CAJ | 학술논문

目的：探讨程序化护理干预对初产妇认知行为的影响。方法：将100例初产妇按就诊单双日分为干预组和对照组各50例，从孕满35周至住院分娩期间分别进行护理干预，对照组实施常规孕期健康教育及住院护理，干预组在对照组基础上实施程序化护理干预，观察并比较两组认知行为情况。结果：两组患者在产前焦虑、分娩时产程、母乳喂养、分娩后出血量、产后自主排尿时间等方面比较，差异有统计学意义（P ＜0.05）。结论：程序化护理干预可提高初产妇分娩依从性，缓解产前焦虑，减少产程时间、分娩后出血量及产后自主排尿时间，提高母乳喂养率。
목적：탐토정서화호리간예대초산부인지행위적영향。방법：장100례초산부안취진단쌍일분위간예조화대조조각50례，종잉만35주지주원분면기간분별진행호리간예，대조조실시상규잉기건강교육급주원호리，간예조재대조조기출상실시정서화호리간예，관찰병비교량조인지행위정황。결과：량조환자재산전초필、분면시산정、모유위양、분면후출혈량、산후자주배뇨시간등방면비교，차이유통계학의의（P ＜0.05）。결론：정서화호리간예가제고초산부분면의종성，완해산전초필，감소산정시간、분면후출혈량급산후자주배뇨시간，제고모유위양솔。
Objective:To investigate the effect of the programmed nursing intervention on cognitive behavior of primipara. Methods:100 primiparas were divided into the intervention group and the control group(50 cases in each group)according to the even and odd day of primiparas' visit,the nursing intervention was provided for the primiparas from 35th week of pregnancy to childbirth in the hospital. The conventional health education during pregnancy and nursing care was given to the primiparas in the control group and extra programmed nursing intervention was given to the primiparas in the intervention group. The cognitive behavior of primiparas was observed and compared between the two groups. Results:There were statistically significant differences in the comparison of prenatal anxiety,birth process,breast-feeding,postpartum bleeding and automatic micturition time of the primiparas between the two groups(P < 0. 05). Conclusion:The pro-grammed nursing intervention can improve the compliance of primiparas,relieve prenatal anxiety,reduce the volume of postpartum hemor-rhage,shorten the duration of labor and automatic micturition time and increase the breast - feeding rate.