基于使用与满足理论的延续护理模式在产科中的应用效果

Effects of continuous nursing model based on uses and gratifications theory in obstetrics

目的探讨基于使用与满足理论的延续护理模式在产科中的应用效果。方法采用简单随机抽样法选取南京大学医学院附属鼓楼医院2018年4月—2019年4月200名产科住院产妇作为研究对象。按入院先后顺序分为对照组和干预组各100名,对照组采用产科常规护理,干预组基于使用与满足理论分析患者延续护理需求,构建延续护理方案,采用爱丁堡产后抑郁量表(EPDS)、育儿自我效能量表及社会支持评定量表比较干预前后两组产妇产后抑郁、自我效能及社会支持的差异。结果干预后,干预组产妇EPDS得分(8.2±2.3)分,低于对照组(10.8±2.5)分,差异有统计学意义(P<0.05);干预组产妇育儿自我效能各维度评分及总分均高于对照组,差异有统计学意义(P<0.05);干预组患者在客观支持、主观支持、社会支持利用度方面评分及总分均高于对照组,差异有统计学意义(P<0.05)。结论基于使用与满足理论的延续护理可显著降低产妇产后抑郁,提高其自我效能和社会支持,值得在临床中推广。

Objective To explore the effects of continuous nursing model based on uses and gratifications theory(UGT theory)in obstetrics.Methods Totally 200 obstetric puerpera hospitalized in Nanjing Drum Tower Hospital from April 2018 to April 2019 were selected by simple random sampling,and divided into control group(n=100)and intervention group(n=100)according to the order of admission.Puerpera in the control group received conventional nursing care for obstetrics,while the continuous nursing needs were analyzed by UGT theory and a continuous nursing program was thus developed for patients in the intervention group.Edinburgh Postnatal Depression Scale(EPDS),Self-Efficacy in Infant Care Scale(SICS)and Social Support Rating Scale(SSRS)were employed to compare the differences in postnatal depression,self-efficacy and social support between the two groups before and after intervention.Results After intervention,the EPDS score of the intervention group was(8.2±2.3),lower than(10.8±2.5)of the control group,and the difference was statistically significant(P<0.05).The total self-efficacy score and scores of different dimensions of the intervention group were higher than those of the control group,and the differences were statistically significant(P<0.05).The scores in objective support,subjective support,and social support utilization and the total score of the intervention group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusions Continuous nursing based on UGT theory can significantly reduce postnatal depression in puerpern and improve their self-efficacy and social support,which is worth promoting in clinical practice.