首页|家庭协同护理模式对初产妇分娩结局和产后恢复状况的影响研究

家庭协同护理模式对初产妇分娩结局和产后恢复状况的影响研究

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目的 对家庭协同护理模式在初产妇分娩结局和产后恢复状况的影响情况予以分析。方法 选取焦作市妇幼保健院2022年1月至2023年1月收治的67例初产妇进行研究,以随机抽样法分组,参照组(n=33)以常规护理干预,研究组(n=34)以家庭协同护理,比较初产妇分娩恐惧感、自我效能、焦虑抑郁状况、产后恢复指标、产妇分娩结局。结果 干预前两组分娩恐惧感评分差异无统计学意义(P>0。05),干预后两组分娩恐惧感评分均降低,且研究组低于参照组,差异有统计学意义(P<0。05)。干预前两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分差异无统计学意义(P>0。05),干预后两组SAS、SDS评分均降低,且研究组低于参照组,差异有统计学意义(P<0。05)。干预前两组一般自我效能量表(GSES)评分差异无统计学意义(P>0。05),干预后两组GSES评分均升高,且研究组高于参照组,差异有统计学意义(P<0。05)。研究组母乳喂养率高于参照组,剖宫产率低于参照组,差异有统计学意义(P<0。05),两组新生儿窒息率比较,差异无统计学意义(P>0。05)。研究组恶露持续时间、泌乳始动时间、子宫进入盆腔时间、住院时间均短于参照组,差异有统计学意义(P<0。05)。结论 实施家庭协同护理模式,可缓解初产妇焦虑、抑郁及恐惧情绪降低剖宫产率与窒息率,改善分娩结局,有利于产后康复。
Study on the Impact of Family-Centered Nursing Model on Delivery Outcomes and Postpartum Recovery in Primiparas
Objective To analyze the impact of the family-centered nursing model on delivery outcomes and postpartum recovery in primiparas.Methods A total of 67 primiparas admitted to Jiaozuo Maternal and Child Health Hospital from January 2022 to January 2023 were selected for the study.They were randomly divided into a reference group(n=33)receiving routine nursing intervention and a study group(n=34)receiving family-centered nursing.The delivery fear,self-efficacy,anxiety and depression status,postpartum recovery indicators,and delivery outcomes of the primiparas were compared between the two groups.Results Before the intervention,there was no statistically significant difference in delivery fear scores between the two groups(P>0.05).After the intervention,the delivery fear scores in both groups decreased,and the scores in the study group were lower than those in the reference group,with statistically significant differences(P<0.05).Before the intervention,there was no statistically significant difference in Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)scores between the two groups(P>0.05).After the intervention,the SAS and SDS scores in both groups decreased,and the scores in the study group were lower than those in the reference group,with statistically significant differences(P<0.05).Before the intervention,there was no statistically significant difference in General Self-Efficacy Scale(GSES)scores between the two groups(P>0.05).After the intervention,the GSES scores in both groups increased,and the scores in the study group were higher than those in the reference group,with statistically significant differences(P<0.05).The breastfeeding rate in the study group was higher than that in the reference group,and the cesarean section rate was lower than that in the reference group,with statistically significant differences(P<0.05).There was no statistically significant difference in the neonatal asphyxia rate between the two groups(P>0.05).The duration of lochia,time to lactation initiation,time for the uterus to enter the pelvic cavity,and hospital stay in the study group were shorter than those in the reference group,with statistically significant differences(P<0.05).Conclusion Implementing a family-centered nursing model can alleviate anxiety,depression,and fear in primiparas,reduce cesarean section and asphyxia rates,improve delivery outcomes,and facilitate postpartum recovery.

primiparasdelivery outcomespostpartum recoveryfamily-centered nursing

宋雪媛

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焦作市妇幼保健院 产科,河南 焦作 454000

初产妇 分娩结局 产后恢复状况 家庭协同护理

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(9)