency of urinal retention,breast engorgement,breastfeeding rate on discharge and at the 6th week after delivery and breastfeeding knowledge before discharge in postpartum women between the consistency primary nursing model and the traditional functional nursing model.Results The breastfeeding rate on discharge and at the 6th week after delivery in the observation group was significantly higher than that in the control group(P<0.01).The scores of breastfeeding knowledge in the observation group were significantly higher than that in the control group(P<0.01).The 6 h postpartum frequency of urinal retention in the observation group was significantly lower than that in the control group(P<0.01).The occurrence of breast engorgement within 72 h in the observation group was significantly lower than that in the control group(P<0.01).Conclusion The new model of nursing service resulted in higher breastfeeding rate and less common postpartum problems such as frequency of urinal retention,breast engorgement.It was necessary to extend this new nursing model in most maternity and infant hospitals and other general hospitals.