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  • 简介:   [摘要 ] 目的 研究分析助产士主导的孕产期连续照护模式对初产妇情绪(焦虑、抑郁)及护理满意度的影响。 方法 此次研究的对象是选择 2014年 12月~ 2015年 9月在我院定期产检及分娩的 122名初产妇,将其临床资料进行回顾性分析,并随机分为实验组( n=62)和对照组( n=60),实验组实施由助产士主导、以家庭为中心的孕产期连续照护,即孕期家属参与个性化指导、分娩期家属陪伴分娩、产褥期家属参与产科床旁护理、产后 2周家庭访视指导孕产期照护;对照组实施常规产前护理,比较两组初产妇的焦虑、抑郁评分及护理满意度。 结果 干预前两组焦虑评分、抑郁评分及护理满意度比较差异无统计学意义( P>0.05)。干预后实验组焦虑、抑郁的得分低于对照组( P<0.05);干预后实验组护理满意度高于对照组( P<0.05)。 结论 助产士主导的孕产期连续照护能够明显降低初产妇焦虑、抑郁,并能提高护理满意度。     [关键词 ] 助产士;连续照护;初产妇;焦虑 ;抑郁 ;满意度    [Abstract] Objective To study and analyze the influence of midwife-led continuous care mode on primipara's mood (anxiety, depression) and nursing satisfaction. Methods 122 primipara were selected from December 2014 to September 2015 and their clinical data were analyzed retrospectively. They were randomly divided into experimental group (n=62) and control group (n=60). The experimental group was given midwife-led and family-centered continuous care during pregnancy and delivery, that is, family members of pregnancy participated in personalized guidance and delivery home. The control group was given routine prenatal care, and the anxiety, depression scores and nursing satisfaction of the primipara were compared between the two groups. Results There was no significant difference in anxiety score, depression score and nursing satisfaction between the two groups before intervention (P > 0.05). After intervention, the scores of anxiety and depression in the experimental group were lower than those in the control group (P < 0.05), and the nursing satisfaction in the experimental group was higher than that in the control group (P < 0.05). Conclusion Midwives-led continuous care during pregnancy and childbirth can significantly reduce anxiety and depression of primipara, and improve nursing satisfaction.

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