首页|基于使用与满足理论构建自然分娩初产妇多维度干预模式及临床应用

基于使用与满足理论构建自然分娩初产妇多维度干预模式及临床应用

Construction and application of multi-dimensional intervention model based on the use and satisfaction theory for primiparas with natural childbirth

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目的 探讨对自然分娩初产妇应用基于使用与满足理论构建的多维度干预模式的干预效果.方法 选取2022年1~12月收治的自然分娩的初产妇120例,采用随机数字表法分为干预组和对照组,每组60例.对照组接受常规干预方案,干预组予以基于使用与满足理论构建的多维度干预模式,2组均干预至出院后3个月.对比2组住院时间及产后恶露排净时间,比较干预前、干预后负性情绪[焦虑自评量表(SAS)、爱丁堡产后抑郁量表(EPDS)评估]、育儿自我效能感[育儿胜任感量表(PSOC)评估]变化情况,比较2组产妇产后并发症发生情况.结果 2组产妇住院时间及产后恶露排净时间比较,差异无统计学意义(P>0.05);干预后,2组产妇SAS评分、EPDS评分较干预前均下降,且干预组下降更为明显,差异有统计学意义(P<0.05);干预后,2组产妇PSCS评分较干预前均升高,且干预组高于对照组,差异有统计学意义(P<0.05);干预期间,2组产妇均未发生并发症.结论 应用基于使用与满足理论构建的多维度干预模式可有效缓解自然分娩初产妇产后焦虑、抑郁情绪,提高育儿自我效能感.
Objective To explore the effect of multi-dimensional intervention model based on the use and satisfaction theory on primiparas with natural childbirth.Methods A total of 120 primiparas with natural childbirth in our hospital from January to December 2022 were selected,and they were randomly assigned to control group(routine intervention,n=60)or intervention group(multi-dimensional intervention model based on the use and satisfaction theory,n=60).Both groups were intervened until 3 months after discharge.The hospitalization time and postpartum lochia excretion time of the two groups were compared.The changes in negative emotions(assessed by self-rating anxiety scale(SAS)and edinburgh postnatal depression scale[EPDS])and parenting self-efficacy(assessed by parenting sense of competence scale[PSOC])before and after intervention were compared.The incidence of postpartum complications during maternal intervention was assessed between groups.Results There was no statistical significant difference in the hospital stay and postpartum lochia clearance time between the two groups(P>0.05).After intervention,the SAS score and EPDS score in the two groups decreased significantly compared to before intervention,and the decrease was more significant in the intervention group(P<0.05).After intervention,the PSCS scores of both groups of postpartum women increased significantly compared to before intervention,and the intervention group was significantly higher than the control group for the PSCS scores(P<0.05).During the intervention period,neither group of primiparas experienced any complications.Conclusion The multi-dimensional intervention model based on the use and satisfaction theory can effectively alleviate the anxiety and depression of primiparas with natural childbirth,and improve the self-efficacy of childcare.

natural childbirthprimiparause and satisfaction theorymulti-dimensional intervention model

宣凌萍、叶佳、季晔、黄兴宇、宋亚琴

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214023 江苏省无锡市,南京医科大学附属无锡人民医院

自然分娩 初产妇 使用与满足理论 多维度干预模式

无锡市卫生和计划生育委员会科研项目

Q201709

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(12)