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协同护理模式对产褥期母婴健康的影响

Influence of collaborative care model on health of postpartum maternal and child

摘要目的:探讨协同护理模式对出院后产褥期母婴健康的影响。方法选取2013年3月—2014年2月妇产科分娩的400名产妇作为研究对象,根据随机数字表法随机分为观察组与对照组,每组各200名。观察组以协同护理为理论框架,进行为期6周的护理干预;对照组进行一般护理。比较两组产褥期产妇及新生儿的健康状况。结果观察组产妇产褥期发生急性乳腺炎2名、产后便秘26名、会阴伤口疼痛3名、痔疮和肛裂21名、乳汁分泌不足41名、子宫复旧不良16名,均少于对照组,差异有统计学意义(χ2值分别为10.911,17.655,6.019,11.368,9.011,4.334;P<0.05)。观察组新生儿发生黄疸24名、湿疹31名、红臀21名、鹅口疮3名,均少于对照组,差异有统计学意义(χ2值分别为6.510,7.062,8.762,8.699;P<0.05)。结论协同护理是一种有效的护理干预模式,对产褥期母婴健康具有一定的临床指导意义。

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abstractsObjective To investigate the effects of Collaborative Care Model ( CCM ) for postpartum maternal and child health after discharge.Methods From March 2013 to February 2014, a total of 400 cases maternal were selected and divided into the study group and the control group according to a random number table.The study group was given a 6-month nursing intervention based on the CCM theoretical frame work, while the control group was given the general care.The postpartum maternal and child health were compared between the two groups.Results In the study group, 2 patients had acute mastitis, 26 patients had postpartum constipation, 3 patients had perineal wound pain, 21 patients had hemorrhoids, 41 patients had lack of milk secretion, 16 patients had uterine involution, which were all significantly fewer than those in the control group (χ2 =10.911, 17.655, 6.019, 11.368, 9.011, 4.334,respectively;P <0.05).In the study group, 24 children had neonatal jaundice symptoms;31 children had eczema;21 children had red buttocks;3 children had thrush;which were all significantly fewer than those in the control group (χ2 =6.510, 7.062, 8.762, 8.699, respectively;P<0.05).Conclusions CCM is an effective model for postpartum maternal and child health.It has some clinical significance, so it should be widely applied.

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