以家庭为单位的护理模式对于高龄产妇分娩后恢复情况的影响分析

Analysis of the influence of family-based nursing model on the rehabilitation of women of advanced paternal age after delivery

目的探讨以家庭为单位护理模式在高龄产妇分娩后恢复影响。方法选取2014年3月~2016年5月我社区内分娩高龄产妇84例为研究对象,将患者随机分为家庭组和常规组,分别采用以家庭为单位护理模式和常规护理,比较两组患者产后乳房恢复、母乳喂养信心、泌乳始动时间、恶露干净时间、不良情绪及护理满意度。结果家庭组产后乳房通畅率高于常规组,乳房硬结节、胀痛发生率低于常规组(P<0.05)。家庭组泌乳始动时间、恶露干净时间短于常规组,BSES评分高于常规组(P<0.05)。产后3月家庭组患者SDS、EPDS评分均低于常规组(P<0.05)。家庭组患者护理满意度显著高于常规组(P<0.05)。结论以家庭为单位护理模式在高龄产妇中实施,指导产妇及其家属进行自我护理干预,能有效促进产后恢复,减轻不良情绪,提高护理满意度,具有显著临床应用效果。

Objective To explore the influence of family -based nursing model on the rehabilitation of women of advanced paternal age after delivery. Methods A total of 84 women of advanced paternal age in our community from March 2014 to May 2016 were selected as studying objects,and were randomly divided into the family group and the conventional group.The family -based nursing model and routine nursing were adopted respectively.Postpartum breast recovery,breast feeding confidence,lactation start time,time of lochia,bad mood and nursing satisfaction between two groups were compared. Results The postpartum breast ventilation rate of the family group was higher than that in the conventional group,and the rates of breast hard nodules and distal pain were lower than those in the conventional group（P 〈 0.05）.The initial time of lactation and time of lochia in the family group were shorter than those in the conventional group,and the BSES score was higher than that in the conventional group（P 〈 0.05）.At 3 months postpartum,the SDS and EPDS score of the family group were lower than the conventional group（P 〈 O.05）.The nursing satisfaction of family group was significantly higher than that in the conventional group（P 〈 0.05）. Conclusion Family-based care model for women of advanced paternal age to guidance mothers and their families self-care intervention can effectively promote postpartum recovery,reduce bad mood and improve nursing satisfaction,and has significant clinical application effect.