中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2014年
5期
865-866,871
,共3页
母婴床旁服务%遵医行为%自我照顾能力%服务满意度
母嬰床徬服務%遵醫行為%自我照顧能力%服務滿意度
모영상방복무%준의행위%자아조고능력%복무만의도
mother-infant bedside servicing%compliance behavior%self-care ability%servicing satisfaction degree
目的：探讨母婴床旁服务在产科病房的应用及效果，以寻求人性化、个体化、家庭化的产科服务模式。方法选取2013年1至12月在西安交通大学医学部第一附属医院就诊并入院经阴道分娩的初产妇286例，随机将其分为实验组和对照组，各143例，实验组采取母婴床旁服务操作模式，产妇及新生儿各项服务操作及健康教育由专科护士在床旁进行；对照组采取传统封闭式服务模式，对两组产妇自我保健能力、产妇其家属的服务满意度及遵医行为进行分析比较。结果实验组产妇满意度显著高于对照组（χ2＝26．640，P＜0．01），实验组产妇母乳喂养、新生儿洗澡、抚触、游泳、臀部护理遵医嘱率显著高于对照组（χ2值分别为19．227、7．176、19．697、13．853、9．742，均P＜0．01），实验组产妇日常生活自理能力显著高于对照组（χ2＝7．692，P＜0．05）。结论床旁服务操作模式适应现代服务模式的转变，能提高产妇及其家属满意度，进而提高产妇及家属的遵医行为水平，提高产妇自我照顾能力。
目的：探討母嬰床徬服務在產科病房的應用及效果，以尋求人性化、箇體化、傢庭化的產科服務模式。方法選取2013年1至12月在西安交通大學醫學部第一附屬醫院就診併入院經陰道分娩的初產婦286例，隨機將其分為實驗組和對照組，各143例，實驗組採取母嬰床徬服務操作模式，產婦及新生兒各項服務操作及健康教育由專科護士在床徬進行；對照組採取傳統封閉式服務模式，對兩組產婦自我保健能力、產婦其傢屬的服務滿意度及遵醫行為進行分析比較。結果實驗組產婦滿意度顯著高于對照組（χ2＝26．640，P＜0．01），實驗組產婦母乳餵養、新生兒洗澡、撫觸、遊泳、臀部護理遵醫囑率顯著高于對照組（χ2值分彆為19．227、7．176、19．697、13．853、9．742，均P＜0．01），實驗組產婦日常生活自理能力顯著高于對照組（χ2＝7．692，P＜0．05）。結論床徬服務操作模式適應現代服務模式的轉變，能提高產婦及其傢屬滿意度，進而提高產婦及傢屬的遵醫行為水平，提高產婦自我照顧能力。
목적：탐토모영상방복무재산과병방적응용급효과，이심구인성화、개체화、가정화적산과복무모식。방법선취2013년1지12월재서안교통대학의학부제일부속의원취진병입원경음도분면적초산부286례，수궤장기분위실험조화대조조，각143례，실험조채취모영상방복무조작모식，산부급신생인각항복무조작급건강교육유전과호사재상방진행；대조조채취전통봉폐식복무모식，대량조산부자아보건능력、산부기가속적복무만의도급준의행위진행분석비교。결과실험조산부만의도현저고우대조조（χ2＝26．640，P＜0．01），실험조산부모유위양、신생인세조、무촉、유영、둔부호리준의촉솔현저고우대조조（χ2치분별위19．227、7．176、19．697、13．853、9．742，균P＜0．01），실험조산부일상생활자리능력현저고우대조조（χ2＝7．692，P＜0．05）。결론상방복무조작모식괄응현대복무모식적전변，능제고산부급기가속만의도，진이제고산부급가속적준의행위수평，제고산부자아조고능력。
Objective To evaluate the application and effects of mother-infant bedside servicing in obstetric department, and to find humanized, individualized and family-centered obstetric servicing mode.Methods This survey was made on 286 primiparas accepting vaginal delivery in the First Affiliated Hospital of Medical College of Xi’an Jiaotong University from January to December in 2013, and they were randomly divided into experimental group and control group with 143 cases in each group.The experimental group received mother-infant bedside servicing operation mode, and the servicing procedures and maternal and neonatal health education was carried out by specialist nurse beside the bed.The control group accepted traditional closed servicing mode.The self-care ability of puerperas, the satisfaction degree and compliance behavior of puerperas and their family members were investigated and compared between two groups. Results The maternal service satisfaction degree in the experimental group was significantly higher than that in the control group (χ2 =26.640,P<0.01) .Maternal breastfeeding, baby bath, touch, swimming, hip nursing in the experimental group were significantly better than those in the control group (χ2 value was 19.227, 7.176, 19.697, 13.853 and 9.742, respectively, all P<0.01).The ability to care for daily life in the experimental group was significantly higher than that in the control group (χ2 =7.692,P<0.05).Conclusion The mother-infant bedside servicing operation mode is adapted to the change of modern nursing mode.It can improve the satisfaction degree of puerperas and their family members and, furthermore, improve their compliance behavior level and the self-care ability of puerperas.
