家庭健康护理计划对产妇角色适应能力和自理能力影响.docVIP

家庭健康护理计划对产妇角色适应能力和自理能力影响 　　[摘要] 目的 探讨家庭健康护理计划对产妇角色适应能力和自理能力的影响。 方法 采用随机数字表法将我院2014年10月～2015年2月收治的120例初产妇分为对照组和观察组，观察组实施家庭健康护理计划；对照组实施常规护理，并观察两组初产妇角色适应能力、自理能力及母乳喂养自我效能等。 结果 观察组初产妇自理能力优秀、良好率分别为70.00%、26.67%，角色适应能力良好、中等分别为38.33%、50.00%，对照组初产妇自理能力优秀、良好率分别为28.33%、30.00%；角色适应能力良好、中等分别为28.33%、41.67%，观察组自理能力及角色适应能力均明显高于对照组（P0.05），产后1周和产后4个月观察组初产妇母乳喂养自我效能及知识得分明显高于对照组（P0.05）；观察组产妇剖宫产及抑郁症发生率（5.00%，0）明显低于对照组（16.67%，6.67%）（P0.05）。结论 家庭健康护理计划在初产妇护理中应用，不仅能够有效提高产妇角色适应能力和自理能力，同时对提高初产妇母乳喂养自我效果，降低抑郁及剖宫产等情况也具有重要的作用，值得临床推广使用。 　　[关键词] 产妇；家庭健康护理计划；自理能力；角色适应能力 　　[中图分类号] R473.5 [文献标识码] B [文章编号] 1673-9701（2015）30-0134-04 　　Effect of adaptability and self-care ability of home health care program treatment of puerperal 　　HUANG Yazhi1 YAN Yuxian2 　　1.Department of Obstetrics and Gynecology， Changshan Peoples Hospital in Zhejiang Province， Changshan 324200，China； 2.Department of Traditional Chinese Medicine， Changshan Peoples Hospital in Zhejiang Province， Changshan 324200， China 　　[Abstract] Objective To investigate the effect of adaptability and self-care ability of home health care program treatment of puerpera. Methods 120 cases of primipara treated in our hospital from October 2014 to February 2015 were randomly divided into observation group and control group with random number table， and the observation group was given home health care program，while the control group was given routine care. Role adaptability， self-care ability and breastfeeding self-efficacy of the two groups were observed. Results Excellent， good rate of self-care ability of observation group were respectively 70.00%， 26.67%， Good， medium rate of role adaptability were respectively 38.33%， 50.00%， Excellent， good rate of self-care ability of control group were respectively 28.33%、41.67%，Good ，medium rate of role adaptability were respectively 28.33%、30.00%， self-care ability and role adaptability of observation group were significantly higher than control group（P 　　[Key words] Puerpera； Home health care program；