产妇-家属-护士互动护理模式对社区产妇产后的影响

摘要

Objective:To investigate the effect of puerpera - family - nurse interactive nursing model on the postpartum conditions of pu-erperae in the community. Methods:120 puerperae in the community(from June 2012 to May 2013)were taken as the control group and they were given routine community care;other 120 puerperae in the community(from June 2013 to May 2014)were taken as the observa-tion group and the puerpera - family - nurse interactive nursing model was implemented in this group. The breast distending pain of puer-perae was compared between the two groups after one day and 5 days of childbirth. The SAS and SDS were used to assess the psychological status of the puerperae in the two groups on the right day of admission and on the 15th and 42nd day after childbirth. Results:The VSA score of breast of the puerperae from 2 to 5 days after childbirth was lower in the observation group than the control group(P < 0. 01);the SAS and SDS scores on the 15th and 42nd day after childbirth were significantly lower in the observation group than those in the control group(P < 0. 01). Conclusion:Implementation of puerpera - family - nurse interactive nursing model in the community can have puerperae better adapt to the changing of role and can effectively alleviate breast distending pain and improve the postpartum psychological status of puerperae.%目的：探讨产妇-家属-护士互动护理模式对社区产妇产后的影响。方法：将社区2012年6月~2013年5月分娩的120例产妇作为对照组，给予常规社区护理；将2013年6月~2014年5月该社区分娩的120例产妇作为观察组，实施产妇-家属-护士互动护理模式。比较两组产妇产后1~5 d 乳房胀痛情况，采用焦虑自评量表（SAS）和抑郁自评量表（SDS）对两组产妇入院当天及产后第15天、第42天的心理状况进行评估。结果：观察组产妇分娩后2~5 d 乳房 VSA 评分均低于对照组（P <0.01）；产后第15天、第42天观察组产妇 SAS、SDS 评分均明显低于对照组（P <0.01）。结论：社区分娩产妇采用产妇-家属-护士三者间互动护理模式后，使产妇能更好适应角色变化，有效缓解产后胀痛，改善其产后不良心理状况，值得推广应用。