一对一协同家庭支持护理在初产妇中的应用效果

Application effect of one-on-one collaborative family support nursing in primipara

目的探讨一对一协同家庭支持护理在初产妇中的应用效果。方法选取2017年7月~2018年12月江西省抚州市中医院收治的60例产褥期初产妇进行研究,按照随机数字表法分为观察组和对照组,每组各30例。观察组给予一对一协同家庭支持护理方法,对照组采用常规护理方法;比较两组的情绪状态、产褥期健康知识掌握程度、性生活质量等情况。结果观察组干预后对婴儿护理知识、母乳喂养知识、产后一般知识等产褥期健康知识的掌握程度评分高于对照组,差异有统计学意义(P<0.05);观察组婴儿护理与母乳喂养、遵医自我护理、社会角色转变等产褥期各生活行为指标评分均高于对照组,差异有统计学意义(P<0.05);观察组干预后焦虑自评量表(SAS)与抑郁自评量表(SDS)评分均低于对照组,差异有统计学意义(P<0.05);且干预后观察组产后性生活问题总发生率明显低于对照组,差异有统计学意义(P<0.05)。结论在初产妇产褥期开展一对一协同家庭支持护理干预效果显著,有利于改善产妇行为、提高其相关知识的掌握程度,可在临床推广应用。

Objective To explore the application effect of one-to-one collaborative family support nursing in primipara.Methods From July 2017 to December 2018,60 cases of puerperal primiparas treated in the Fuzhou Hospital of Traditional Chinese Medicine Jiangxi Province were selected for the study,patients were divided into observation group and control group according to random number table,30 cases in each group.The observation group was given one-on-one collaborative family support nursing method,the control group was treated with routine nursing methods.The emotional state,the mastery of health knowledge during puerperium,and sexual quality of life were compared between two groups.Results After the intervention,the maternal scores of infant nursing knowledge,breastfeeding knowledge,postpartum general knowledge and other puerperal health knowledge were higher than those of the control group,the differences were statistically significant(P<0.05).Scores of life behavior indexes in puerperal period of the observation group infant care and breast milk,behavioral indicators of feeding,self-care,social role change were higher than those of the control group,the differences were statistically significant(P<0.05).The observation group intervention self-rating anxiety scale(SAS),the scores of self-rating depression scale(SDS)were lower than those of the control group,and the differences were statistically significant(P<0.05).The total incidence of postpartum sexual life problems in the observation group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion The one-to-one collaborative family support nursing intervention in the primipara maternal puerperium is effective,which is beneficial to improve maternal behavior and improve the mastery of relevant knowledge.It can be applied in clinic.