摘要
目的探究连续细致化护理模式对高危初产妊娠结局、孕期体重增长以及产后母乳喂养自我效能的影响。方法随机选取该院2014年1月—2015年1月妇产科就诊的300例高危妊娠初产妇作为研究对象并随机均分为对照组和观察组。对照组产妇予以常规护理;观察组在对照组常规护理的基础上予以连续细致化护理。结果 1妊娠结局:观察组顺产率70.00%显著高于对照组52.67%,差异具有统计学意义(P<0.05);观察组新生儿Apgar评分(7.31±2.52)分显著高于对照组新生儿(5.93±3.64)分,差异具有统计学意义(P<0.05);2自我效能:母乳喂养自我效能量表(Breast-feeding Self-Efficacy Scale,BSES)评分,观察组产前(93.72±8.41)分、产后(127.84±5.67)分均显著高于对照组,差异具有统计学意义(P<0.05);3体重:观察组产妇孕期体重增长超标者11例(7.33%)显著低于对照组37例(24.67%),差异具有统计学意义(P<0.05)。结论连续细致化护理模式可以提高高危初产妊娠顺产率、产后母乳喂养自我效能以及有效控制孕期体重增长,值得临床推广应用。
Objective To explore the effects of continuous and careful nursing- model on pregnancy out- comes,weight,breast- feeding and self-efficacy of early pregnant women with high risks. Methods Three hundred cases of early pregnant women with high risks who were treated at obstetrics and gynecology de- partment in author＇s hospital between January 2014 to January 2015 were randomly selected as research subjects,and all the cases were randomly divided into experimental group and control group with 150 cases of each. The cases of control group were given routine nursing, while the cases of observation group were given continuous and careful nursing care. Results The rate of vaginal delivery in the observation group （70 % ） was significantly higher than that in the control group（52.67 % ）, P〈0.05; the Apgar score in the observation group（7. 31±2.52） was significantly higher than that in the control group （5.93±3. 641, P〈0.05; the scores of Breast - feeding and Self-Efficacy Scale in the observation group（ 93.72±8.41,127.84±5.67）,were higher than those in the control group（82.14±9.34,101. 65±8.14）, P（0.05 ; the cases of weight gain over standards in the observation group （11,7. 33%） were significantly lower than that in the control group（37,24.67%）,P〈0.05. Conclusions The continuous and careful nursing - model is worthy of clinical promotion which can improve the rate of vaginal delivery, breast- feeding and self-efficacy on early pregnant women with high risks, and can also control the weight gain during pregnancy in effect.
出处
《中国煤炭工业医学杂志》
2016年第5期752-756,共5页
Chinese Journal of Coal Industry Medicine
基金
海南省卫生厅卫生科研基金项目(编号:琼卫2011-35)
关键词
高危妊娠
妊娠结局
连续细致护理模式
High Risk Pregnancy
Pregnancy Outcome
Continuous and Careful Nursing-model
