KTH整合式护理模式在协助阴道分娩初产妇角色转换中的作用

Analysis of the role of the KTH integrated care model in assisting role transition of vaginally delivered first-time mothers

目的分析KTH整合式护理模式在协助阴道分娩初产妇角色转换中的作用。方法选取2021年3月1日至2022年3月1日期间徐州医科大学附属医院进行阴道分娩的初产妇中抽取108例作为研究对象, 以2021年8月31日为节点, 将2021年3月1日至2021年8月31日分娩的初产妇54例纳入对照组, 将2021年9月1日至2022年3月1日分娩的初产妇54例纳入观察组。对照组实施临床常规护理, 观察组实施KTH整合式护理。对比分析两组产妇简化中文版分娩自我效能量表(CBSEI-C32)评分、纽芬兰纪念大学幸福度量表(MUNSH)评分、Zung焦虑量表(SAS)评分、抑郁量表(SDS)评分。结果 CBSEI-C32、MUNSH、SAS、SDS评分护理前组间比较:差异无统计学意义(P>0.05);组内比较:CBSEI-C32、MUNSH评分护理后高于护理前, SAS、SDS评分护理后低于护理前;护理后组间比较, CBSEI-C32、MUNSH评分观察组高于对照组, SAS、SDS评分观察组低于对照组, 差异有统计学意义(P<0.05)。结论 KTH整合式护理模式可有效协助阴道分娩初产妇进行角色转换, 对于提高产妇自我效能、幸福感、降低焦虑抑郁状态效果理想。

Objective To analyze the role of KTH integrated care model in assisting role transition of vaginal delivery primiparous women.Methods A total of 108 primiparas who had vaginal delivery from March 1,2021 to March 1,2022 in this hospital were selected as research objects.Taking August 31,2021 as the node,54 primiparas who gave birth from March 1,2021 to August 31,2021 were included in the control group.Fifty-four primiparas who gave birth from September 1,2021 to March 1,2022 were included in the observation group.The control group received clinical routine nursing,and the observation group received KTH integrated nursing.The maternal simplified Chinese version of the Childbirth Self-Efficacy Inventory(CBSEI-C32)scores,Memorial University of Newfoundland Scale of Happiness(MUNSH)scores,Zung Anxiety Scale(SAS)scores,and depression scale(SDS)scores were compared and analyzed in the two groups.Results Comparison of CBSEI-C32,MUNSH,SAS and SDS scores before nursing showed no statistical significance(P>0.05).Intra-group comparison:CBSEI-C32 and MUNSH scores after nursing were higher than before nursing,SAS and SDS scores after nursing were lower than before nursing.Comparison between groups after nursing:CBSEI-C32,MUNSH score observation group was higher than control group,SAS,SDS score observation group was lower than control group,the difference was significant(P<0.05).Conclusions KTH integrated nursing model can effectively assist primiparas with vaginal delivery to carry out role transformation,which is ideal for improving maternal self-efficacy,happiness and reducing anxiety and depression.