摘要
目的:探究行为感知护理下的全程陪伴模式对早产剖宫产产妇的影响。方法:选取2022年1月—2023年6月南京明基医院接收的105例早产剖宫产产妇,根据入院时间分为对照组(n=52)和试验组(n=53)。对照组接受常规护理,试验组接受行为感知护理下的全程陪伴模式干预。比较两组产后恢复状况(肛门排气恢复时间、初次泌乳时间、住院时间)、疼痛情况[视觉模拟评分法(VAS)评分]、心理情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、分娩自我效能感[简化版分娩自我效能量表(CBSEI-C32)]、母亲角色适应能力(母亲角色适应调查问卷)。结果:试验组肛门排气恢复时间、初次泌乳时间、住院时间均短于对照组,差异有统计学意义(P<0.05)。干预后,试验组VAS评分、SAS评分和SDS评分均低于对照组,差异有统计学意义(P<0.05)。干预后,试验组CBSEI-C32各项评分及角色认同、照顾行为和亲子依附评分均高于对照组,差异有统计学意义(P<0.05)。结论:行为感知护理下全程陪伴模式能显著改善早产剖宫产产妇的产后恢复状况,降低疼痛感,缓解心理焦虑和抑郁,增强分娩自我效能感,提升母亲角色适应能力。
Objective:To explore the influence of the whole-course companion model under behavioral perceptual nursing on preterm cesarean section.Method:A total of 105 preterm cesarean section cases admitted to Nanjing BenQ Hospital from January 2022 to June 2023 were selected and divided into control group(n=52)and experimental group(n=53)according to the admission time.The control group received routine nursing,and the experimental group received the whole-course companion model intervention under behavioral perceptual nursing.The postpartum recovery status(anal exhaust recovery time,first lactation time,length of hospital stay),pain[visual analogue scale(VAS)score],psychological mood[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],and childbirth selfefficacy[childbirth self-efficacy inventory(CBSEI-C32)]maternal role adaptation(maternal role adaptation questionnaire)between the two group were compared.Result:The anal exhaust recovery time,the first lactation time and the length of hospital stay in experimental groups were shorter than those in control group,and the differences were statistically significant(P<0.05).After intervention,VAS score,SAS score and SDS score of experimental group were lower than those of control group,and the differences were statistically significant(P<0.05).After intervention,CBSEI-C32 scores,role identity,caregiving behavior and parent-child attachment scores of experimental group were higher than those of control group,and the differences were statistically significant(P<0.05).Conclusion:The whole-course companion model under behavioral perceptual nursing can significantly improve the postpartum recovery status of preterm cesarean section women,reduce pain,relieve psychological anxiety and depression,enhance the self-efficacy of childbirth,and enhance the adaptability of mother's role.
作者
张欣欣
李玲玉
何娜
ZHANG Xinxin;LI Lingyu;HE Na(Nanjing BenQ Hospital,Nanjing 210006,China;不详)
出处
《中外医学研究》
2024年第7期104-108,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
行为感知护理
全程陪伴模式
早产剖宫产
产后恢复
自我效能
Behavioral perception nursing
Whole-course companion model
Preterm cesarean section
Postpartum recovery
Self-efficacy
