摘要
目的随着社会不断发展,人们对于产房护理要求不断提高,传统产房护理模式已无法满足人们需求。本研究探讨以家庭为中心的一体化产房模式在提高初产妇自然分娩率和母乳喂养率中的作用。方法选取2018-01-15-2019-01-15河南省妇幼保健院分娩的196例初产妇为研究对象,按照组间年龄和孕周等基本特征匹配的原则分为试验组和对照组,每组98例。试验组采用以家庭为中心的一体化产房模式,对照组采用传统产房模式,对比两组间产妇自然分娩率、母乳喂养率及初产妇角色适应优良率、分娩前后焦虑自评量表(self rating anxiety scale,SAS)和抑郁自评量表(self rating depression scale,SDS)评分。结果试验组自然分娩率为85.71%,高于对照组的67.35%,χ^2=9.203,P=0.002;母乳喂养率为89.80%,高于对照组的71.34%,χ^2=10.577,P=0.001;角色适应优良率为73.47%,高于对照组的36.73%,χ^2=26.727,P<0.001。分娩前SAS和SDS评分差异有统计学意义,说明组间不具备可比性。因此,比较两组分娩前后的差值评价干预的效果。结果显示,试验组SAS评分差值为(10.42±2.92)分,高于对照组的(6.28±2.05)分,t=11.487,P<0.001;SDS评分差值为(14.26±4.18)分,高于对照组的(11.10±2.32)分,t=6.544,P<0.001。结论以家庭为中心的一体化产房模式有利于产妇分娩,提高母乳喂养率,且能促进产妇对新角色的适应,摆脱不良情绪。
OBJECTIVE In recent years,with the continuous development of society,people’s requirements for the care of delivery rooms have been continuously improved,and the traditional delivery room care mode has been unable to meet people’s needs.Therefore,the hospital chose to study the role of the family-centered integrated delivery model in improving the natural delivery rate and breastfeeding rate of primipara.METHODS A total of 196 primiparas who were delivered in Henan Maternal and Child Health Hospital from January 15 th,2018 to January 15 th,2019,were divided into experimental group and control group according to the principle of matching the basic characteristics such as age and gestational age,98 cases in each group.The experimental group adopted a family-centered integrated delivery room model,and the control group used the traditional delivery room mode.The natural delivery rate,breast-feeding rate,role adaptation rate of primipara,self rating anxiety scale(SAS)and self rating depression scale(SDS)scores before and after delivery were compared between the two groups.RESULTS The natural delivery rate of the experimental group was 85.71%,which was higher than that of the control group 67.35%(χ^2=9.203,P=0.002);the breastfeeding rate was 89.80%,which was higher than 71.34% of the control group(χ^2=10.577,P=0.001).The primipara character adaptation rate was 73.47%,which was higher than the control group 36.73%(χ^2=26.727,P<0.001).The difference of SAS and SDS scores before delivery was statistically significant,indicating that there was no comparability between the groups.Therefore,the difference between the two groups before and after delivery was compared to evaluate the effect of intervention.The results showed that the difference of SAS score in the experimental group was(10.42±2.92),higher than that in the control group(6.28±2.05),t=11.487,P<0.001;the difference of SDS score was(14.26±4.18),higher than that in the control group(11.10±2.32),t=6.544,P<0.001.CONCLUSION The family-centered integrated de
作者
孟丹丹
石静
MENG Dan-dan;SHI Jing(Third Affiliated Hospital of Zhengzhou University,Henan Maternal and Child Health Hospital,Zhengzhou 450000,P.R.China)
出处
《社区医学杂志》
2020年第13期962-965,共4页
Journal Of Community Medicine
