结局现状对照模型联合NNN链接模式护理在产科母乳喂养中的应用效果

Application effects of outcome-present status test model combined with NNN link model nursing in obstetric breastfeeding

目的:探讨结局现状对照模型(OPT)联合护理诊断、护理结局、护理措施(NNN)链接模式护理在产科母乳喂养中的应用效果。方法:选取2019年5月至2021年5月于该院分娩的94例产妇进行前瞻性研究,按随机数字表法分为对照组和观察组各47例。对照组采用常规护理,观察组采用OPT结合NNN链接模式护理,比较两组母乳喂养知识掌握度、喂养情况、护理前后负性情绪[焦虑自评量表(SAS)和抑郁自评量表(SDS)]评分、母乳喂养自我效能感量表(BSES-SF)评分和护理满意度。结果:观察组总掌握度为95.74%(45/47),高于对照组的80.85%(38/47),差异有统计学意义(P<0.05);观察组纯母乳喂养率高于对照组,混合喂养率、人工喂养率均低于对照组,差异有统计学意义(P<0.05);护理后,观察组SAS、SDS评分均低于对照组,BSES-SF评分高于对照组,差异有统计学意义(P<0.05);观察组护理满意度为93.62%(44/47),高于对照组的78.72%(37/47),差异有统计学意义(P<0.05)。结论:OPT联合NNN链接模式护理能够提高产妇母乳喂养知识掌握度、母乳喂养率、母乳喂养效能评分和护理满意度,降低负性情绪评分。

Objective:To explore application effects of outcome-present status test model(OPT)combined with nursing diagnosis,nursing outcome,nursing measure(NNN)link model nursing in obstetric breastfeeding.Methods:94 puerperae who gave birth in this hospital from May 2019 to May 2021 were selected for the prospective study and were divided into control group and observation group according to the random number table method,47 cases in each group.The control group was given routine nursing,while the observation group was given OPT combined with nursing diagnosis,nursing outcome,nursing measure(NNN)link model nursing.The mastery of breastfeeding knowledge,the feeding situation,the negative emotion[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]score,the breastfeeding general self-efficacy scale(BSESSF)and the nursing satisfaction degree were compared between the two groups before and after the nursing.Results:The total mastery degree of the observation group was 95.74%(45/47),which was higher than 80.85%(38/47)of the control group,and the difference was statistically significant(P<0.05).The exclusive breastfeeding rate in the observation group was higher than that in the control group,the mixed feeding rate and the artificial feeding rate were lower than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the SAS and SDS scores of the observation group were lower than those of the control group,the BSES-SF score of the observation group was higher than that of the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 93.62%(44/47),which was higher than the control group of 78.72%(37/47),and the difference was statistically significant(P<0.05).Conclusions:OPT combined with NNN link model nursing can improve the breastfeeding knowledge mastery degree,the breastfeeding rate,the breastfeeding efficacy and the nursing satisfaction,and reduce the negative emotions.