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延续性护理服务模式在高龄产妇护理中的实施效果分析 预览 被引量:26

The effect analysis of continuity care mode in maternal with older
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摘要 目的探讨延续性护理服务模式在高龄产妇护理中的实施效果。方法选择我院产科收治住院分娩的产妇80例,随机分为观察组和对照组,每组40例。分别采取延续性护理和常规护理。观察并比较两组产妇产后42d的泌乳量、6个月纯母乳喂养率、子宫入骨盆时间以及恶露平均消失时间,并采用问卷调查表格评估产妇的产后抑郁以及对护理服务的满意度。结果观察组子宫入骨盆时间(7.2±2.5)d、血性恶露消失时间(18.8±8.6)d均明显短于对照组(9.2±2.5)d,(21.7±5.9)d,6个月纯母乳喂养率(80%)明显高于对照组(37.5%),泌乳量多于对照组,差异均具有统计学意义(P〈0.05)。观察组产后抑郁评分(6.8±1.6)明显低于对照组(9.3±2.4),护理满意度评分(98.2±1.7)明显高于对照组(91.4±2_3),差异均具有统计学意义(P〈0.05)。结论建立高龄产妇出院后延续护理服务模式能全面满足产妇产后的健康需求,促进产妇的身体康复,提高新生儿母乳喂养率,减少产后抑郁的发生,提高产妇对护理服务的满意率及医疗护理服务的延续性,满足产妇、新生儿的健康需求。 Objective To study the effect of continuity care mode in maternal with older. Methods 80 cases in maternity of our hospital were selected,and they were randomly divided into observation group and control group, 40 cases in each group. Control group recieved continuity care and observation group recieved continuity care mode. The volume mammary postpartum 42 d, exclusive breastfeeding rates for 6 months, the time of uterus into the pelvis and the average disappearing time of lochia in two groups were observed and compared. The maternal postpartum depression and the satisfaction of nursing service were assessed by questionnaire survey. Results The time of uterus into the pelvis of observation group was (7.2 ± 2.5) d, the average disappearing time of lochia of observation group was ( 18.8 ± 8.6 )d,they were significantly shorter than those of control group (9.2 ± 2.5)d, (21.7 ± 5.9)d, the exclusive breastfeeding rate for 6 months (80%) of observation group was significantly higher than that of control group (37.5%),the volume mammary of observation group was more than that of the control group (P 〈 0.05). The postpartum depression score of observation group (6.8 ± 1.6)was significantly lower than that of the control group (9.3 ± 2.4), the nursing satisfaction score of observation group (98.2 ± 1.7)was significantly higher than that of the control group (91.4 ± 2.3), the differences were statistically significant(P 〈 0.05): Conclusion The continuity care mode in maternal with older can fully meet the health needs of maternal postpartum, and improve physical rehabilitation of maternal, increase the breastfeeding rate of newborns, reduce the occurrence of postpartum depression, improve the satisfaction to nursing service of maternal and the continuity of the medical care service, meet the demand of maternal and newborn health.
作者 苏艳桃 袁小静 房春花 廖振花 SU Yantao,YUAN Xiaojing,FANG Chunhua,LIAO Zhenhua(1.The Nuring Office of Shijie Hospital,Dongguan 523290, China; 2.The Maternity of Shijie Hospital,Dongguan 523290, China; 3.The Health Services Center of Shijie Hospital,Dongguan 523290, China;4.The Health Service Center of Community, Shijie,Dongguan 523290, China)
出处 《中国医药科学》 2016年第15期129-131,135共4页 China medicine and pharmacy
基金 广东省东莞市医疗卫生一般项目(2016105101251)
关键词 延续性护理 高龄产妇 实施 Continuity care Maternal with older Implementation
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