三维质量评价模式在首次剖宫产产妇产褥期延续性护理中的应用  

Application of three-dimensional quality evaluation model in continuous nursing during puerperium in the first-time cesarean section

作　　者：冯立雪 张永梅 李国芸 Feng Lixue;Zhang Yongmei;Li Guoyun(Maternal and Child Physical Examination Center,Xinxiang Central Hospital(the Fourth Clinical College of Xinxiang Medical University),Xinxiang 453000,China)

机构地区：[1]新乡市中心医院(新乡医学院第四临床学院)孕妇儿童体检中心,新乡453000

出　　处：《中华现代护理杂志》2023年第4期517-522,共6页Chinese Journal of Modern Nursing

基　　金：河南省医学科技攻关计划项目(LHGJ20191328)。

摘　　要：目的探讨三维质量评价模式在首次剖宫产产妇产褥期延续性护理中的应用效果。方法采用便利抽样法,选取2018年1—12月于新乡市中心医院分娩的首次剖宫产产妇为研究对象。采用随机数字表法将产妇分为对照组和观察组,各93例。对照组采用常规产褥期护理,观察组在对照组基础上采用三维质量评价模式进行延续性护理,干预时间均为6周。评估两组产妇保健知识掌握情况、母婴健康状况及生活质量。本研究对照组失访8例、观察组失访7例,最终纳入产妇171例,其中对照组85例、观察组86例。结果干预后两组产妇的产妇保健知识得分、新生儿保健知识得分、WHO生活质量测定量表简表各维度得分均高于干预前,且观察组高于对照组,差异均有统计学意义(P<0.05)。观察组产妇切口愈合不良、子宫复旧不良、急性乳腺炎、产褥感染、产后便秘发生例数均低于对照组,差异有统计学意义(P<0.05);观察组新生儿黄疸、湿疹、腹泻发生例数均低于对照组,差异有统计学意义(P<0.05)。结论以三维质量评价模式为理论基础对首次剖宫产产妇进行延续性护理,有助于产妇掌握产褥期保健知识,对母婴健康状况有积极作用,并能提高产妇生活质量,值得临床应用。Objective To explore the application effect of three-dimensional quality evaluation model in continuous nursing during puerperium in the first-time cesarean section.Methods The convenient sampling method was used to select the first cesarean section women who gave birth in Xinxiang Central Hospital from January to December 2018 as the research objects.Parturients were divided into the control group and the observation group,with 93 cases in each group by random number table method.The control group was given conventional puerperal care,while the observation group was given continuous care based on the control group using three-dimensional quality evaluation model.The intervention time was 6 weeks.Maternal health knowledge,maternal and child health status and quality of life were assessed in both groups.In this study,8 cases were lost to follow-up in the control group and 7 cases in the observation group,and 171 cases of parturients were finally included,including 85 cases in the control group and 86 cases in the observation group.Results After intervention,maternal health knowledge scores,neonatal health knowledge scores and scores of all dimensions of the WHO Quality of Life Inventory were higher in the two groups than before intervention,and the observation group was higher than the control group,and the differences were statistically significant(P<0.05).The cases of poor incision healing,poor uterine recovery,acute mastitis,puerperal infection and postpartum constipation in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence of neonatal jaundice,eczema and diarrhea in the observation group were lower than that in the control group,and the differences were statistically significant(P<0.05).Conclusions Based on the three-dimensional quality evaluation model as the theoretical basis,continuous nursing for first-time cesarean delivery mothers helps the mothers grasp the knowledge of puerperium health,has a positive effect on the

关 键 词：产妇 剖宫产 产褥期 三维质量评价模式 延续性护理 

分 类 号：R473.71[医药卫生—护理学]