文献类型：期刊文献

中文题名：以家庭为中心的产科护理模式对初产妇自我效能的影响

英文题名：The Effect of Family-centered Obstetric Nursing Model on Self-efficacy of Primiparous Women

作者：徐小艳[1];丁晓华[2];黄蜜[3];潘玮华[4]

第一作者：徐小艳

机构：[1]甘肃中医药大学,甘肃中医药大学附属医院重症医学科,甘肃兰州730000;[2]甘肃省妇幼保健医院护理部,甘肃兰州730000;[3]甘肃中医药大学护理学院,甘肃兰州730000;[4]甘肃省妇幼保健医院基建办公室,甘肃兰州730000

第一机构：甘肃中医药大学第二附属医院

年份：2017

卷号：2

期号：18

起止页码：140

中文期刊名：系统医学

外文期刊名：Systems Medicine

基金：甘肃卫生行业科研计划项目(GSWSKY-2016-80)

语种：中文

中文关键词：以家庭为中心;产科护理模式;初产妇;自我效能;分娩结局

外文关键词：Family-centered;Maternity care;Primipara;Self efficacy;Delivery outcome

摘要：目的探讨以家庭为中心的产科护理模式对初产妇自我效能的影响。方法以某三级甲等医院2017年1—6月待产的110名正常初产妇作为研究对象,随机分为观察组(n=55)与对照组(n=55)。观察组采取以家庭为中心的产科护理模式,对照组采取常规护理,比较两组初产妇分娩自我效能得分、分娩结局(剖宫产率、新生儿窒息率、产后2 h出血量)。结果观察组自我效能各维度均高于对照组[干预前后观察组与对照组OE-16平均得分差值为31.25(38.64)分vs 21.18(51.16)分;EE-16平均得分差值为38.69(77.39)vs 17.34(66.97)];(P<0.05);观察组剖宫产率、产后2 h出血量均低于对照组[剖宫产率:20.0%vs 38.2%;产后2 h出血量:(182.34±41.65)vs(203.71±46.95)m L;(P<0.05);两组新生儿窒息率差异无统计学意义(1.8%vs 3.6%)](P>0.05)。结论与常规护理相比,以家庭为中心的产科护理模式更能明显提高初产妇自我效能感,降低剖宫产率,减少产程中出血量,该模式具有推广意义。
Objective This paper tries to investigate the effect of obstetric nursing mode of family centered on maternal self-efficacy and birth outcomes.Methods 110 cases of normal labor primipara from January to June 2017 in a three-level hospital were selected as the research objects and randomly divided into the observation group(n=55)and the control group(n=55).Observation group of obstetrical family centered care model,control group received routine nursing care,the self-efficacy,outcome of delivery(cesarean section rate,neonatal asphyxia,2 h postpartum hemorrhage)were compared.Results The dimensions of self-efficacy in the observation group were higher than those in the control group[the average OE-16 score difference of two group was 31.25(38.64)points vs 21.18(51.16)points;the average EE-16 score difference was 38.69(77.39)points vs 17.34(66.97)points](P<0.05;the cesarean section rate and 2 h postpartum hemorrhage of observation group was lower than control group[cesarean section:20.0%vs 38.2%;2 h postpartum:(182.34±41.65)mL vs(203.71±46.95)mL(P<0.05),the neonatal asphyxia rate was no significant difference between two groups(1.8%vs 3.6%)(P>0.05).Conclusion Compared with routine nursing,the family centered obstetric nursing model can significantly improve the self-efficacy of primipara,reduce the rate of cesarean section and the amount of bleeding during labor.This model is of great significance for promotion.