整体责任制护理干预对剖宫产产妇角色转变与心理状态的影响研究

Research on Effect of Whole-responsibility Nursing Intervention on the Role Change and Mental State of Delivery Women with Cesarean Section

目的探讨整体责任制护理干预对剖宫产产妇角色转变与心理状态的影响。方法回顾性分析该院于2013年1月—2015年1月期间收治的200例剖腹产产妇临床资料,按照护理模式将其分为对照组和观察组,对照组(92例)采用常规护理模式,观察组(108例)采用整体责任制护理模式。比较两组护理质量、产妇角色转变与心理状态以及术后不良反应。结果观察组病房管理评分(98.8±1.5)分、基础护理评分(99.5±0.8)分、专科护理评分(97.8±2.1)分、技术操作评分(98.3±1.2)分、护理记录评分(99.0±1.5)分及满意度评分(99.5±0.6)分均高于对照组,差异有统计学意义(P<0.01);两组患者护理干预后焦虑评分和抑郁评分显著下降(P<0.01),但观察组经护理干预后7 d的焦虑评分也抑郁评分分别为(30.4±3.6)分、(30.1±4.5)分,均明显低于对照组,差异有统计学意义(P<0.01);两组患者产妇角色适应良好率和产后母亲行为释放期率优于护理前,且观察组的产妇角色适应良好率和产后母亲行为释放期率在护理后7 d分别为80.6%、68.5%均明显优于对照组,不良反应率为10.19%,显著低于对照组,差异有统计学意义(P<0.01)。结论整体责任制护理干预在能够有效促进剖宫产产妇产角色转换,改善心理状态,有助于产妇产后多方面改善与适应,值得临床推广使用。

Objective To discuss the effect of whole-responsibility nursing intervention on the role change and mental state of delivery women with cesarean section. Methods 200 cases of delivery women with cesarean section admitted and treated in our hospital from January 2013 to January 2015 were selected and divided into two groups according to different nursing models, the control group with 92 cases adopted the routine nursing model, while the observation group with 108 cases adopted the holistic responsibility nursing model, and the nursing quality, role changes of delivery women, mental state and postoperative adverse reactions were compared between the two groups. Results The ward management score, basic nursing score, special nursing score, technical operation score, nursing record score and satisfactory degree score in the observation group were respectively（98.8±1.5）points,（99.5±0.8）points,（97.8±2.1）points,（98.3±1.2）points,（99.0±1.5）points,（99.5±0.6）points, which were higher than those in the control group, and the differences were statistically significant（P〈0.01）, and the anxiety score and depression score after the nursing intervention of the two groups were obviously decreased（P〈0.01）,but after 7d nursing intervention, the anxiety score and depression score were respectively（30.4±3.6）points and（30.1±4.5）points, which were obviously lower than those in the control group, and the differences were statistically significant（P〈0.01）, and the role adaption good rate and mother behavior release period rate of the two groups were better than those before nursing, and the role adaption good rate and mother behavior release period rate after 7d nursing were respectively80.6% and 68.5%, which were obviously better than those in the control group, and the adverse reaction rate was 10.19%,which was obviously lower than that in the control group, and the difference was statistically significant（P〈0.01）. Conclusion The whole-responsibility nursing intervention can effectively promote the role change of delivery women with cesarean section, improve the mental state and contribute to the improvement and adaption from multiple aspects after delivery, and it is worth clinical promotion and application.