示善-倾听-交流-合作医患沟通模式在初产妇护理中的应用

Application of Goodwill-Listenning-Talk-Cooperation Doctor-Patient Communication Model in Nursing Care of Primipara

目的探讨示善-倾听-交流-合作(GLTC)医患沟通模式在初产妇护理中的应用价值。方法选取2019年7月至2021年7月于驻马店市中心医院妇女儿童医院产科进行分娩的80例初产妇作为研究对象,根据随机数表法分为干预组(40例)与对照组(40例),对照组接受常规医患沟通模式,干预组接受GLTC医患沟通模式,比较两组初产妇护理前后汉密尔顿焦虑量表(HAMA)与汉密尔顿抑郁量表(HAMD)评分、依从性及护理满意度。结果干预后,干预组HAMA及HAMD评分低于对照组(P<0.05);干预组总依从性(95.00%)较对照组(75.00%)高(P<0.05);干预组护理满意度评分高于对照组(P<0.05)。结论将GLTC医患沟通模式应用于初产妇的护理过程中,可明显改善初产妇焦虑、抑郁等不良情绪,有助于分娩的顺利进行,提高初产妇的依从性及护理满意度。

Objective To explore the application value of goodwill-listenning-talk-cooperation(GLTC)doctor-patient communication model in nursing care of primipara.Methods A total of 80 primiparas who gave birth in the obstetrics department of Women’s and Children’s Hospital,Zhumadian Central Hospital from July 2019 to July 2021 were selected as the research objects.According to the random number table method,they were divided into intervention group and control group,40 cases in each group.The control group received routine doctor-patient communication mode and the intervention group received the GLTC doctor-patient communication model.The Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)scores,compliance and nursing satisfaction were compared between the two groups before and after intervention.Results After the intervention,the HAMA and HAMD scores of the intervention group were lower than those of the control group(P<0.05);the total compliance of the intervention group(95.00%)was higher than that of the control group(75.00%)(P<0.05);the nursing satisfaction score of the intervention group was higher than that of the control group(P<0.05).Conclusion The application of GLTC doctor-patient communication model to the nursing process of the primipara can significantly improve the anxiety,depression and other negative emotions of the primipara,help the smooth progress of the delivery,and improve the compliance and nursing satisfaction of the primipara.