延续性护理模式对早产儿母亲育儿认知与心理健康的影响

摘要

目的 探索延续性护理模式对早产儿母亲育儿认知与心理健康的影响.方法 以Ahmadi延续性护理模式为理论依据,构建早产儿母亲从入院、住院至出院居家的全程延续性护理方案,采用临床随机对照研究,选取2016年6月-2017年3月就诊于北京市某三级甲等医院住院部产科的106例早产儿母亲为研究对象.实验组采用延续性护理干预模式,对照组给予常规护理.于早产儿母亲出院前3d、出院后1个月、3个月、6个月收集两组的延续性护理育儿认知测评得分、心理健康测评得分.结果 共98例完成研究,实验组延续性护理育儿认知得分于出院后1个月、3个月、6个月高于对照组(P＜0.01),心理健康测评总均分于出院后3个月、6个月低于对照组(P＜0.05),抑郁和焦虑维度得分于出院后1个月、3个月、6个月低于对照组(P＜0.05).结论 以Ahmadi延续性护理模式为理论依据的早产儿母亲延续性护理方案,提高了早产儿母亲的育儿能力及正性情绪,改善了早产儿母亲的生活质量.%Objective To explore the application of continuing nursing model in life of puerperae with preterm infants and evaluate its effects.Methods Based on continuous nursing model of Ahmadi,puerperae's continuing nursing program was constructed.Randomized controlled trail design was used,and totally 110 puerperae in a hospital in Beijing were recruited from August 2016 to March 2017.The experimental group received continuing nursing intervention model,and the control group received routine nursing care.Parenting knowledge and psychological evaluation of the two groups were collected 3 days before discharge,1 month,3 months and 6 months after discharge.Results Ninety-eight puerperae completed the study.In the experimental group,the score of parenting knowledge was higher than that of the control group(P＜0.01),and the total score of mental health assessment and scores of depression and anxiety were lower than those in the control group (P＜0.05).Conclusion Puerperae's continuing nursing program based on the continuous nursing model of Ahmadi improved maternal ability and positive emotion,and promoted quality of life.