基于时效性激励理论的延续性护理对产后出血产妇自我效能及自我管理能力影响

The effect of transitional care based on time-sensitive incentive theory on self-efficacy and self-management ability of women with postpartum hemorrhage

目的探讨基于时效性激励理论的延续性护理对产后出血产妇自我效能及自我管理能力的影响。方法选择2018年2月—2019年5月医院分娩产后出血的产妇112例,按随机数字表法分为2组,各56例。对照组实施常规产后护理,观察组实施基于时效性激励理论的延续性护理。对比2组护理前后自我效能感量表(GSES)评分、自我管理能力测定量表(ESCA)评分及并发症发生情况。结果观察组护理3个月后GSES评分高于对照组(P<0.05)。观察组护理3个月后自我概念、自我护理技能、自护责任感、健康知识水平及ESCA总分均高于对照组(P<0.01)。2组并发症发生率差异无统计学意义(P>0.05)。结论基于时效性激励理论的延续性护理能升产后出血产妇自我效能及自我管理能力,减少并发症发生风险。

Objective To explore the effect of transitional care based on time-sensitive incen⁃tive theory on self-efficacy and self-management ability of women with postpartum hemorrhage.Methods A total of 112 pregnant women with postpartum hemorrhage who gave birth in the hos⁃pital from February 2018 to May 2019 were selected and divided into two groups according to the random number table method,each with 56 cases.The control group implemented routine post⁃partum care,and the observation group implemented transitional care based on time-sensitive in⁃centive theory.The self-efficacy before and after nursing,changes in self-management ability and the incidence of complications were compared between the two groups.Results The general selfefficacy score of the observation group after 3 months of nursing was higher than that of the con⁃trol group(P<0.05).The scores of self-concept,self-care skills,self-care consciousness of re⁃sponsibility,health knowledge level and total score of exercise of self-care agency scale in the ob⁃servation group were higher than those in the control group(P<0.01).There was no significant difference in complication rate between two groups(P>0.05).Conclusion Transitional care based on the time-sensitive incentive theory can enhance self-efficacy and self-management ability of women with postpartum hemorrhage.