两种护理模式改善母婴同室产妇心理状态及对提高优质护理效果的价值研究

The Research on the Value of Two Nursing Modes to Improve Maternal and Child’s Mental State and Improve the Effect of Quality Nursing

目的:研究两种护理模式改善母婴同室产妇心理状态及对提高优质护理效果的价值。方法:选取2017年4月-2018年8月本院母婴同室产妇86例,按照母婴同室顺序依次排号,利用SPSS 17.0软件,通过随机数字发生器,将单号产妇归为观察组,双号为对照组,各43例。对照组采用传统护理沟通模式,观察组采用AIDET沟通模式。观察和记录护理前后两组产妇心理状态(抑郁、焦虑评分)、母婴同室期间并发症发生率及角色适应率、母乳喂养率、乳汁分泌开始时间、第2天乳汁分泌量、乳房肿胀程度、护理满意度。结果:治疗后,两组产妇EPDS、SAS评分均低于治疗前,且观察组均低于对照组,差异均有统计学意义(P<0.05)。观察组产妇角色适应率高于对照组,差异有统计学意义(P<0.05);母婴同室期间产褥感染、溢奶发生率均低于对照组,差异均有统计学意义(P<0.05)。观察组母乳喂养率和乳汁分泌开始时间<24 h、第2天乳汁分泌量足量、乳房Ⅰ度肿胀发生率均高于对照组,差异均有统计学意义(P<0.05)。观察组产妇及家属护理满意度为93.02%,高于对照组的72.09%,差异有统计学意义(P<0.05)。结论:AIDET沟通模式在母婴同室护理中使用效果显著,能有效建立良好的护患关系,利于调整产妇不良心理状态,使其快速适应环境变化,从而完成角色转变;且AIDET沟通模式符合目前"以病人为中心"的护理服务理念,值得临床推广。

Objective:To study the value of two nursing modes to improve maternal and child’s mental state and improve the effect of quality nursing.Method:A total of 86 maternal and infant patients in our hospital from April 2017 to August 2018 were selected.According to the sequence of mother and baby in the room,using SPSS 17.0 software,through the random number generator,the single parturient was classified as the observation group and the double parturient as the control group,43 cases in each group.The control group was given traditional nursing communication,the observation group adopted AIDET communication mode.Before and after nursing,maternal psychological status(depression and anxiety score),complication rate and role adaptation rate,breastfeeding rate,milk secretion start time,milk secretion amount at the 2nd day,breast swelling degree,and nursing satisfaction were observed and recorded.Result:After treatment,EPDS and SAS scores were lower than those of before treatment in both groups,the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The maternal role adaptation rate in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).The incidence of puerperal infection and milk overflow during the period of maternal and infant coterie were lower than those of the control group,the differences were statistically significant(P<0.05).Observation group breastfeeding rates and milk at start time<24 h,2 d milk secretion enough,breastⅠincidence degree of swelling were higher than those of the control group,all the differences were statistically significant(P<0.05).Nursing satisfaction of maternals and their families in the observation group was 93.02%,higher than 72.09%of the control group,the difference was statistically significant(P<0.05).Conclusion:AIDET communication mode has a significant effect in the use of maternal and infant in-room nursing,and can effectively establish a good nurse-patient relationship,which is conducive to adjusting the poor mental state of maternal and female,making them quickly adapt to the changes in the environment,so as to complete the role change;AIDET communication mode conforms to the current"patient-centered"nursing service concept,which is worthy of clinical promotion.