母婴床旁护理对初产妇产后焦虑水平的影响

Influence of maternal-infant bed care on the level of postpartum anxiety in primipara

目的研究母婴床旁护理对初产妇产后焦虑水平的影响。方法选择解放军总医院产科病房2014年5-6月住院分娩的50对母婴为对照组,2014年7-8月住院分娩的50对母婴为实验组。对照组实施传统的产科护理模式,实验组实施母婴床旁护理,即产妇及新生儿的各项护理操作及健康教育均由母婴专科护士在床旁完成。采用焦虑自评量表评价两组产妇在分娩当日及出院当日的评分情况,记录母婴知识掌握程度及婴儿护理技能掌握程度、对护理工作的临床满意度及其对丈夫的满意度。结果实验组和对照组产妇在分娩当日焦虑总分比较,差异无统计学意义（P〉0.05）;实验组产妇出院当日焦虑总分明显低于对照组,差异有高度统计学意义（P〈0.01）;实验组产妇母婴知识及格人数及婴儿护理水平及格人数均高于对照组,差异均有高度统计学意义（均P〈0.01）,对护理工作的临床满意度及其对丈夫的满意度也较对照组明显提高,差异均有高度统计学意义（均P〈0.01）。结论母婴床旁护理模式可明显降低初产妇产后焦虑水平,促进产妇及家属掌握母婴保健知识和育儿技能,提高产妇满意度,值得推广应用。

Objective To study the effect of maternal-infant bed care on the level of postpartum anxiety in primipara.Methods 50 maternal and infant from Gynecology and Obstetrics of the General Hospital of Chinese PLA from May to June 2014, were chosen as the control group, 50 maternal and infant from Gynecology and Obstetrics of the General Hospital of Chinese PLA from July to August 2014, were chosen as the experimental group. The control group was underwent conditional obstetrical nursing while the experimental group was applied bed care which meaned that all the nursing procedure and health promotion of primipara and infant were conducted besides the bed by special maternalinfant nurse. The self-rating anxiety scale were assessed both in the day of delivery and discharge in the two group.Meanwhile, the basic knowledge of maternal-infant health and the infant nursing, the satisfaction of nursing and her husband were also compared in the two group. Results There was no significance difference of the anxiety scale in the delivery day among the control group and experimental group（P〉0.05）. In the discharge day, the anxiety scale of experimental group was significantly lower than the control group（P〈0.01）. The mastery of knowledge in maternal-infant health and infant nursing were also better in the experimental group（all P〈0.01）. The satisfaction to nursing work and her husband were also significantly higher in the experimental group（all P〈0.01）. Conclusion The bed care can obviously reduce the level of postpartum anxiety in primipara. Moreover, it can promote the family to master the knowledge in maternal- infant health and infant nursing. The bed care can also elevate the satisfaction of the primipara and worth popularization and application