基于互联网+延续性护理服务下脊柱健康管理在社区产后访视中的效果研究

Study on the Effect of Internet+Continuous Nursing Services with Spinal Health Management in Community Health Care for Puerperium Women

目的探讨基于互联网+延续性护理服务引导下脊柱健康管理在社区产后访视中指导产妇康复的应用效果。方法选取2021年10月—2023年2月由深圳市妇幼保健信息平台分配至中山大学附属第八医院下属23家社区健康服务管理中心的200名足月分娩的健康初产妇作为研究对象,按照随机数表法将所有产妇分为干预组和对照组,每组100例。其中,对照组按常规要求进行入户产后访视,干预组在对照组的基础上结合互联网+延续性护理服务引导下的脊柱健康管理服务方法对产妇进行入户产后访视,分别于产后第30天和第90天对两组产妇进行电话随访,评估两组产妇在脊柱舒适度、纯母乳喂养率及爱丁堡产后抑郁量表评分的情况。结果干预组产妇脊柱舒适度、纯母乳喂养率高于对照组,爱丁堡产后抑郁量表评分低于对照组,差异有统计学意义(P<0.05)。结论在互联网+延续性护理服务引导下脊柱管理应用于社区产后访视,可有效提升产妇的脊柱舒适度及纯母乳喂养率,提高产妇产后的自我护理能力,值得临床应用。

Objective To Explore the application effect of spinal health management guided by Internet continuous nursing services on the recovery of puerperal women during community postpartum visits.Methods 200 healthy primiparous women who delivered at full term and were assigned by the Shenzhen Maternal and Child Health Information Platform to 22 social health centers under our hospital from October 2021 to February 2023 were selected as the study subjects.The study subjects were randomly divided into an intervention group and a control group in a 1∶1 ratio.Among them,the control group conducted postpartum visits according to routine requirements,and the intervention group conducted postpartum visits to the puerpera based on the control group combined with the spinal health management service method under the guidance of Internet+continuous nursing services.The two groups of puerpera were followed up by telephone on the 30th and 90th day after delivery,respectively,to evaluate the spinal comfort,pure breastfeeding rate and Edinburgh Postpartum Depression Scale scores of the two groups of puerpera.Results After the intervention,the spinal comfort and pure breastfeeding rate of the intervention group were significantly higher than the control group,and the Edinburgh Postpartum Depression Scale score was lower than the control group.The differences between the groups were statistically significant(P<0.05).Conclusion Under the guidance of Internet+continuous nursing services,the application of spinal management in community postpartum visits can effectively improve the spinal comfort of puerperal women and the rate of pure breastfeeding,and improve the ability of postpartum self-care of puerperal women,which is worth promoting.