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目的探讨以家庭为中心的产后护理对母亲角色适应的影响。方法在2012年1月1日-2013年12月31日湖南省妇幼保健院分娩后的产妇随机入住家庭母婴病房和普通病房中,随机选择其中入住家庭母婴病房的300例产妇作为实验组,给予以家庭为中心的产后护理;同期入住该院普通病房病例号相近的300例产妇作为对照组,给予传统产后护理。结果实验组中产妇母亲角色适应良好者、中等、差的产妇分别占67.00%、30.0%和3.0%,对照组中产妇母亲角色适应良好者、中等、差的产妇分别占25.67%、27.33%和25.0%,差异有统计学意义(χ~2=238.49,P=0.0001),实验组产妇母亲角色幸福感(良好、中等和差的产妇分别占74.33%、15.67%和10%)优于对照组(良好:22.67%、中等:30.67%、差:44.66%),差异有统计学意义(χ~2=168.31,P=0.001),两组产妇照顾婴儿的能力差异有统计学意义(实验组中良好、中等和差的产妇分别占66%、30%、4%,对照组分别为12.67%、33.33%和54%,χ~2=238.31,P=0.001),而两组间产妇喂养婴儿的能力差异无统计学意义(χ~2=0.88,P>0.05)。结论以家庭为中心的产后护理能促进产妇产后母亲角色的适应,能增强产妇的母亲角色幸福感。
Objective To explore the impact of family-centered postpartum care on maternal adaptation. Methods From January 1, 2012 to December 31, 2013, mothers of postpartum maternal and child health centers in Hunan Province were randomized to receive maternal and child wards and general wards and randomly selected 300 mothers who were admitted to the maternal and child ward of the family as experimental groups , Giving family-centered postpartum care; the same number of mothers admitted to the hospital common ward cases in the same period as the control group, given the traditional postpartum care. Results The maternal and mother roles in the experimental group were well adapted. The moderate and poor maternal were 67.00%, 30.0% and 3.0% respectively. The maternal and maternal roles in the control group were well adapted. The moderate and poor maternal were 25.67% and 27.33% 25.0%, the difference was statistically significant (χ ~ 2 = 238.49, P = 0.0001). The mothers’ happiness in the experimental group (74.33%, 15.67% and 10% respectively) was better than that of the control group (Good: 22.67%, moderate: 30.67%, poor: 44.66%), the difference was statistically significant (χ ~ 2 = 168.31, P = 0.001). There was significant difference in the abilities of taking care of infants Good, moderate and poor maternal accounted for 66%, 30%, 4%, respectively, the control group were 12.67%, 33.33% and 54%, χ ~ 2 = 238.31, P = 0.001) There was no significant difference in ability (χ ~ 2 = 0.88, P> 0.05). Conclusion Family-centered postnatal care can promote maternal post-natal maternal adaptation and enhance maternal mothers’ happiness.