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目的研究一对一协同家庭支持护理对初产妇产褥期知识及行为的影响。方法选择2013年1月—2014年5月在该院收治的产褥期初产妇300例,将产妇按随机数表法随机分为观察组和对照组,各150例。对照组产妇出院前进行常规的出院健康教育的宣教;观察组在此基础上实施一对一式协同家庭支持护理,定期对二组患者进行随访,观察二组初产妇的产褥期健康知识及生活行为情况。结果二组护理后健康促进生活方式评分较护理前均显著提高(P<0.05),护理后观察组较对照组的健康促进生活方式评分明显提高(P<0.05);护理1个月后,观察组初产妇产后一般知识、新生儿护理知识及母乳喂养知识评分与对照组相比较明显提高;护理1个月后,与对照组相比较,观察组初产妇遵医自我护理、婴儿护理和母乳喂养及社会角色转变评分明显提高,差异有统计学意义(P<0.05)。结论采用一对一协同家庭支持护理可以提高初产妇产褥期的健康生活质量,促进产妇进行遵医自我护理、婴儿护理和母乳喂养及社会角色转变的行为。
Objective To study the effect of one-on-one collaborative home-based nursing care on puerperium knowledge and behavior of primipara. Methods From January 2013 to May 2014, 300 cases of primipara in the puerperium were randomly divided into observation group and control group according to the random number table method, with 150 cases in each group. On the basis of this, the observation group carried out one-on-one collaborative home-based nursing care. The patients in the control group were followed up at regular intervals to observe the puerperium health knowledge and life behavior of the two groups of primipara . Results Compared with the control group, the score of health promotion life style in the two groups was significantly higher than that of the control group after nursing (P <0.05), and the score of health promotion life style in the observation group was significantly higher than that of the control group after nursing (P <0.05) The first trimester general knowledge of postpartum, knowledge of neonatal care and breastfeeding knowledge scores were significantly improved compared with the control group; after 1 month of nursing, compared with the control group, primipara in the observation group had self-care, infant care and breastfeeding (P <0.05). The score of social role change was significantly higher (P <0.05). Conclusions One-on-one collaborative home-based nursing care can improve the quality of life of primiparous puerperium and promote maternal self-care compliance, infant care and breastfeeding as well as changes in social roles.