韧性育儿护理干预对产妇产后疲乏的影响

Effect of resilient nursing intervention on postpartum fatigue

目的:探讨韧性育儿护理干预对产妇产后疲乏的影响。方法:选取2020年4~8月在复旦大学附属中山医院青浦分院住院的产妇100例为研究对象,按随机数字表法分为试验组和对照组,各50例。对照组实施产后常规护理以及出院后的常规随访,试验组在对照组的基础上实施为期4 w的韧性育儿护理干预。比较两组产妇干预前、干预后2 w和干预后6 w产后疲乏量表(FS-14)、一般自我效能评分(GSES)得分。结果:对照组产后6 w周及产后10 w的脑力疲乏、FS-14总分较产后2~3 d增高,差异有统计学意义(P<0.05);试验组干预后2 w、干预后6 w躯体疲乏、脑力疲乏及FS-14总分均低于同期对照组,差异有统计学意义(P<0.05);试验组干预后2 w和干预后6 w GSES评分高于同期对照组,差异有统计学意义(P<0.05)。结论:产妇在未加干预的情况下产后疲乏程度随着时间推移在加重,韧性育儿护理干预有助于降低产妇产后疲乏程度,对提高产妇自我效能具有积极影响。

Objective To explore the effect of resilient parenting nursing intervention on postpartum fatigue of postpartum women.Methods One hundred cases of parturients who were hospitalized in this Hospital from April to August 2020 were selected as the study subjects,and were divided into the experimental group and the control group according to the method of randomized numerical table,each with 50 cases.The control group implemented routine postpartum care and routine follow-up after discharge,and the experimental group implemented a 4 w period of resilient parenting nursing intervention on the basis of the control group.The scores of postpartum fatigue scale(FS-14),general self-efficacy score(GSES)were compared between the two groups before intervention,2 w after and 6 w after intervention.Results The score of mental fatigue and FS-14 in the control group at 6 weeks and 10 weeks postpartum were higher than those in 2~3 days after delivery(P<0.05);2 weeks and 6 weeks after the intervention,the total scores of fatigue,physical fatigue and mental fatigue in the experimental group were all lower than the control group(P<0.05);the GSES score of the experimental group was higher than that of the control group at 2 weeks and 6 weeks after the intervention(P<0.05).Conclusions The degree of postpartum fatigue is increasing over time without intervention;Resilient parenting nursing intervention for postpartum women can reduce the degree of postpartum fatigue and has a positive effect on improving the self-efficacy.