摘要
目的:探讨一体化连续护理模式在初产妇分娩护理中的应用及对妊娠结局的影响。方法:选择2017年10月-2018年11月本院收治的120例初产妇作为本文的研究对象,使用随机数字表法将其分为对照组(n=60)与观察组(n=60)。对照组在分娩后采用常规护理,观察组在常规护理基础上应用一体化连续护理模式。比较两组护理前与护理后15 d生活质量评分(SF-36)、焦虑及抑郁情况评分(SAS、SDS),比较分娩方式与新生儿结局。结果:两组护理前生理职能,社会功能以及角色功能情况评分比较,差异均无统计学意义(P>0.05);观察组护理后15 d生理职能、社会功能以及角色功能情况评分均显著高于对照组(P<0.05)。两组护理前SAS与SDS评分比较,差异均无统计学意义(P>0.05);护理15 d后,观察组SAS、SDS评分均低于对照组(P<0.05)。观察组自然分娩者显著多于对照组(P<0.05),观察组新生儿黄疸、新生儿窒息发生率均显著低于对照组(P<0.05)。结论:在初产妇分娩护理中实行一体化连续护理模式,有助于提高产妇生活质量,降低新生儿窒息等不良结局,值得推广应用。
Objective:To explore the application of integrated continuous nursing mode in the primipara maternal care and its influence on pregnancy outcomes.Method:A total of 120 cases of primipara admitted to our hospital from October 2017 to November 2018 were selected as the research objects of this article.They were divided into the control group(n=60)and the observation group(n=60)according to random number table.The control group received routine nursing after delivery,and the observation group applied the integrated continuous nursing model on the basis of routine nursing.The quality of life scores(SF-36),anxiety and depression scores(SAS,SDS)of two groups were compared before and after 15 d of nursing,and the delivery methods and neonatal outcomes were compared.Result:The scores of physiological function,social function and role function were not statistically significant between two groups before nursing(P>0.05).After 15 d of nursing,the scores of physiological functions,social functions and role functions in the observation group were higher than those in the control group(P<0.05).There were no significant differences in SAS and SDS scores between two groups before nursing(P>0.05).After 15 d of nursing,the SAS and SDS scores in the observation group were lower than those in the control group(P<0.05).The observation group with spontaneous delivery were significantly more than those in the control group(P<0.05),and the incidences of neonatal jaundice and neonatal asphyxia in the observation group were significantly lower than those in the control group(P<0.05).Conclusion:The implementation of integrated continuous nursing mode in the nursing of primipara is helpful to improve the quality of life and reduce the occurrence of adverse outcomes such as asphyxia in newborns,it is worth of promoting and applying.
作者
洪丽霞
HONG Lixia(Jiangxi Maternal and Child Health Hospital,Nanchang 330006,China)
出处
《中国医学创新》
CAS
2019年第36期101-105,共5页
Medical Innovation of China
关键词
一体化连续护理模式
常规护理
生活质量评分
焦虑评分
抑郁评分
Integrated continuous nursing node
Routine nursing
Quality of life score
Anxiety score
Depression score
