基于助产士主导的群组孕期保健模式对初产妇自我效能及生活质量的影响  

Influence of group health care model during pregnancy on midwifery based primipara′s self-efficacy and quality of life

作　　者：张水仙[1] 周临[1] 时良芳 雷霞[1] Zhang Shuixian;Zhou Lin;Shi Liangfang;Lei Xia(Obstetrics Department,Hangzhou First People′s Hospital,Hangzhou 310006,China)

机构地区：[1]杭州市第一人民医院产科,杭州310006

出　　处：《中华健康管理学杂志》2021年第5期459-463,共5页Chinese Journal of Health Management

基　　金：浙江省医药卫生科技计划项目(2021KY880);2020-2024年杭州市医学重点学科项目。

摘　　要：目的探讨基于助产士主导的群组孕期保健模式对初产妇自我效能及生活质量的影响。方法2019年1至12月,将本院产科登记建档的200例初产妇纳入研究中,孕妇按照随机数字表法分为两组各100例。结果护理后,观察组的母亲角色适应能力评分(63.14±9.38)分、自我效能评分(34.16±2.89)分均高于对照组[分别为(52.89±8.41)分、(31.28±2.43)分](t=8.136、7.627,P<0.05)。观察组孕晚期体重增加幅度(3.68±1.22)kg小于对照组(5.49±1.76)kg(t=8.452,P<0.05)。观察组阴道自然分娩率91%高于对照组71%(χ^(2)=12.966,P<0.05),观察组剖宫产率9%低于对照组29%(χ^(2)=12.966,P<0.05),观察组纯母乳喂养率84%高于对照组69%(χ^(2)=6.258,P<0.05)。护理后,观察组SAS评分(40.74±4.93)分、SDS评分(42.16±5.07)分均低于对照组[分别为(47.10±5.27)分、(48.59±5.42)分](t=8.813、8.664,P<0.05),观察组的4个维度生活质量评分高于对照组(t=7.293、7.406、7.357、8.767,P<0.05)。结论以助产士为主导的群组孕期保健模式可有效增强初产妇的自我效能,使其生活质量提高。Objective To explore the influence of a midwife-led group health care model on primiparas′self-efficacy and quality of life.Methods The study included 200 primiparas who registered with the obstetrics department of our hospital between January and December 2019.The puerperas were divided into two groups with 100 cases each according to the random number table method.The control group received routine health care during pregnancy.The T-test andχ^(2) test were used,while the observation group received midwifery-led group health care during pregnancy.The scores of maternal role adaptability,self-efficacy,weight control,delivery mode,breastfeeding,mental state,and quality of life was compared between the two groups.Results After nursing,the mother′s role adaptability(63.14±9.38)and self-efficacy(34.16±2.89)scores in the observation group were higher than those in the control group(52.89±8.41 and 31.28±2.43,respectively)(t=8.136,7.627,P<0.05).The weight gain of the observation group in the third trimester[(3.68±1.22)kg]was less than that of the control group[(5.49±1.76)kg](t=8.452,P<0.05).The vaginal natural delivery rate of the observation group was 91%higher than the 71%of the control group(χ^(2)=12.966,P<0.05),the cesarean section rate of the observation group was 9%lower than the 29%of the control group(χ^(2)=12.966,P<0.05),and the exclusive breastfeeding rate in the observation group was higher than that in the control group(χ^(2)=6.258,P<0.05).After nursing,the SAS(40.74±4.93)and SDS scores(42.16±5.07)of the observation group were lower than those of the control group(47.10±5.27 and 48.59±5.42,respectively)(t=8.813,8.664,P<0.05),and the four-dimension quality of life scores of the observation group were higher than those of the control group(t=7.293,7.406,7.357,8.767,P<0.05).Conclusion A midwife-led group pregnancy care model can effectively enhance the self-efficacy of primiparas and improve their quality of life.

关 键 词：产科 初产妇 助产士 护理 

分 类 号：R473.71[医药卫生—护理学]