摘要
目的探讨产科护士协助家属共同参与家庭式围产期照护对初产妇心理状态、应对方式的影响。方法选取复旦大学附属妇产科医院2020年9月至2021年9月收治的初产产妇110例为研究对象,按照简单随机法分为观察组和对照组,对照组(n=53)给予常规围生期照护,观察组(n=57)给予产科护士协助家属共同参与家庭式围生期照护。比较两组初产妇干预前、干预2周后心理状态〔妊娠压力量表(PPS)、中文版分娩恐惧量表(CFPP)、焦虑自评量表(SAS)、抑郁自评量表(SDS)〕、自我效能〔中文版分娩自我效能量表(CBSEI-32)〕、应对方式〔医学应对问卷(MCMQ)〕变化及新生儿照护正确率。结果干预2 w后,两组PPS评分、CFPP评分、SAS评分、SDS评分均显著降低,CBSEI-32评分中结果效能、期望效能及总分均显著升高,MCMQ评分中面对评分均显著升高,回避、屈服评分均显著降低,且干预2 w后上述指标组间对比差异显著;观察组初产妇新生儿抚摸、新生儿沐浴、新生儿脐部护理操作正确率显著高于对照组,差异均有统计学意义(均P<0.05)。结论产科护士协助家属共同参与家庭式围生期照护有利于改善初产妇心理状态,提升自我效能,纠正应对方式,帮助初产妇提高新生儿照护能力。
Objectivee To explore the effects of co-participation of obstetric nurses assisting family members in family perinatal care on the psychological status and coping styles of primiparas.Methods A total of 110 first-time parturients admited to Obstetrics and Gynecology Hospital of Fudan University from September 2020 to September 2021 were selected as the research objects,and were divided into observation group(57 cases)and control group(53 cases)according to simple random method.The control group was given routine perinatal care,while the observation group was given family perinatal care by co-participation of obstetric nurses assisting family members.The psychological status[Pregnancy Pressure Scale(PPS),Chinese Version of Childbirth Fear Prior to Pregnancy(CFPP),Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)],self-efficacy[Chinese version of Childbirth Self-Eficacy Inventory-32(CBSEI-32)],coping styles[Medical Coping Mode Questionnaire(MCMQ)] and the accuracy rate of neonatal care were compared between the two groups before and after two weeks of intervention.Results After two weeks of intervention,PPS scores,CFPP scores,SAS scores and SDS scores were significantly decreased in both groups,outcome efficacy,expected efficacy and total score were significantly increased in CBSEI-32 scores,face scores were significantly increased in MCMQ scores,avoidance and yield scores were significantly decreased.After 2 weeks of intervention,there were statistically significant differences among the above indexes.The correct rates of neonatal stroking,neonatal bath and neonatal umbilical cord nursing in the observation group were significantly higher than those in the control group,and the diferences were statistically significant(P<0.05).Conclusions Obstetrical nurses assisting family members to participate in family perinatal care is conducive to improving the mental state of primiparas,enhancing self.efficacy,correcting coping styles,and helping primiparas to improve their newborn care ability.
作者
袁颖
戴锦萍
姜瑛
Yuan Ying;Dai Jinping;Jiang Ying(Obstetrics Department,Obstetrics and Gynecology Hospital of Fudan University,Shanghai 200011,China)
出处
《国际护理学杂志》
2023年第6期1127-1131,共5页
international journal of nursing
