首页|赋权教育联合产后访视对产妇心理状态和新生儿照护能力的影响

赋权教育联合产后访视对产妇心理状态和新生儿照护能力的影响

Effects of empowerment education combined with postpartum visit on maternal psychological state and neonatal nursing ability

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目的 探究赋权教育联合产后访视对产妇心理状态和新生儿照护能力的影响,为改善产妇心理状态、提高早产儿健康管理效果提供依据.方法 回顾性分析 100 例产妇及早产儿的临床资料,按健康管理方法的不同分成常规组(45 例)和联合组(55 例).常规组应用常规产后健康管理干预,联合组在此基础上应用赋权教育联合产后访视模式干预.采用爱丁堡产后抑郁评分量表(EPDS)、母乳喂养自我效能量表(BSES)、育儿胜任感量表(PSOC)比较产妇心理状态;采用新生儿照护能力问卷评价产妇养育照顾能力,采用喂养不耐受率、日摄奶量评估早产儿喂养效果;检测转铁蛋白(TRF)、清蛋白(ALB)、前清蛋白(PA),分析早产儿营养状况和体格发育情况.结果 与干预前比较,2 组产妇干预后的EPDS评分降低,BSES、PSOC、养育照顾能力评分和TRF、ALB、PA水平升高,且联合组改善程度均优于常规组,差异均有统计学意义(均 P<0.05).联合组早产儿喂养不耐受率(7.27%)低于常规组(22.22%),日摄奶量、体质量、身长、头围增长速率分别为(179.56±15.96)mL、(18.15±1.87)g/d、(1.15±0.14)mm/d、(0.82±0.08)mm/d,均高于常规组,差异有统计学意义(均P<0.05).结论 赋权教育联合产后访视模式的管理效果显著,能有效提高产妇养育照护早产儿的能力,改善其心理状态和早产儿营养状况.
Objective To explore the effects of empowerment education combined with postpartum visit on maternal psychological state and neonatal nursing ability so as to provide basis for improving the psychological state of mothers and enhancing the health management outcomes of premature infants.Methods A retrospective analysis was performed on the clinical data of 100 mothers and premature infants.According to different management methods,they were divided into the conventional group(45 cases)and combination group(55 cases).The conventional group was given routine postnatal health management interventions,while combination group was given empowerment education combined with postnatal visit on basis of conventional group.The maternal psychological state was compared by Edinburgh postnatal depression scale(EPDS),breastfeeding self-efficacy scale(BSES)and parenting sense of competence scale(PSOC),parenting ability was evaluated by neonatal care ability questionnaire,feeding effect of premature infants was evaluated by feeding intolerance rate and daily milk intake,nutritional status and physical development of premature infants were analyzed by transferrin(TRF),albumin(ALB)and prealbumin(PA).Results Compared to before the intervention,both groups showed a decrease in EPDS scores and an increase in BSES,PSOC,care ability scores,and TRF,ALB,PA levels after the intervention,with the combined group showing greater improvements than the conventional group,and all differences were statistically significant(P<0.05).The feeding intolerance rate of premature infants in combination group(7.27%)was lower than that in conventional group(22.22%),and the daily milk intake,weight gain,linear growth,and head circumference growth rate were(179.56±15.96)mL,(18.15±1.87)g/d,(1.15±0.14)mm/d,and(0.82±0.08)mm/d,respectively,all of which were higher than those in the conventional group,with statistically significant differences(all P<0.05).Conclusions The management effect of empowerment education combined with postpartum visit is significant,which can effectively improve maternal psychological state and parenting ability,as well as their psychological state and the nutritional status of premature infants.

postpartum visitempowerment educationpremature infanthealth management

郑亭玉、张春宇、杨飞、郭婉颖、蔡燕燕、曾晓艳、赵燕凤

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杭州市妇产科医院 新生儿科,浙江 杭州 310008

产后访视 赋权教育 早产儿 健康管理

2024

健康研究
杭州师范大学

健康研究

影响因子:0.823
ISSN:1674-6449
年,卷(期):2024.44(6)