摘要
为探讨一体化护理模式在围产期保健中的作用，采用产前健康教育，产时呼吸训练、疼痛缓解（音乐、暗示疗法）、美学渗透、Ｄｏｕｌａ式———家庭化分娩等良性护理介入以及协同式护理，产后社区随访，帮助产妇完成“接受→认知→参与→自觉行为”过程。结果增加了产妇的产前认知，缩短了产程，减少了新生儿窒息及产后出血的发生率，提高了产妇的自护能力，伤口愈合良好，子宫复旧、恶露时间缩短，母婴产褥期患病率下降，新生儿生理性体重下降减少，母乳喂养率提高。说明一体化护理模式可提高围产期保健质量。
To investigate the role of integrated nursing care model in perinatal health care, the ways of such benign nursing intermediating as prenatal health education, breath training during labor, pain relieving (music, hint therapy), aesthetic permeating and doula's home like environment for labor as well as cooperative nursing care and postpartum community follow up were utilized to assist the mothers in completing the course of “receiving→knowing→joining→conscientious action”. The results showed that the prenatal knowledge of the mothers was increased, the delivery course shortened, both the incidence of birth asphyxia and postpartum hemorrhage decreased, and the mothers self care capacity promoted. The time for uterine recuperation and lochia was shortened. The morbidity for both the mothers and infants during puerperium was reduced. The infants' physiological weight loss was lessened. The breast feeding rate was increased. It was suggested that the integrated nursing care model could improve the quality of perinatal health care
基金
湖北省卫生厅科研基金
关键词
一体化护理模式
围产期
保健
护理模式
integrated nursing care model
\ perinatal period
health care
