连续细致护理模式对高危初产妊娠结局及体重、产前产后自我效能的影响.docVIP

精品论文 参考文献 连续细致护理模式对高危初产妊娠结局及体重、产前产后自我效能的影响 刘霞 陕西省榆林市第一医院妇产科　陕西　榆林　７１９０００ 作者简介:刘霞(１９８１年１月),女,本科学历,陕西米脂人,陕西省第一医院妇产科,主管护理师,研究方向:主要妇产科护理相关工作. 　　【摘要】　目的　探究连续细致化护理模式对高危初产妊娠结局、孕期体重增长以及产后母乳喂养自我效能的影响.方法　随机选取我院２０１４年１月至２０１５ 年１月我院妇产科就诊的３００例高危妊娠初产妇作为研究对象并随机均分为对照组、观察组.对照组产妇予以常规护理;观察组在对照组常规护理的基础上予以连续细致化护理模式.结果　(１)妊娠结局:观察组顺产率７０．００％显著高于对照组５２．６７％,P＜０．０５;观察组新生儿Apgar评分(７．３１plusmn;２．５２)分显著高于对照组新生儿(５．９３plusmn;３．６４)分,P＜０．０５;(２)自我效能:母乳喂养自我效能量表(Breast－feedingSelf－EfficacyScale,BSES)评分观察组产前(９３．７２plusmn;８．４１)分、产后(１２７．８４plusmn;５．６７)分别显著高于对照组,P＜０．０５;(３)体重:观察组产妇孕期体重增长超标者１１例(７．３３％)显著低于对照组３７例(２４．６７％),P＜０．０５.结论　连续细致化护理模式可以提高高危初产妊娠顺产率、产后母乳喂养自我效能以及有效控制孕期体重增长,值得临床推广应用. 【关键词】　高危妊娠;　妊娠结局;　连续细致护理模式TheEffectsofContinuousCarefulNursingModelonPregnancyOutcomes,WeightandBreast－feedingSelf－EfficacyofEarlyPregnantWomenwithHighRisks．　　LIU－Xia１　(１,departmentofgynecologyandobstetrics,YulinFirstHospitalofShanxiProvince,Yulin,Shanxi,７１９０００)【Abstract】Objective:Toexploretheeffectsofcontinuousandcarefulnursing－modelonpregnancyoutcomes,weightandbreast－feedingself－efficacyofearlypregnantwomenwithhighrisks．Methods:３００casesofearlypregnantwomenwithhighriskswhoweretreatedatobstetricsandgynecologydepartmentinourhospitalbetweenJanuary２０１４toJanuary２０１５wererandomlyselectedasresearchobjects,andallthecaseswererandomlydividedintoexperimentalgroupandcontrolgroupwith１５０casesofeach．Thecasesofcontrolgroupweregivenroutinenursing,whilethecasesofobservationgroupweregivencontinuousandcarefulnursingcare．Results:Therateofvaginaldeliveryintheobservationgroup(７０％)wassignificantlyhigherthanthatinthecontrolgroup(５２．６７％),P＜０．０５;theApgarscoreintheobservationgroup(７．３１plusmn;２．５２)wassignifiＧcantlyhigherthanthatinthecontrolgroup(５．９３plusmn;３．６４),P＜０．０５;thescoresofBreast－feedingSelf－EfficacyScaleintheobservationgroup(９３．７２plusmn;８．４１,１２７．８４plusmn;５．６７)werehigherthanthoseinthecontrolgroup(８２．１４plusmn;９．３４,１０１．６５plusmn;８．１４),P＜０．０５;thecasesofweightgainoverstandardsintheobservationgroup(１１,７．３３％)weresignifiＧcantlylowerthanthatinthecontrolgroup(３７,２４