摘要
目的:探究责任制助产模式对产妇分娩期生活质量和满意度的影响。方法:选取2020年1月至2021年12月苏州市立医院进行分娩的100例产妇,依据随机数字表法将产妇分为对照组对观察组。每组50例产妇。其中对照组产妇予以常规护理干预,观察组产妇予以责任制助产模式护理干预,比较两组产妇分娩情况、状态-特质量表(STAI)、汉密尔顿抑郁量表(HAMD)、世界卫生组织生存量表(WHOQOL-BREF)以及护理满意度。结果:观察组自然分娩产妇显著多于对照组,剖宫产产妇显著少于对照组( P<0.05);两组产妇术中出血量比较差异无统计学意义( P>0.05),观察组疼痛程度与总产程时间均显著低于对照组( P<0.05);干预后两组产妇S-AI评分、T-AI评分、HAMD评分均较干预前显著降低( P<0.05),且组间比较观察组显著更低( P<0.05);干预后两组产妇生理健康、心理状态、社会功能、环境因素评分均显著升高( P<0.05),且组间比较观察组显著更高( P<0.05);两组产妇干预后分娩镇痛、输液护理评分比较差异无统计学意义( P>0.05),观察组产程观察、服务态度、技术操作、分娩助产技术显著高于对照组( P<0.05)。 结论:责任制助产模式能改善产妇分娩情况与心理健康状态,提高生活质量同时提高护理满意度,具有临床应用价值。
Objective To explore the effect of responsibility system of midwifery model on maternal life quality and satisfaction during childbirth.Methods A total of 100 pregnant women who delivered in Suzhou Municipal Hospital from January 2020 to December 2021 were selected.According to the random number table method,they were divided into the control group and the observation group,with 50 cases in each group.The control group received routine nursing intervention,while the observation group received responsibility system of midwifery.The Status-Identity Inventory(STAI),Hamilton Depression Scale(HAMD),World Health Organization Quality of Life-BREF(WHOQOL-BREF)and nursing satisfaction were compared between the two groups.Results The number of natural delivery women in the observation group was significantly more than that in the control group,and the number of cesarean section women was significantly less than that in the control group(P<0.05).There was no significant difference in intraoperative blood loss between the two groups(P>0.05).The pain degree and total labor time of the observation group were significantly lower than those of the control group(P<0.05).After intervention,the S-AI score,T-AI score and HAMD score of the two groups were significantly lower than those before intervention(P<0.05),and the observation group was significantly lower than the control group(P<0.05).After intervention,the scores of physiological health,mental status,social function and environmental factors of the two groups were significantly increased(P<0.05),and the observation group was significantly higher than the control group(P<0.05).There was no statistically significant difference in the scores of labor analgesia and infusion nursing between the two groups after intervention(P>0.05).Labor observation,service attitude,technical operation and midwifery technology in the observation group were significantly higher than those in the control group(P<0.05).Conclusions The responsibility midwifery mode can improve the delivery and mental health status of puerpera,improve the quality of life and nursing satisfaction,which has clinical application value.
作者
莫明霞
徐美珍
Mo Mingxia;Xu Meizhen(Department of Obstetrics and Gynecology,Suzhou Municipal Hospital,North District,215001,China)
出处
《国际护理学杂志》
2023年第21期3945-3950,共6页
international journal of nursing
关键词
责任制助产模式
分娩期生活质量
满意度
产妇
Responsible system of midwifery model
Quality of life during childbirth
Satisfaction
Puerpera
