摘要【目的】探讨基于网络平台的延续性护理干预对初产妇产后自我保健能力及育婴行为的影响。【方法】选择2015年7月至2016年6月于本院顺利分娩出院的初产妇132例为研究对象,随机分为观察组和对照组各66例,对照组给予常规出院指导,观察组给予基于网络平台下的延续性护理干预,随访4个月,比较两组初产妇自我保健能力、育婴效果。【结果】观察组初产妇心理调节、产褥期卫生、异常症状、产后饮食、新生儿喂养等评分均明显高于对照组( P <0.05);新生儿抚触、新生儿沐浴、新生儿脐部护理正确、母乳喂养率均明显高于对照组,新生儿患病率明显低于对照组( P <0.05)。【结论】基于网络平台的延续性护理干预有助于提高初产妇自我保健能力,增强新生儿护理、母乳喂养的有效性,减少新生儿患病率。
Abstract:【Objective】To explore the effect of continual nursing intervention based on network platform on postnatal maternal self-care ability and parental behavior, and to provide reference for extending the continuity nursing intervention methods for primipara. 【Methods】A total of 132 patients who were successfully discharged from our hospital between July 2015 to June 2016 were selected as study subjects. Patients were randomly divided into the treatment group and the control group by random number table method, with 66 cases in each group. The control group was given routine discharge guidance. The treatment group was given continual nursing intervention based on network platform. Through 4 months of follow-up, the ability of self-care and nursery effects were compared between the two groups. 【Results】The scores of primipara's psychological adjustment, puerperal health, abnormal symptoms, postpartum diet, neonatal feeding were significantly higher in the treatment group than in the control group ( P < 0.05). Neonatal massage, neonatal bathing, correct neonatal umbilical care, and breastfeeding rate were significantly higher in the observation group than in the control group, while the neonatal prevalence rate was significantly lower than the control group ( P < 0.05). 【Conclusion】Continual nursing intervention based on network platform can help improve postnatal maternal self-care ability, enhance the effectiveness of neonatal care and breast-feeding, and reduce the prevalence of neonatal diseases.
罗方芳, 张淑林. 基于网络平台的延续性护理干预对初产妇产后自我保健能力及育婴行为的影响[J]. 医学临床研究, 2018, 35(7): 1329-1331.
LUO Fang-fang, ZHANG Shu-lin. Effect of Continual Nursing Intervention Based on Network Platform on Postnatal Maternal Self-care Ability and Parental Behavior of Primipara. JOURNAL OF CLINICAL RESEARCH, 2018, 35(7): 1329-1331.
[1] 郭梅,张海燕,叶瑞珍,等.医院-社区-家庭三联动延续护理模式对初产妇母乳喂养自我效能的影响[J].中华现代护理杂志,2017,23(7):898-901. [2] Costa ML, Krupa FG, Rehder PM, et al .Forearm bone mineral density changes udring postpartum and the effects of brestfeeding, amenorrhea, body mass index and cnotraceptive use[J]. Osteoporosis Int, 2012, 23(6): 1691-1699. [3] 郭真真. 延续性护理对产妇产后抑郁及处理能力的影响[J].国际护理学杂志,2014, 33(4):901-903. [4] 吴结英,甘玉杰,廖翠萍.母乳喂养门诊的延续性指导对产妇出院后喂哺的影响[J].护理实践与研究,2017,14(8):66-68. [5] 王晓蕾,郑美凤,厉蒙,等.以家庭为中心的一体化产房模式对初产妇母亲角色适应及母乳喂养效果的影响[J].中华现代护理杂志,2016,22(27):3918-3920. [6] 周到,邵霞.初产妇孕期心理健康教育对产科预后影响的统计分析[J].中国医院统计,2015,22(1):35-36. [7] 李海苗,林嫦梅.产后访视人员对母乳喂养核心技能掌握情况调查[J].护理研究,2016,30(15):1919-1920. [8] 梅士娟. 延续护理服务对出院后初产妇产褥期保健的影响[J].国际护理学杂志,2014, 33(12):3497-3499. [9] 孙红梅.延续护理对产妇产褥期心境及自我护理能力的影响[J].中国社区医师,2017,33(11):117,119. [10] 张雪梅. 初产妇对母乳喂养延续护理需求的调查研究[J].国际护理学杂志,2014,33(12):3515-3517.