“照顾者角色紧张”的NNN链接在初产妇配偶中的应用效果研究

Study of the Effectiveness of the NNN Link for“Caregiver Role Tension”in First-Time Maternal Spouses

目的:研究“照顾者角色紧张”的NNN链接在初产妇配偶中的应用效果。方法:选取2019年6月-2020年6月河南医学高等专科学校附属医院进行生产的123例初产妇作为研究对象,按照随机数表法将其分为对照组61例和观察组62例,对照组产妇及配偶行常规护理干预,观察组以“照顾者角色紧张”的NNN链接为理论框架进行干预,比较两组产妇配偶的生活质量、护理结局及负性情绪情况。结果:干预前,两组产妇配偶各项生活质量评分比较,差异无统计学意义(t=0.622、0.521、0.207、1.003,P>0.05)。干预后,观察组配偶躯体疼痛、躯体功能、社会功能、精神状态评分分别为(78.65±12.98)分、(80.67±10.87)分、(76.18±7.44)分、(79.15±8.52)分,均高于对照组的(62.96±10.46)分、(69.74±9.06)分、(66.92±6.03)分、(69.32±7.44)分,差异有统计学意义(t=16.052、17.051、12.356、16.308,P<0.05)。干预前,两组产妇配偶护理结局评分比较,差异无统计学意义(t=0.625、0.462、0.412、0.328、0.716、0.556、0.623、0.182,P>0.05)。干预后,观察组配偶的照顾者情绪健康、照顾者生活方式紊乱、照顾者—产妇关系、直接照顾、间接照顾、照顾者身体健康、照顾者安康、角色表现评分分别为(3.65±0.51)分、(3.66±0.56)分、(3.85±0.55)分、(3.67±0.63)分、(3.74±0.68)分、(3.88±0.64)分、(3.78±0.57)分、(3.74±0.67)分,均高于对照组的(2.98±0.35)分、(2.76±0.48)分、(3.12±0.46)分、(2.89±0.54)分、(2.71±0.52)分、(2.89±0.52)分、(2.55±0.56)分、(2.56±0.43)分,差异有统计学意义(t=16.285、17.642、13.008、18.162、10.781、14.087、16.055、13.072,P<0.05)。干预前,两组产妇配偶焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分比较,差异无统计学意义(t=0.652、0.418,P>0.05)。干预后,观察组配偶SAS评分为(41.75±3.71)分,显著低于对照组的(57.86±3.93)分,差异有统计学意义(t=16.027,P<0.05),观察组配偶SDS评分为(43.61±5.5)分,显著低于对照组的(54.52±5.39)分,差异有统计学意义(t=15.008,P<0.05)。结论:“照顾者角色紧张”的NNN链接模式应用于初产妇配偶中,能够提高产妇配偶对产妇的照顾能力,降低其焦虑、抑郁等负性情绪,改善其生活质量。

Objective:To study the effectiveness of the NNN link of“caregiver role tension”in first-time spouses.Methods:123 cases of primiparous women who underwent delivery in the hospital from June 2019 to June 2020 were selected as the study population and divided into 61 cases in the control group and 62 cases in the observation group according to the random number ta-ble method.In the control group,the mother and spouse were given conventional nursing interventions,while in the observation group,the NNN linkage of“caregiver role tension”was used as a theoretical framework for intervention.The quality of life,care outcomes and negative emotions of maternal spouses were compared between the two groups.Results:Before the intervention,there was no statistically significant difference in all quality of life scores of maternal spouses between the two groups(t=0.622,0.521,0.207,1.003,P>0.05).After the intervention,the scores of somatic pain,somatic function,social function,and mental sta-tus of the spouses in the observation group were(78.65±12.98)points,(80.67±10.87)points,(76.18±7.44)points,and(79.15±8.52)points,respectively,which were higher than(62.96±10.46)points,(69.74±9.06)points,(66.92±6.03)points,and(69.32±7.44)points of the control group,with statistically significant differences(t=16.052,17.051,12.356,16.308,P<0.05).Before the inter-vention,there was no statistically significant difference in maternal spouse care outcome scores between the two groups(t=0.625,0.462,0.412,0.328,0.716,0.556,0.623,0.182,P>0.05).After the intervention,the scores of caregiver emotional health,caregiver lifestyle disorder,caregiver-maternal relationship,direct care,indirect care,caregiver physical health,caregiver well-being,and role performance of the spouses in the observation group were(3.65±0.51)points,(3.66±0.56)points,(3.85±0.55)points,(3.67±0.63)points,(3.74±0.68)points,(3.88±0.64)points,(3.78±0.57)points,and(3.74±0.67)points,all higher than the control group’s(2.98±0.35),(2.76±0.48),(3.12±0.46)points,(2.89±0.54)points,(2.71±0.52)points,and(2.89±0.52)points,(2.55±0.56)points,and(2.56±0.43)points,with statistically significant differences(t=16.285,17.642,13.008,18.162,10.781,14.087,16.055,13.072,P<0.05).Before the intervention,there was no statistically significant difference between the SAS scores and SDS scores of maternal spouses in both groups(t=0.652,0.418,P>0.05).After the intervention,the SAS score of spouses in the observation group was(41.75±3.71)points,which was significantly lower than(57.86±3.93)points of the control group,with a statistically significant dif-ference(t=16.027,P<0.05).The SDS score of spouses in the observation group was(43.61±5.5)points,which was significantly lower than(54.52±5.39)points of the control group,and the difference was statistically significant(t=15.008,P<0.05).Conclu-sion:The NNN linkage model of“caregiver role tension”was applied to first-time mothers’spouses to improve their ability to care for the mother,reduce their negative emotions such as anxiety and depression,and improve their quality of life.