CAJ | 학술논문

目的：探讨家庭式护理干预对初产妇的影响。方法选取入该院待产的259例初产孕妇为研究对象,根据其入院顺序分成家庭式护理组(A组,n=144)和对照组(B组,n=115)两组。比对两组孕妇干预前后不良情绪变化情况，记录其母婴结局及母乳喂养情况。结果①干预后，两组产妇不良情绪及睡眠质量均较干预前明显改善，其中A组改善效果优于B组(P<0.05)；②两组产妇在分娩方式对比上差异无统计学意义(P>0.05)，但A组总产程、失血量明显低于B组，且新生儿阿氏评分及母乳喂养成功率均高于B组(P<0.05)。结论对初产妇予以分娩全程家庭式护理干预措施，能有效节省分娩时间、减少出血量，提高母婴预后质量，值得临床推广。
목적：탐토가정식호리간예대초산부적영향。방법선취입해원대산적259례초산잉부위연구대상,근거기입원순서분성가정식호리조(A조,n=144)화대조조(B조,n=115)량조。비대량조잉부간예전후불량정서변화정황，기록기모영결국급모유위양정황。결과①간예후，량조산부불량정서급수면질량균교간예전명현개선，기중A조개선효과우우B조(P<0.05)；②량조산부재분면방식대비상차이무통계학의의(P>0.05)，단A조총산정、실혈량명현저우B조，차신생인아씨평분급모유위양성공솔균고우B조(P<0.05)。결론대초산부여이분면전정가정식호리간예조시，능유효절성분면시간、감소출혈량，제고모영예후질량，치득림상추엄。
Objective To investigate the influence of family nursing intervention on first-time mothers. Methods 259 primiparous women admitted in our hospital for the delivery were selected as the subjects and divided into two groups, the family nursing group (group A, n=144), and the control group (group B, n=115). The changes in bad emotions in the two groups before and after inter-vention were compared, and the outcome of mother and infant and status of breast feeding in both groups were recorded. Results① After the intervention, the bad emotions and quality of sleep in both groups were improved significantly compared with those before intervention, moreover, the improvement in group A was better than that in group B (P<0.05); ② No significant difference was found in delivery mode between the two groups (P>0.05), but compared with group B, the duration of labor and blood loss in group A were much less, neonatal Apgar scoring and success rate of breast feeding were higher(P<0.05). Conclusion For first-time mothers, family nursing intervention measures during the process of delivery can effectively shorten the labor time, reduce the blood loss and improve the prognosis of mother and infant, which are worthy of clinical promotion.