家庭式护理干预对初产妇的影响

The Influence of Family Nursing Intervention on First-time Mothers

目的探讨家庭式护理干预对初产妇的影响。方法选取入该院待产的259例初产孕妇为研究对象,根据其入院顺序分成家庭式护理组(A组,n=144)和对照组(B组,n=115)两组。比对两组孕妇干预前后不良情绪变化情况,记录其母婴结局及母乳喂养情况。结果①干预后,两组产妇不良情绪及睡眠质量均较干预前明显改善,其中A组改善效果优于B组(P<0.05);②两组产妇在分娩方式对比上差异无统计学意义(P>0.05),但A组总产程、失血量明显低于B组,且新生儿阿氏评分及母乳喂养成功率均高于B组(P<0.05)。结论对初产妇予以分娩全程家庭式护理干预措施,能有效节省分娩时间、减少出血量,提高母婴预后质量,值得临床推广。

Objective To investigate the influence of family nursing intervention on first-time mothers. Methods 259 primiparous women admitted in our hospital for the delivery were selected as the subjects and divided into two groups, the family nursing group （group A, n=144）, and the control group （group B, n=115）. The changes in bad emotions in the two groups before and after inter-vention were compared, and the outcome of mother and infant and status of breast feeding in both groups were recorded. Results① After the intervention, the bad emotions and quality of sleep in both groups were improved significantly compared with those before intervention, moreover, the improvement in group A was better than that in group B （P〈0.05）; ② No significant difference was found in delivery mode between the two groups （P〉0.05）, but compared with group B, the duration of labor and blood loss in group A were much less, neonatal Apgar scoring and success rate of breast feeding were higher（P〈0.05）. Conclusion For first-time mothers, family nursing intervention measures during the process of delivery can effectively shorten the labor time, reduce the blood loss and improve the prognosis of mother and infant, which are worthy of clinical promotion.