中心群组化孕期保健模式在初产妇中的应用及效果评价  

Application and effect evaluation of group prenatal care model in primiparas

作　　者：肖苏琴 方艳春 黄雅莲 姚琼 刘芬[1] 王佳佳 Xiao Suqin;Fang Yanchun;Huang Yalian;Yao Qiong;Liu Fen;Wang Jiajia(Nursing School of University of South China,Hengyang 421001,China;Nursing Department of the Central Hospital of Shaoyang,Shaoyang 422000,China;Obstetrical Department of the Central Hospital of Shaoyang,Shaoyang 422000,China)

机构地区：[1]南华大学护理学院,衡阳421001 [2]湖南省邵阳市中心医院护理部,422000 [3]湖南省邵阳市中心医院产科,422000

出　　处：《中国实用护理杂志》2021年第11期820-825,共6页Chinese Journal of Practical Nursing

基　　金：湖南省卫生健康委员会2020年科研课题 (20200539)。

摘　　要：目的探讨中心群组化孕期保健模式在初产妇中的应用及效果评价。方法选取2019年12月至2020年5月在湖南省邵阳市中心医院产科门诊建卡的初产妇60例,干预组30例实施中心群组化孕期保健模式干预,对照组30例实施常规护理,采用积极心理资本量表和妊娠结局评价干预前后的效果。结果干预前、干预1个月、干预结束,积极心理资本得分分别为(123.87±18.86)、(130.70±13.41)、(142.23±8.37)分,不同时间点积极心理资本水平得分比较差异有统计学意义(P<0.05);干预组自然分娩占86.7%(26/30),明显高于对照组的63.3%(19/30),会阴损伤率为16.7%(5/30),明显低于对照组的43.3%(13/30),干预组住院期间纯母乳喂养率90.0%(27/30)明显高于对照组66.7%(20/30),差异均有统计学意义(χ^(2)值为4.356、5.079、4.812,P<0.05)。结论中心群组化孕期保健模式能够提高初产妇的积极心理资本,改善初产妇的不良妊娠结局,值得在临床推广与应用。Objective To explore application and effect evaluation of group prenatal care model in primiparas.Methods A total of primiparas were recruited from December 2019 to May 2020 in the department of Obstetric clinic.Group prenatal care was carried out in the intervention group and the routine nursing was implemented in the control group.Positive capital Questionnaire and pregnancy outcome were used to evaluate the effects of intervention.Results The scores of pre-intervention,intervention for one month and post-intervention of PPQ was(123.87±18.86),(130.70±13.41)and(142.23±8.37)respectively.Higher level of natural childbirth rate([86.7%]versus[63.3%];χ^(2)=4.356;P=0.037<0.05)and lower rate of perineal injury([16.7%]versus[43.3%];χ^(2)=5.079;P=0.024<0.05).The rate of exclusive breastfeeding during hospitalization([90.0%]versus[66.7%];χ^(2)=4.812;P=0.028<0.05)after intervention as compared with those who received routine care.Conclusion Group prenatal care intervention model can improve the level of positive psychological capital and pregnancy outcome.

关 键 词：初产妇 中心群组化孕期保健模式 积极心理资本 妊娠结局 

分 类 号：R473.71[医药卫生—护理学]