延续性护理对初产妇产褥期自我保健能力及母婴健康的影响

Effects of continuing care on self-care ability and maternal and child health of primipara in puerperium

目的探讨延续性护理对初产妇产褥期自我保健能力及母婴健康的影响。方法回顾性分析本院收治的182例产褥期初产妇的临床资料,将其按照不同护理方式分为对照组与试验组,每组91例。对照组给予常规护理模式,试验组给予延续性护理干预模式。比较两组产妇出院时、干预后的自我保健能力,同时比较两组产妇及新生儿的并发症发生情况。结果干预后,两组产妇自我保健能力各维度评分均高于出院时,且试验组高于对照组,差异有统计学意义(P<0.05);试验组产妇的并发症总发生率为14.29%,低于对照组的30.77%,差异有统计学意义(P<0.05);试验组新生儿的并发症总发生率为12.09%,低于对照组的35.16%,差异有统计学意义(P<0.05)。结论延续性护理干预能提高初产妇产褥期的自我保健能力,促进产妇身体、心理、社会等功能达到最优化,使其形成健康的生活方式,并能提高母婴预后生活质量,值得临床应用。

Objective To explore the effects of continuing care on self-care ability and maternal and child health of primipara in puerperium. Methods The clinical data of 182 primiparas in puerperium admitted in our hospital were retrospectively analyzed. The primiparas were divided into control group and experimental group according to different nursing methods, with 91 cases in each group. The control group was given routine nursing mode, while the experimental group was given continuing care intervention mode. The self -care ability of the two groups at discharge and after intervention were compared, and the complications of primiparas and neonates in the two groups were compared. Results After intervention, the scores of each dimension of self-care ability of primiparas in the two groups were higher than those at discharge, and those in the experimental group were higher than the control group, the differences were statistically significant (P<0.05).The total incidence of complications was 14.29% of primiparas in the experimental group, which was lower than 30.77% in the control group, the difference was statistically significant (P <0.05).The total incidence of complications of neonates in the experimental group was 12.09%, which was lower than 35.16% in the control group, the difference was statistically significant (P<0.05). Conclusion Continuing care intervention can improve the self-care ability, promote the optimization of physical, psychological and social functions of puerpera, form a healthy life style of primipara in puerperium and improve the prognosis quality of life of maternal and child, which is worthy of clinical application.