摘要
目的探讨基于赋能理论的改良护理模式对剖宫产产妇自我效能感及生活质量的影响。方法选取2020年3月—2022年2月在河南省西峡县人民医院行剖宫产的120例产妇作为研究对象,采用随机数字表法分为观察组与对照组,每组60例。对照组产妇采用常规护理干预,观察组产妇在对照组基础上采用基于赋能理论的改良护理模式进行干预,2组产妇均持续干预14d。比较2组产妇自我效能感、生活质量、产妇及新生儿并发症发生情况等指标。结果干预前,2组产妇一般自我效能感量表(GSES)评分比较,差异无统计学意义(P>0.05);干预后,2组产妇GSES评分高于干预前,且观察组高于对照组,差异均有统计学意义(P<0.05)。观察组产妇干预期间并发症发生率为3.34%(2/60),低于对照组的16.66%(10/60),差异有统计学意义(χ^(2)=5.926,P=0.015)。观察组新生儿干预期间并发症发生率为3.34%(2/60),低于对照组的13.34%(8/60),差异有统计学意义(χ^(2)=3.927,P=0.048)。观察组产妇干预后健康调查简表(SF-36)各维度评分均高于对照组,差异均有统计学意义(P<0.05)。结论基于赋能理论的改良护理模式在剖宫产产妇中应用,有助于提高产妇自我效能感,降低产妇及新生儿并发症的发生风险,提高产妇的生活质量。
Objective This paper aims to investigate the effect of a modified nursing model based on enabling theory on selfefficacy and quality of life of parturients receiving cesarean section.Methods A total of 120 parturients who underwent cesarean section in Xixia People's Hospital from March 2020 to February 2022 were selected as the study participants.They were assigned to the observation group and the control group by the random number table,with 60 cases in each group.Parturients in the control group received routine nursing intervention;parturients in the observation group received the enabling theory-based modified nursing model on the basis of the control group.The continuous intervention was performed for 14 days in both groups.Maternal self-efficacy,quality of life,parturients and neonatal complications were compared between the two groups.Results Before intervention,there was no significant difference in the general self-efficacy scale(GSES)score between the two groups(P>0.05).After intervention,the GSES score of the two groups was significantly increased,with the observation group significantly higher than the control group(P<0.05).The incidence rate of complications during the intervention in the observation group was 3.34%(2/60),which was significantly lower than that in the control group(16.66%,10/60;χ^(2)=5.926,P=0.015).The incidence rate of complications during the neonatal intervention in the observation group was 3.34%(2/60),which was significantly lower than that in the control group(13.34%,8/60;χ^(2)=3.927,P=0.048).The subscale scores of the MOS item short from health survey(SF-36)in the observation group were significantly higher than those in the control group after intervention(P<0.05).Conclusion The application of the enabling theory-based modified nursing model in parturients who underwent cesarean section is helpful to improve self-efficacy,reduce the risk of maternal and neonatal complications,and raise the quality of life.
作者
李颖
赵新敏
Li Ying;Zhao Xinmin(Nursing Department,Xixia People's Hospital,Nanyang Henan 474500,China;Nursing Department,the First Affiliated Hospital of Nanyang Medical College,Nanyang Henan 473007,China)
出处
《保健医学研究与实践》
2023年第5期115-118,122,共5页
Health Medicine Research and Practice
关键词
赋能理论
改良护理模式
剖宫产
自我效能感
生活质量
Enabling theory
Modified nursing model
Cesarean section
Self-efficacy
Quality of life
