个体化互动式护理门诊对孕产妇认知行为的影响  

Effects of Individualized,Interactive Outpatient Antenatal Nursing on Cognitive Behaviors of the Gravidas

作　　者：蒋锦辉[1] 沈玉香[1] 许勤[1] 徐桂梅[1] 

机构地区：[1]东南大学附属南京江北人民医院产科,南京210048

出　　处：《解放军护理杂志》2008年第2期15-17,共3页Nursing Journal of Chinese People's Liberation Army

基　　金：南京市卫生局一般性课题(YKK05119)

摘　　要：目的探讨产前护理门诊对提高孕产妇认知行为的影响,以提高产科护理质量。方法观察组(100例)实施大课教学结合个体化互动式门诊模式,对照组(100例)实施大课教学。分别在孕38周、产时、产后等3个阶段用x^2检验和u检验对相关参数进行统计学处理。结果两组孕产妇在对分娩知识、分娩期心理生理反应的应对、产褥期和新生儿护理等知识的掌握程度上有显著差异(P<0.05);在产时和产后的相关认知和行为的比较上也具有统计学意义(P<0.05)。结论每月1次孕妇学校的非系统性、非连续性、非互动性性教学,难以满足孕妇个性化需求。个体化互动式护理门诊的建立,为孕产妇提高了一个寻求信息支持的规范途径,也为孕妇学校的发展提供了依据。Objective To explore the effects of outpatient antenatal nursing service on the cognitive behaviors of the gravidas, and explore the means for improving the quality of the maternal nursing. Methods One hundred gravidas were given lectures on the related knowledge in addition to individualized interactive outpatient nursing, while another 100 gravidas had the lecture only. Chisquare test and U test were performed to compared the related parameters of the 2 groups of gravidas at 38 weeks of pregnancy, during and after labor. Results Significant differences were found between the two groups in understanding of the knowledge concerning the labor, coping strategies during the delivery, knowledge of the puerperium period and nursing of the newborns. Conclusion The conventional monthly maternal school does not provide systemic, continuous, and interactive training of the gravidas and therefore can not meet their individual needs. Individualized interactive outpatient nursing may serve as a standardized option for the gravidas to obtain desired information, and also shed light on the new organization and development of maternal schools.

关 键 词：孕产妇 护理门诊 认知行为 

分 类 号：R473.71[医药卫生—护理学]