孕产妇为主家属参与的辅助护理模式对母婴的影响-现代医学

孕产妇为主家属参与的辅助护理模式对母婴的影响

单位：绵阳市中心医院产科, 四川绵阳 621000

分类号：R473.71

出版年·卷·期（页码）：2018·46·第五期（560-563）

摘要：

目的：探讨孕产妇为主家属参与的辅助护理模式在妇产科的应用效果。方法：选取2015年11月至2017年9月于本院妇产科接受产检并分娩的238例孕产妇，随机均分为观察组和对照组，各119例；对照组接受常规护理，观察组在常规护理的基础上接受孕产妇为主家属参与的辅助护理模式培训。比较两组孕产妇的分娩、心理状况、母乳喂养率、护理满意度及新生儿患病率等情况。结果：观察组的顺产率为84.9%，纯母乳喂养成功率为94.1%，护理满意度为95.8%，均较对照组高（P<0.05）；产褥病率为1.7%，新生儿患病率为2.5%，均较对照组低（P<0.05）；且孕产妇的焦虑和抑郁评分分别是（22.35±8.72）和（37.25±8.54），也较对照组低（P<0.05）。结论：孕产妇为主家属参与的辅助护理模式能有效缓解孕产妇不良情绪，增加顺产率和母乳喂养率，降低产褥病率和新生儿患病率，值得临床推广。

Objective: To explore the effect of auxiliary nursing mode of the pregnant and puerperal women and family participation in gynecology and obstetrics.Methods: A total of 238 pregnant and puerperal women and their newborns were enrolled in the department of Obstetrics and Gynecology at our hospital from November 2015 to September 2017. They were randomly divided intoobservation group andcontrol group, 119 cases in each. The pregnant and puerperal women in the control group received routine nursing, and the pregnant and puerperal women in the observation group receivedfamily participation on the basis of routine nursing. The maternal delivery, psychological status, breastfeeding rate, nursing satisfaction, and neonatal prevalence were compared between the two groups.Results: The observation group had a cohort yield of 84.9%, a pure breastfeeding success rate of 94.1%, and a nursing satisfaction rate of 95.8%, all of which were higher than those in the control group. The puerperal disease rate was 1.7%, and the neonatal prevalence rate was 2.5%, which was lower than those in the control group. Compared with the control group, the anxiety and depression scores of the pregnant women in the observation group were 22.35±8.72 and 37.25±8.54 respectively, which were also lower than those in the control group. The difference was statistically significant (P<0.05).Conclusion: The auxiliary nursing mode of the pregnant and puerperal women and family participation can effectively alleviate the occurrence of adverse emotions of pregnant and puerperal women, increase the rate of spontaneous delivery and breastfeeding, and reduce the incidence of puerperal diseases and neonatal prevalence, which is worthy of clinical application.

参考文献：

[1] 杜小雅.母婴床旁护理对初产妇自我护理能力及护理满意度的影响[J].检验医学与临床,2017,14(18):2789-2791.
[2] 王建英,曹建用,石少权,等.家属参与健康教育对母乳喂养的影响[J].中华全科医学,2010,8(7):892-893.
[3] 柏晓玲,蒙婷婷,楼婷,等.区域医疗联合体护理管理培训效果评价及需求分析[J].重庆医学,2016,45(17):2422-2424.
[4] 朱薇,应燕萍.我国协同护理模式在慢性病管理中应用[J].重庆医学,2017,46(29):4150-4152.
[5] 魏琴,王芳.反馈式健康教育对产妇产后宣教的效果分析[J].检验医学与临床,2017,14(19):2913-2915.
[6] 吕芳,吴结英,郑杏珊,等.妊娠高危评分与母婴预后之间的关系及高危因素分布特点研究[J].现代医学,2016,44(5):643-648.
[7] 陈明发,黄佳.荧光定量PCR在妊娠35~37周B族链球菌感染检测中的应用及妊娠结果分析[J].标记免疫分析与临床,2017,24(3):275-278.
[8] 李宏玲.全程中医综合干预预防孕妇产后乳房肿胀及泌乳量减少的临床观察[J].四川中医,2016,34(6):177-179.
[9] 彭祖菊,刘代娟.早期护理干预对低出生体重儿的效果观察[J].实用医院临床杂志,2017,14(3):104-105.
[10] 吴娅琴,吴琴,杨芳.层级护理对母婴同室产妇母乳喂养成功率及护理质量的影响[J].现代医学,2016,44(1):133-136.
[11] 陈坤荣.孕妇学校课程设计及培训模式的研究[J].实用医院临床杂志,2014,11(1):125-127.
[12] 李春平.情志护理对妊娠期糖尿病产妇母婴结局的影响[J].四川中医,2016,34(2):199-200.
[13] 曾倩.家属参与孕期训练对初产妇分娩、母乳喂养及新生儿护理能力的影响[J].护理管理杂志,2013,13(4):290-291.
[14] 魏莉,赵缨,夏慧,等.早产儿母亲产后焦虑状况的调查分析[J].上海护理,2017,17(1):49-51.
[15] 刘素娥,陈月梅,葛圆,等.家庭支持对产妇产后康复及育婴效果的研究[J].护士进修杂志,2012,27(16):1517-1518.

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