不同年龄阶段产妇产褥期自护能力与生活质量状况的相关性研究

Correlation between self-care ability and quality of life of puerperium in different age groups

目的 探讨不同年龄阶段产妇产褥期自我护理能力及生活质量状况的相关性,为提高产褥期护理质量提供依据。方法 采用问卷调查法对四川省妇幼保健院172例高龄产妇和162例适龄产妇进行问卷调查,使用自我护理能力测定量表(ESCA)、生活质量状况量表(SF-36)了解其自我护理能力和生活质量状况。结果 高龄产妇产褥期自我护理能力得分高于适龄产妇,差异有统计学意义(P <0. 05),而生活质量状况得分低于适龄产妇,但差异无统计学意义(P> 0. 05);产妇自我护理能力各维度得分与生活质量状况各维度得分存在一定的相关性;文化程度和夫妻感情是影响产妇自我护理能力和生活质量状况的重要因素(P <0. 05)。结论 产妇的自我护理能力与生活质量状况之间存在较强的正相关。适龄产妇产褥期的生理机能和心理健康状况较高龄产妇好,而自我护理能力较高龄产妇差,医护人员应对不同年龄段的产褥期妇女提出具有针对性的护理措施。

Objective To explore the correlation between maternal self-care ability and quality of life during puerperium at different ages,and provide a basis for improving the quality of puerperium nursing. Methods 172 elderly puerperium and 162 ageappropriate puerperium in Sichuan Provincial Maternity and Child Health Care Hospital were investigated by questionnaire. The self-care ability measurement scale( ESCA) and quality of life scale( SF-36) were used to understand their self-care ability and quality of life status. Results The scores of self-care ability of puerperium of elderly puerperium were higher than those of age-appropriate puerperium,and the difference was statistically significant( P < 0. 05),while the score of quality of life was lower than that of ageappropriate puerperium,but the difference was not statistically significant( P > 0. 05). There was a certain correlation between the dimension scores and the scores of each dimension of quality of life;education level and marital relationship were important factors affecting maternal self-care ability and quality of life( P < 0. 05). Conclusion There was a strong positive correlation between maternal self-care ability and quality of life status. The physiological function and mental health of age-appropriate puerperium are better than those of elderly puerperium,but the self-care ability is worse than the elderly puerperium. Medical staff should propose targeted nursing measures for puerperium women of different ages.