以医院为中心的随访模式对危重症孕产妇自我效能的影响

The effect of hospital centered follow-up mode on improving self-efficacy of critically-ill postpartum women

目的:探讨以医院为中心的随访模式对提高危重症孕产妇产后自我效能的作用。方法:采用便利抽样的方式,选取某救治中心2013年-2015年出院的危重症患者,按照同婚姻状况、同文化程度、医生判断为病重等配对条件,筛选出满足该条件的孕产妇,随机分为试验组(40例)与对照组(40例)。试验组给予以医院为中心的随访模式,对照组给予常规电话随访加门诊随访,随访干预时间为产后42天、产后3个月。结果:干预前两组患者自我效能感差异无统计学意义(P> 0.05),干预后两组患者的自我效能感差异有统计学意义(P <0.05)。结论:以医院为中心的随访模式可以提高危重症孕产妇产后的自我效能感。

Objective:To explore the effect of hospital centered follow-up mode on improving self-efficacy of critically-ill postpartum women.Methods:Using the convenient sampling method,the pregnant and parturient women who were discharged from the hospital from^2013 to 2015 were selected according to the condition of marriage,the same cultural degree,the doctor’s judgment of the disease,and the pregnant and parturient women who met the condition were selected and divided into the experimental group(40 cases)and the control group(40 cases).The experimental group was given a hospital-centered follow-up model,and the control group received routine telephone follow-up and outpatient follow-up.The follow-up intervention time was 42 days after postpartum and 3 months after postpartum.Results:There was no significant difference in self-efficacy between the two groups before intervention(P>0.05).The difference of self-efficacy between the two groups after intervention was statistically significant(P<0.05).Conclusion:The hospital centered follow-up mode could improve the self-efficacy of critically-ill pregnancy and postpartum women.