配偶角色式体验结合健康教育对孕产妇与配偶角色的影响

Effect of spouse role experience combined with health education on maternal and spouse roles

目的探讨配偶角色式体验模式结合健康教育对孕妇及其配偶角色适应度与抑郁情况的影响,为临床相关研究提供参考。方法选取2018年1—12月于某医院产科建档立卡的孕产妇及其配偶共180对为观察对象,基于数字表法,将孕产妇及其配偶分为研究组与对照组,各组90对。对照组对产妇及其配偶实施常规产科健康教育干预,研究组在对照组健康教育基础上对产妇及配偶实施配偶角色式体验模式干预,总结比较两组夫妇的角色适应程度、母婴护理知识知晓率、抑郁与睡眠情况、婴儿脐部感染发生率、病理性黄疸发生率及纯母乳喂养率等。结果干预后,研究组孕产妇及其配偶的角色适应程度评分别为(69.83±10.49)分、(67.86±12.61)分,高于对照组的(47.85±7.19)分、(46.22±7.28)分;母婴护理知识知晓率分别为95.56%、93.33%,高于对照组的67.78%、62.22%;纯母乳喂养率为97.78%,高于对照组的37.78%,差异均有统计学意义(P<0.05)。PHQ-9抑郁评分与PSQI睡眠质量评分均低于对照组,差异有统计学意义(P<0.05)。研究组婴儿脐部感染、病理性黄疸的发生率均低于对照组,差异有统计学意义(P<0.05)。结论配偶角色式体验模式结合健康教育可显著提高孕产妇与其配偶的母婴护理知识知晓率,改善角色适应度,提高产后母乳喂养率,提高产妇睡眠质量,缓解抑郁情绪,具有较为广阔的应用前景。

Objective To explore the effect of spouse role experience model combined with health education on maternal and spouse role fitness and depression,provide reference for clinical correlation analysis and research.Methods A total of 180 pairs of maternal and their spouses who were registered in obstetrics department of the hospital from January to December 2018 were selected as observation objects,based on the number table method,the pregnant women and their spouses were divided into study group and control group,90 pairs in each group.In the control group,routine obstetric health education intervention was carried out for the pregnant women and their spouses after the establishment of the registration card,on the basis of health education in the control group,the study group conducted spousal role experience model intervention on maternal and spouse.The role adjustment,maternal and child nursing knowledge,depression and sleep,umbilical infection rate,pathological jaundice rate and exclusive breastfeeding rate of the two groups of couples were summarized and compared.Results After intervention,the scores of role adaptation of pregnant women and their spouses in the study group were(69.83±10.49)and(67.86±12.61),respectively,which were higher than those in the control group(47.85±7.19)and(46.22±7.28).The awareness rates of maternal and child care knowledge were 95.56%,93.33%higher than67.78%and 62.22%of the control group.The rate of exclusive breastfeeding was97.78%,higher than37.78%of the control group.The differences between the above data were statistically significant(P<0.05).PHQ-9 depression score and PSQI sleep quality score were lower than those in the control group,with statistically significant differences(P<0.05).The incidence of umbilical infection and pathological jaundice in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The spousal role-based experience model combined with health education can significantly improve maternal and infant nursing knowledge of maternal and maternal spouses,improve role fitness,improve postpartum breastfeeding rate,improve maternal sleep quality,and relieve depression,which has a relatively broad clinical application prospect.