摘要
目的:探讨基于因果分析的风险干预在顺产后初产妇中的应用效果。方法:选取2018年6月1日~2019年12月31日收治的顺产初产妇80例,利用简单随机抽样法分为对照组和观察组各40例;对照组采用常规产科护理干预措施,观察组在对照组基础上采用基于因果分析的风险干预措施;比较两组产后恢复情况及住院时间,比较两组干预前后爱丁堡产后抑郁症量表(EPDS)、焦虑自评量表(SAS)、世界卫生组织生存质量测定简表(WHOQOL-BREF)评分,比较两组母亲角色适应能力。结果:观察组产后尿潴留、便秘发生率均低于对照组(P<0.05),住院时间短于对照组(P<0.01);干预后,观察组EPDS、SAS评分均低于对照组(P<0.01),WHOQOL-BREF各维度评分高于对照组(P<0.01);观察组产后3个月母亲角色适应情况优于对照组(P<0.05)。结论:基于因果分析的风险干预能够有效预防初产妇顺产后尿潴留,有利于初产妇心理健康,对提高生活质量有积极促进作用。
Objective:To explore the application effect of risk intervention based on causal analysis in primipara after natural childbirth.Methods:From June 1,2018 to December 31,2019,80 cases of primiparas of natural childbirth were selected and divided into control group and observation group with 40 cases each by simple random sampling.Routine obstetric care interventions were used in the control group,and risk interventions based on causal analysis were used in the observation group.The postpartum recovery and length of hospital stay of the two groups were compared.The Edinburgh Postpartum depression Scale(EPDS),Self-anxiety Scale(SAS)and WHOQOL-BREF scores of the two groups before and after intervention were compared.The two groups were compared in terms of maternal role adaptation.Results:The incidence of postpartum urinary retention and constipation in the observation group was lower than that in the control group(P<0.05),and the length of hospital stay was shorter than that in the control group(P<0.01).After intervention,the EPDS and SAS scores of the observation group were lower than those of the control group(P<0.01),and each dimension score of WHOQOL-BREF was higher than that of the control group(P<0.01).The adjustment of maternal role in the observation group was better than that in the control group(P<0.05).Conclusion:Risk intervention based on causal analysis can effectively prevent the urinary retention of primipara after natural delivery,which is beneficial to the mental health of primipara,and has a positive effect on improving the quality of life.
作者
赵丽
唐敏
汪翩
Zhao Li;Tang Min;Wang Pian(Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology,Wuhan Hubei 430030,China)
出处
《齐鲁护理杂志》
2020年第22期24-27,共4页
Journal of Qilu Nursing
关键词
因果分析
风险干预
初产妇
顺产
尿潴留
心理健康
生活质量
Causal analysis
Risk intervention
Primipara
Natural labor
Urinary retention
Mental health
Quality of life
