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初产妇出院准备度现状调查及影响因素分析

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目的:调查初产妇出院准备度现状并分析影响因素.方法:便利抽样抽取2022年1-11月在本院住院分娩的初产妇200例,收集产妇一般资料,评估产妇出院准备度、领悟社会支持、出院指导质量和家庭关怀指数等,分析相关产妇出院准备度影响因素.结果:初产妇出院准备度评分110.17±23.55分(满分180分),自评护理新生儿信心、早产、产褥期护理方式、出院时母婴状态、妊娠合并症和(或)并发症的初产妇出院准备度评分存在差异(均P<0.05).初产妇出院准备度水平与领悟社会支持、出院指导质量、家庭关怀指数均呈正相关关系(均P<0.05).多元线性回归分析,出院时母婴状态为分离、有妊娠合并症和(或)并发症、领悟社会支持低、出院指导质量低和家庭关怀指数低是影响初产妇出院准备度水平的因素(均P<0.05).结论:本次调查的初产妇出院准备度水平总体偏低,医护人员应重点关注出院时母婴分离的初产妇,为其提供有效的出院指导和多元支持系统,以提高其出院准备度水平.
Analysis of the current status of the discharge preparedness and its influencing factors of primiparas
Objective:To study the current status of the discharge preparedness of primiparas,and to analyze its influ-encing factors.Methods:From January 2022 to November 2022,the convenient sampling was used to select 200 pri-miparas who had delivered in the hospital as the study subjects.The general information of the primiparas were collect-ed.The readiness for the hospital discharge,the perceived social support,the guiding quality of discharge and the fam-ily care indexes of the primiparas were evaluated.The influencing factors of the discharge preparedness of the primipa-ras were analyzed.Results:The score of the discharge preparedness of the primiparas was 110.17±23.55 points(the total score of 180 points).There was significant difference in the discharge preparedness score among the primiparas with the different self-rated confidence in nursing newborns,among the primiparas with the different premature deliv-ery,among the primiparas with the different the puerperium nursing model,among the primiparas with the different maternal and infant status at discharge and among the primiparas with the different pregnancy complications(all P<0.05).The discharge preparedness of the primiparas was positively correlated with their perceived social support,dis-charge guidance quality and family care indexes(all P<0.05).Multiple linear regression analysis showed that the ma-ternal and infant separation,the pregnancy complications,the low perceived social support,the low quality of dis-charge guidance and the low family care indexes of the primiparas at discharge were the factors affecting their discharge preparedness(all P<0.05).Conclusion:The discharge preparedness of the primiparas in this survey is relatively low totally.The health care providers should focus on the primiparas about their maternal and infant separation,and dis-charge guidance.The diverse support system should be provided to these primiparas,so as to enhance their discharge preparedness.

PrimiparasDischarge preparednessInfluencing factor

孔良娣、高文洁

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江苏省南京市高淳人民医院(211306)

初产妇 出院准备度 影响因素

2024

中国计划生育学杂志
国家人口计生委科学技术研究所

中国计划生育学杂志

CSTPCD
影响因子:1.759
ISSN:1004-8189
年,卷(期):2024.32(10)