优质护理干预对初产妇保健能力和新生儿护理能力的影响

摘要

Objective To observe effects of high quality nursing intervention on health care capacity and neonatal care ability in primipara.Methods A total of 110 primipara who were hospitalized in our hospital from January 2015 to June 2016 were randomly divided into observation group and control group,with 55 primipara in each group.The primapara in control group were given routine nursing,however,the primipara in observation group,on the basis of control group,were given high quality nursing intervention.The total satisfaction rate,postpartum maternal health knowledge,neonatal care knowledge,breastfeeding and neonatal care correct rate were observed in both groups.Moreover the levels of self-feeding ability,self-rating anxiety scale (SAS) and depression self-rating scale (SDS) before and after nursing intervention were observed and compared between two groups.Results The total satisfaction rate was 98.18％ in observation group,which was significantly higher than that (81.81％) in control group (x2 =6.465,P ＜ 0.05).The maternal health knowledge,neonatal nursing knowledge,breasffeeding score and neonatal care correct rate in observation group were superior to those in control group (P ＜ 0.01).Before nursing intervention there were no significant differences in inner activity,skill,total score,SDS and SAS scores between two groups (P ＞ 0.05),however,after nursing intervention,the levels of inner activity,skill and total score were significantly increased in both groups (P ＜0.01),however,the scores of SDS and SAS were significantly decreased in both groups (P ＜ 0.01),moreover,the increasing and decreasing levels in observation group were significantly higher than those in control group (P ＜0.01).Conclusion The high quality nursing intervention can obviously improve the nursing quality and patient's satisfaction degree,relieve the discomfort feeling of patients and medical disputes,therefore,which is worth using widely in clinical practice.%目的 观察优质护理干预对初产妇保健能力和新生儿护理能力的影响.方法 选择2015年1月至2016年6月门诊收治的初产妇110例,采用随机数字方法将产妇分为观察组和对照组,每组55例.对照组予以常规护理,观察组在对照组的基础上予以优质护理干预.观察2组产妇护理满意度,产后产妇健康知识,新生儿护理知识,母乳喂养,新生儿护理正确率及护理干预前后母婴自我喂养能力,焦虑自评量表(SAS)和抑郁自评量表(SDS)水平的变化.结果 观察组总满意度(98.18％)明显优于对照组(81.81％),差异有统计学意义(x2=6.465,P<0.05).观察组产妇健康知识,新生儿护理知识,母乳喂养评分和新生儿护理正确率明显优于对照组(P＜0.01).2组护理前内心活动、技能、总分、SDS和SAS评分差异无统计学意义(P＞0.05),护理后2组内心活动、技能、总分评分均较护理前明显升高(P＜0.01),2组SDS和SAS评分水平较护理前明显降低(P＜0.01),而观察组升高或降低水平较对照组更为明显(P＜0.01).结论 优质护理干预能够明显提升护理质量,提高患者的满意度,减轻患者的不适感,降低医疗纠纷,值得临床推广.