共同参与式护理在母婴同室护理中对产妇焦虑、抑郁情绪的缓解作用  

Alleviation of Maternal Anxiety and Depression by Shared Participatory Care in Mother-infant Room Care

作　　者：吴丽沬 张素雅[1] WU Limei;ZHANG Suya(Department of Obstetrics and Gynecology,Xinglin Branch of the First Affiliated Hospital of Xiamen University,Xiamen,Fujian Province,361022 China)

机构地区：[1]厦门大学附属第一医院杏林分院妇产科,福建厦门361022

出　　处：《中外医疗》2023年第11期167-171,共5页China & Foreign Medical Treatment

摘　　要：目的探讨母婴同室护理中共同参与式护理对产妇焦虑、抑郁情绪的缓解效果。方法随机选择2021年12月—2022年12月在厦门大学附属第一医院分娩的80名产妇,采用随机数表法分为参考组和观察组,每组40名。参考组开展母婴同室常规化护理,观察组在参考组的基础上开展共同参与式护理,对比两组产妇的正负性情绪(PANAS)、心理状况[抑郁自评量表(SDS)、焦虑自评量表(SAS)、自我效能感(GSES)]、新生儿护理能力合格率。结果护理后,观察组的正性情绪评分高于参考组,负性情绪评分低于参考组,差异有统计学意义(P<0.05)。护理后,观察组的SAS、SDS均低于参考组,GSES评分高于参考组,差异有统计学意义(P<0.05)。护理后,观察组的更换尿布、脐部护理、新生儿沐浴合格率高于参考组,差异有统计学意义(P<0.05)。两组喂养方式合格率比较,差异无统计学意义(P>0.05)。结论共同参与式护理在母婴同室护理中可有效改善产妇焦虑、抑郁情绪,对提升产妇自我效能感和新生儿护理能力有积极帮助。Objective To investigate the effect of shared participatory care in mother-infant room care on the alleviation of maternal anxiety and depression.Methods 80 postpartum women who delivered at the First Affiliated Hospital of Xiamen University from December 2021 to December 2022 were randomly selected and divided into a reference group and an observation group using a random number table method,with 40 people in each group.The reference group carried out routine nursing care for mothers and infants in the same room,and the observation group carried out participatory nursing care on the basis of the reference group.The positive and negative emotions(PANAS),psychological status[Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),General Self-efficacy Scale(GSES)],and the qualification rate of neonatal nursing ability of the two groups were compared.Results After care,the positive mood scores of the observation group was higher than that of the reference group,and the negative mood scores was lower than that of the reference group,and the difference was statistically significant(P<0.05).After care,the SAS and SDS of the observation group were lower than those of the reference group,and the GSES scores was higher than that of the reference group,and the difference was statistically significant(P<0.05).After care,the qualified rates of diaper changing,umbilical care,and newborn bathing in the observation group were higher than those in the reference group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the qualified rate of feeding methods between the two groups(P>0.05).Conclusion Shared participatory care in mother-infant room care can effectively improve maternal anxiety and depression,and positively help to enhance maternal self-efficacy and neonatal care ability.

关 键 词：共同参与式护理 母婴同室 产后护理 焦虑抑郁 

分 类 号：R473.73[医药卫生—护理学] R473.72[医药卫生—临床医学]