实施个体化照护指导对早产儿母亲不确定感效果探讨

Individualized care and guidance for feeling of uncertainty of preterms＇ mothers

目的探讨实施出院计划——早产儿出院前实施母婴同室个体化照护指导对早产儿母亲不确定感的效果。方法将98例准备出院的早产儿母亲随机分成对照组和观察组，对照组为家长提供健康教育和出院宣教手册。观察组在此基础上实施出院计划，早产儿出院前实施母婴同室3—5天，予个体化照护指导，家长照护能力及信心都达到满意的水平，办理出院。比较两组早产儿母亲对护理服务满意度，并采用Zung抑郁自评量表（Self-Rating Depression Scak，SDS）及焦虑自评量表（Self-Rating Anxiety Scale，SAS）评价干预效果。结果观察组早产儿母亲对护理服务满意度、SDS及SAS评分显著优于优于对照组，差异有统计学意义（P〈0．05）。结论早产儿出院前实施母婴同室个体化照护指导有助于减轻早产儿母亲不确定感，提高护理服务满意度，使早产儿顺利过渡到家庭护理。

Objective To explore the effect of implementing individualized mother-infant rooming-in care and guidance of premature for the mothers＇ feeling of uncertainty before hospital discharge. Methods 98 mothers with their infants in preparation for discharge were randomized into a control group and a trial group. Manuals of health care and health education were provided for the control group before discharge. In addition, the premature infants and mothers in the trial group were rooming-in for 3-5 days while the care guidance was given before discharge. The satisfaction for the nursing service as well as the efficacy of the intervention were evaluated by the depression self rating scale （SDS） and self rating anxiety scale （SAS） were compared between the two groups. Results The nursing service satisfaction, SDS and SAS of the trial group were significantly better than those of the control group （P〈0.05）. Conclusion Individualized rooming-in care and guidance before hospital discharge of premature infants reduces the uncertainty of the mothers and improves their satisfaction for the nursing service. The method may provide a smooth transition for the patients from hospital to home care.