信息-动机-行为护理对初产妇产后心理状况及盆底康复护理依从性的影响  

Analysis of the Effect of Information-Motivation-Behavioral Nursing on Primipara Postpartum Psychological Status and Pelvic Floor Rehabilitation Nursing Compliance

作　　者：程健美 CHENG Jianmei(Department of Obstetrics and Gynecology,Datian General Hospital,Datian 366100,China)

机构地区：[1]大田县总医院妇产科,福建大田366100

出　　处：《中国医药指南》2022年第34期157-159,共3页Guide of China Medicine

摘　　要：目的 探讨信息-动机-行为护理对初产妇产后心理状况、盆底康复护理依从性的影响,以期明确护理的有效性、可行性。方法 选择我院产科2019年2月至2022年1月的初产妇随机抽取96例进行研究,经随机数字表法分组:对照组(48例,常规护理)、观察组(48例,在常规护理基础上辅以信息-动机-行为护理),比较两组盆底康复护理依从性、产后并发症(产后抑郁、尿失禁),同时借助抑郁自评量表(SDS)评估初产妇焦虑情绪变化,全面评价信息-动机-行为护理的价值效果。结果 护理后,观察组SDS评分较对照组低,比较差异具有显著性(P <0.05);观察组盆底康复依从性(95.83%)较对照组(81.25%)高,比较差异具有显著性(P <0.05);观察组产后并发症发生率(4.16%)较对照组(18.75%)低,比较差异具有显著性(P <0.05)。结论信息-动机-行为护理可强化初产妇产后恢复效果,改善心理状况,提高盆底康复护理依从性,减少产后抑郁、尿失禁等并发症。Objective To explore the effects of information-motivation-behavioral nursing on the postpartum psychological status of primary mothers and the compliance of pelvic floor rehabilitation nursing,and to clarify the effectiveness and feasibility of nursing.Methods A total of 96 primiparas in our hospital from February 2019 to January 2022 were randomly selected for the study and grouped by random number table:the control group(48 cases,routine nursing) and the observation group(48 cases,supplemented with information-motivation-behavioral nursing).The compliance of pelvic floor rehabilitation nursing and postpartum complications(postpartum depression,urinary incontinence) were compared between the two groups.SDS was used to evaluate the change of maternal anxiety,so as to comprehensively evaluate the value effect of informationmotivation-behavioral nursing.Results After nursing,SDS score of observation group was lower than that of control group,and the difference was significant(P<0.05).The compliance of pelvic floor rehabilitation in the observation group(95.83%) was higher than that in the control group(81.25%),and the difference was significant(P<0.05).The incidence of postpartum complications in the observation group(4.16%) was lower than that in the control group(18.75%),and the difference was significant(P<0.05).Conclusions Information-motivation-behavioral nursing can strengthen the postpartum recovery effect of primiparas,improve their psychological status,improve the compliance of pelvic floor rehabilitation nursing,and reduce postpartum depression,urinary incontinence and other complications.

关 键 词：初产妇 信息-动机-行为护理 心理状况 依从性 产后并发症 

分 类 号：R473.71[医药卫生—护理学]