责任亲情交互式护理模式对产科护理质量的影响

Impact of accountable and kindred-like nursing mode on the quality of obstetric nursing

目的探讨开展责任亲情交互式护理工作模式，践行优质护理服务理念的效果。方法选择在责任亲情交互式护理模式开展前3个月中分娩的初产妇100例作为对照组，责任亲情交互式护理模式开展后3个月中分娩的初产妇100例作为观察组，比较两组产妇对健康教育知识和技能的掌握程度，出院时对护理工作的满意度、最满意护士提名率、出院后遵医行为等状况。结果观察组产妇出院时健康教育知识掌握、基本掌握和未掌握的例数分别为62，28，10例，对照组分别为30，56，14例；观察组健康教育技能掌握、基本掌握和未掌握的例数分别为75，19，6例，对照组分别为28，58，14例。观察组产妇健康教育知识和技能掌握明显优于对照组，差异有统计学意义（X2值分别为21．13，44．40；P均〈0．05）。出院后观察组产妇遵医行为水平中纯母乳喂养、新生儿抚触和婴儿游泳执行情况均好于对照组（49例比27例，58例比27例，47例比18例），差异均有统计学意义（x2值分别为9．93，20．14，19．16；P均〈0．05）；两组婴儿臀部护理情况比较差异无统计学意义（P〉0．05）。观察组产妇对护士的满意度和最满意护士提名率明显高于对照组（99例比93例，82例比53例），差异均有统计学意义（X2值分别为10．86，19．17；P均〈0．05）。结论责任亲情交互式护理模式能提高健康教育的效果、出院后产妇的遵医水平，提高产妇及家属对护理服务的满意度。

Objective To investigate the impact of accountable and kindred-like nursing and the practice of quality care. Methods 100 primiparas who gave birth three months before the accountable and kindred-like nursing were selected as the control group, while 100 primiparas who gave birth three months after accountable and kindred-like nursing were selected as the observation group. Tow groups＇ understanding of health education knowledge and skills, satisfaction with nursing when discharged, nomination rate of the most satisfactory nurse and compliance behavior after discharged were compared. Results In the observation group, 62 cases had fully understood, 28 had basically understood and 10 had not understood the health education knowledge when discharged, while in the control group the numbers were respectively 30, 56 and 14. In the observation group, 75 cases had fully understood, 19 had basically understood and 6 had not understood the health education skills when discharged, while in the control group the numbers were respectively 28, 58 and 14. The understanding of health education knowledge and skills were much better in the observation group than in the control group, and the differences were statistically significant （X2 = 21.13, 44.40, respectively; P 〈 0.05）. After being discharged, the compliance behaviors including pure breastfeeding, newborn massage and baby swimming of the observation group were also better than the control group （49 vs 27,58 vs 27,47 vs 18, respectively）, and the differences were statistically significant （ ~2 = 9.93, 20.14, 19.16, respectively; P 〈 0.05）. There were no significant differences in infant buttock nursing between two groups （ P 〉 0.05 ）. The satisfaction of nursing and nomination rate of the most satisfactory nurse were also much higher in the observation group （99 vs 93, 82 vs 53, respectively）, and the differences were statistically significant （~2 = 10.86, 19.17, respectively ;P 〈 0.05 ）. Conclusions Accountable and kindred-like nursing can enhance the effect of health education, compliance behaviors, so as to improve the satisfaction degree of puerperants and their families with nursing service.