母婴床旁及延续护理促进产妇康复效果的实证研究  

Empirical study on the effect of mother-infant bedside and continuing nursing on promoting maternal rehabilitation

作　　者：谭维玉[1] 罗蔓 黄婉婷 刘文蓉 赖玉娥[4] 卢丽佩 TAN Weiyu;LUO Man;HUANG Wanting;LIU Wenrong;LAI Yu′e;LU Lipei(Clinical Medical Skills Training Center,Guangxi Health Science College,Guangxi Zhuang Autonomous Region,Nanning530023,China;Admissions and Employment Office,Guangxi Health Science College,Guangxi Zhuang Autonomous Region,Nanning530023,China;The First Ward of Obstetrics Department,Xiangzhu Branch,Maternity and Child Health Care of Guangxi Zhuang Autonomous Region,Guangxi Zhuang Autonomous Region,Nanning530002,China;Department of Nursing,Xiangzhu Branch,Maternity and Child Health Care of Guangxi Zhuang Autonomous Region,Guangxi Zhuang Autonomous Region,Nanning530002,China)

机构地区：[1]广西卫生职业技术学院临床医学技能实训中心,广西南宁530023 [2]广西卫生职业技术学院招生与就业办,广西南宁530023 [3]广西壮族自治区妇幼保健院厢竹院区产科一区,广西南宁530002 [4]广西壮族自治区妇幼保健院厢竹院区护理部,广西南宁530002

出　　处：《中国当代医药》2024年第7期182-188,共7页China Modern Medicine

基　　金：广西高校中青年教师科研基础能力提升项目(2021KY1368)。

摘　　要：目的探讨母婴床旁及延续护理对产妇康复的应用效果。方法选取2021年4月1日至5月27日到广西壮族自治区妇幼保健院厢竹院区产科一区收治的280例顺产、单胎的初产妇为研究对象,按照随机数字表法将其分为对照组(n=140)与试验组(n=140),对照组予常规护理+延续护理,试验组予母婴床旁护理+延续护理。对照组与试验组产妇及家属出院后开展电话随访、建立QQ群等延续母婴护理指导。比较两组产妇的母婴护理知识及技能、自我护理能力(ESCA)、中文版育儿胜任感(C-PSOC)、中文版压力知觉(CPSS)的评分。结果干预后,试验组产妇的母婴护理知识及技能掌握程度优于对照组,ESCA、C-PSOC评分均高于对照组,CPSS低于对照组,差异有统计学意义(P<0.05)。结论母婴床旁及延续护理指导,提高产妇母婴护理知识及技能、产妇自我护理能力、育儿胜任感,降低产妇压力感知,促进产妇康复,值得推广应用。Objective To explore the application effect of mother-infant bedside and continuing nursing on promoting maternal rehabilitation.Methods From April 1 to May 27,2021,a total of 280 primiparas with natural labor and single pregnancy admitted to the First Ward of Obstetrics Department,Xiangzhu Branch,Maternity and Child Health Care of Guangxi Zhuang Autonomous Region were selected as the research objects.According to the random number table method,they were divided into a control group(n=140)and an experimental group(n=140).The control group was given routine nursing+continuous nursing,and the experimental group was given mother-infant bedside nursing+continuous nursing.The control group and the experimental group were given continuous mother-infant nursing guidance such as telephone follow-up and QQ group establishment after discharge.The scores of maternal and child nursing knowledge and skills,exercise of self-care agency scale(ESCA),Chinese version of parenting sense of competence(C-PSOC)and Chinese perceived stress scale(CPSS)were compared between the two groups.Results After the intervention,the maternal and child nursing knowledge and skills of the experimental group were better than those of the control group,the ESCA and C-PSOC scores were higher than those of the control group,and the CPSS was lower than that of the control group,and the differences were statistically significant(P<0.05).Conclusion Mother-infant bedside and extended nursing guidance,improve maternal and infant nursing knowledge and skills,maternal self-care ability,parenting competence,reduce maternal pressure perception,promote maternal rehabilitation,worthy of promotion and application.

关 键 词：家庭参与式 母婴床旁护理 延续护理 产后康复 

分 类 号：R473.71[医药卫生—护理学]