基于结构式家庭疗法的随访管理对出院产妇的影响  

Effects of follow-up management based on structural family therapy in discharged puerpera

作　　者：裘亚君[1] 肖珊珊 王吟春 徐赛静[1] 周红娣[2] Qiu Yajun;Xiao Shanshan;Wang Yinchun;Xu Saijing;Zhou Hongdi(Department of Obstetrics, the Affiliated Hospital of Medical School of Ningbo University, Ningbo 315020, China （Qiu YJ, Xiao SS, Wang YC, Xu S J;Nursing Department, the Affiliated Hospital of Medical School of Ningbo University, Ningbo 315020, China（Zhou HD)

机构地区：[1]宁波大学医学院附属医院产科,宁波315020 [2]宁波大学医学院附属医院护理部,宁波315020

出　　处：《中华现代护理杂志》2018年第8期879-882,共4页Chinese Journal of Modern Nursing

基　　金：2014年宁波市科技局社发项目（2014C50054）

摘　　要：目的 探究结构式家庭疗法的随访管理对出院产妇自我效能与生活质量的影响.方法 选取宁波大学医学院附属医院2015 年10 月—2016 年10 月住院分娩的产妇124 名,按照随机数字表法分为观察组和对照组,每组62 名.对照组按照常规治疗方式进行护理,观察组产妇在常规护理上应用结构式家庭疗法的随访管理进行护理.比较两组产妇母乳喂养知识问卷得分情况及纯母乳喂养率,采用自我护理能力测定量表（ESCA）、生活质量指数评定量表比较两组产妇生活质量.结果 观察组产妇母乳喂养知识问卷平均得分高于对照组,两组产妇知识问卷评分比较具有统计学意义（P〈 0.05）;观察组产妇纯母乳喂养率为93.54% 明显高于对照组74.19%,差异具有统计学意义（P〈 0.05）;观察组产妇自我效能总得分为（143.4±14.0）分,对照组得分为（109.6±11.6 分）,差异具有统计学意义（P 〈 0.05）.观察组产妇总体生活质量评分（8.8±1.3）分高于对照组的（5.6±1.1）分,差异具有统计学意义（P〈 0.05）.结论 基于结构式家庭疗法的随访管理有利于提高产妇的自我护理效能,提升生活质量,从而达到提高母乳喂养的目的.Objective To explore the effects of follow-up management based on structural family therapy on self efficacy and quality of life in discharged puerpera. Methods A total of 124 hospitalized puerpera with childbirth of the Affiliated Hospital of Medical School of Ningbo University were selected from October 2015 to October 2016. All of them were divided into observation group and control group, 62 cases in each group. Puerpera of control group were treated with conventional nursing. On the basis of the conventional nursing, puerpera of observation group adopted follow-up management based on structural family therapy. We compared the scores of breast feeding knowledge questionnaire, the rate of exclusive breastfeeding and the quality of life with the Exercise of Self-Care Agency Scale （ESCA） and the quality of life index scale of puerpera in two groups. Results The mean score of breast feeding knowledge questionnaire of puerpera in the observation group was higher than that in the control group with a significant difference （P〈0.05）. The rate of exclusive breastfeeding of puerpera in the observation group was 93.54% higher than that in the control group （74.19%） with a significant difference （P〈0.05）. There was a statistically significant difference in the total score of self efficacy of puerpera between the observation group and the control group [（143.4±14.0） vs. （109.6±11.6）] （P〈 0.05）. The total score of quality of life of puerpera in the observation group was significantly higher than that in the control group [（8.8±1.3） vs. （5.6±1.1）]（P〈 0.05）. Conclusions The follow-up management based on structural family therapy is favourable to improve the self efficacy on nursing and quality of life of puerpera so as to increase the rate of breast feeding.

关 键 词：母乳喂养 出院产妇 随访管理 结构式家庭疗法 

分 类 号：R473.71[医药卫生—护理学]