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共同参与式新生儿护理在初产妇中的应用效果

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目的:观察共同参与式新生儿护理在初产妇中的应用效果.方法:选取 2021 年 6 月至 2022 年 9 月于该院分娩的 68 例初产妇进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各 34 例.分娩后,对照组实施常规护理,观察组在对照组基础上实施共同参与式新生儿护理.比较两组护理前后角色适应度[母亲角色适应调查问卷(MRAQ)]评分、负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]评分、新生儿护理技能评分及护理满意度.结果:护理后,两组MRAQ评分均高于护理前,且观察组高于对照组,两组HAMA、HAMD评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组日常喂养、健康保障、沐浴技能、脐部护理、尿布更换等护理技能评分均高于对照组,差异有统计学意义(P<0.05);观察组护理满意度为 100.00%(34/34),高于对照组的 82.35%(28/34),差异有统计学意义(P<0.05).结论:共同参与式新生儿护理应用于初产妇中,可提高其角色适应度、新生儿护理技能及护理满意度,效果优于常规护理.
Application effects of joint participatory neonatal nursing in primiparas
Objective:To observe application effects of joint participatory neonatal nursing in primiparas.Methods:A prospective study was conducted on 68 primiparas who gave birth in the hospital from June 2021 to September 2022.According to the random number table method,they were divided into control group and observation group,34 cases in each group.After delivery,the control group was given routine nursing,while the observation group was given the joint participatory neonatal nursing on the basis of that of the control group.The role adaptation[maternal role adaptation survey questionnaire(MRAQ)]and the negative emotions[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)]scores,the neonatal nursing skills scores,and the nursing satisfaction were compared between the two groups before and after the nursing.Results:After the nursing,the MRAQ scores of the two groups were higher than those before the nursing,and that in the observation group was higher than that in the control group;the HAMA and HAMD scores of the two groups were lower than those before the nursing,and those in the observation group were lower than those in the control group;and the differences were statistically significant(P<0.05).The scores of daily feeding,health protection,bathing skills,umbilical care,diaper replacement and other nursing skills in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 100.00%(34/34),which was higher than 82.35%(28/34)of the control group,and the difference was statistically significant(P<0.05).Conclusions:The joint participatory neonatal nursing in the primiparas can improve their role adaption,neonatal nursing skills and nursing satisfaction.Moreover,it is superior to the routine nursing.

Joint participationNeonatal care skillRole adaptionNegative emotionNursing satisfaction

张珍

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洛阳市第一人民医院妇产科,河南 洛阳 471000

共同参与 新生儿护理技能 角色适应度 负性情绪 护理满意度

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(12)
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