聚焦解决护理模式在经阴道分娩初产妇中的应用效果

Application effect of solution focused approach in primiparas undergoing vaginal delivery

目的探讨聚焦解决护理模式(SFA)对经阴道分娩初产妇母乳喂养率及产后主观幸福感的影响。方法采用便利抽样法,选取2021年5—12月杭州市第一人民医院产科收治的经阴道分娩的180名初产妇作为研究对象,采用随机区组设计法分为对照组和观察组各90名。对照组应用常规护理,观察组在对照组基础上应用SFA。统计两组产妇纯母乳喂养时间及产后3个月母乳喂养率。采用纽芬兰纪念大学幸福度量表(MUNSH)评价两组产妇护理干预前后主观幸福感,并统计两组产妇护理满意度。结果观察组产妇产后3个月母乳喂养率高于对照组,纯母乳喂养时间长于对照组,差异有统计学意义(P<0.05);护理干预后,观察组产妇MUNSH中正性情感及正性体验维度评分及总分高于对照组,负性情感及负性体验维度评分低于对照组,差异均有统计学意义(P<0.05);观察组产妇护理满意度高于对照组,差异有统计学意义(P<0.05)。结论SFA能有效提高阴道分娩初产妇母乳喂养率,提升产妇产后主观幸福感及护理满意度,值得临床应用。

Objective To explore the effect of solution focused approach(SFA)on breastfeeding rate and postpartum subjective well-being of primiparas with vaginal delivery.Methods From May to December 2021,the convenient sampling was used to select 180 primiparas who underwent vaginal delivery in Department of Obstetrics in Hangzhou First People's Hospital as the research objects.Using the random block design method,they were divided into the control group and the observation group,with 90 cases in each group.The primiparas in the control group were given routine nursing care,while primiparas in the observation group were given SFA on the basis of the control group.The duration of exclusive breast feeding and the rate of breast feeding at 3 months after delivery were counted.Memorial University of Newfoundland Scale of Happiness(MUNSH)was used to evaluate the subjective well-being of patients in the two groups before and after nursing intervention,and the nursing satisfaction of the two groups was counted.Results The breastfeeding rate of the observation group at 3 months after delivery was higher than that of the control group and the exclusive breastfeeding time was longer than that of the control group,and the differences were statistically significant(P<0.05).After nursing intervention,the scores of positive emotion and positive experience dimension and total score of MUNSH in the observation group were higher than those in the control group,and the scores of negative emotion and negative experience dimension were lower than those in the control group,and the differences were statistically significant(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusions SFA can effectively improve the breastfeeding rate of primiparas undergoing vaginal delivery and improve postpartum subjective well-being and nursing satisfaction of primiparas,which is worthy of clinical application.