The Influence Of Family Centered Care On Postpartum Maternal And Child Care And Primary Caregivers

Objective:By comparing with the routine postpartum nursing clinical trials of FCC nursing,comparative analysis of FCC depression and anxiety of puerperal women and their family members,complications and neonatal puerperium effects on the incidence of puerperal family care master internal harmony,in order to maintain enough "medical-family-mother friendly cooperative' relations finally,improve nursing service satisfaction.Postpartum clinical nursing work is more effective to provide theoretical basis and practical reference.Method:From April 2016-2017 year in March in Harbin some three grade hospital in accordance with the inclusion criteria of postpartum family in 157 cases,78 cases of test group and 79 cases in the control group.The admission day,the subjects signed informed consent to participate in the study of family,women filled out the questionnaire and APGAR index questionnaire,the main caregivers in general the questionnaire,postpartum maternal and child care knowledge test questionnaire,and issued the"manual" postpartum maternal and child health care to the family.The experimental group control group received routine nursing care,the experimental group of FCC family support intervention.Researchers to test group family wards were theoretical knowledge training,Every day when the length of about 30 to 45 minutes.After the first day of pregnant women and their caregivers of PSQI scale,EPDS scale and SDS scale evaluation.The day of discharge,the researchers again on pregnant women and their family caregivers were evaluated and related knowledge questionnaire scale.Researchers will be discharged two groups of participants were added to the family intervention were analyzed and followed up the control group and the experimental group WeChat group WeChat group.The incidence of postpartum 42 days compared with the experimental group and the control group family of maternal complications and neonatal diseases.Result:1.Before the intervention between the two groups of subjects:general information of family,family caregiver nursing knowledge,and maternal caregiver depression scores,there was no significant difference between family care index(P>0.05)and participated in the study of 157 cases of maternity in women older than 26 years accounted for 88.535%,and 91.083%of the women college degree above.Through books,videos,and network access to maternal and child health care knowledge of maternal pregnancy accounted for 81.221%.more than 2 times the number of women accounted for more than 32.484%,there is no experience with abortion miscarriage than For example 2:5.cesarean section and natural childbirth 2:1.ratio for newborn sex ratio of 1:1,gender and parents expectations match degree is up to 81.529%;54.140%family caregivers have parenting experience.2.The intervention of family caregivers:(test group on maternal and child health nursing knowledge was significantly better than the control group(P<0.01);(familiarity with neonatal health care knowledge and master the ability of the two groups were significantly increased(P<0.01);(of puerperal women nursing knowledge only in experimental group significantly improve(P<0.01);4 for the sleep quality of two groups had no significant difference(P>0.05).3.Intervention:maternal depression tendency(The percentage higher than the control group(P<0.01 group).The control group maternal postpartum depression scale score of 13 points or more from 8.861%before intervention increased to 22.785%.FCC nursing intervention effect of the incentive of the test group were significant(P<0.01);(test group family care index was significantly higher than the control group(P<0.01),family care index between the two groups before and after the intervention was not significant(P>0.05);(maternal sleep quality in experimental group was significantly better than the control group(P<0.01).4.Before discharge,significantly increased in experimental group of undergraduate family room overall quality of nursing satisfaction(P<0.01).5.After discharge during postpartum period,complications of maternal and neonatal risk test group disease frequency lower than the control group(P<0.05).Conclusion:1.The research subjects in the family of young couples are mostly 80,more than half of the only child,generally relatively high cultural level,but most women for primipara,family parenting experience.2.The implementation of FCC intervention can increase the familiarity of the primary caregivers of the puerperium with maternal and neonatal care knowledge,and improve their ability to practice and Practice.3.The application of FCC can improve the overall mental health of the puerperal family and effectively prevent the depression tendency of the main caregivers of the pregnant women and their families.4.FCC intervention can improve the sleep quality of postpartum family as a whole to a certain extent,support enough to make their families,and to let the mothers in the nursing intervention in the process of fully feel the care and love from family.5.FCC intervention can effectively reduce the incidence of complications and neonatal diseases in puerperium.6.The implementation of FCC can significantly improve maternal family satisfaction of clinical nursing work,effectively alleviate the contradiction between nurses and patients,and finally to get the greatest degree of optimization allocation and utilization of obstetric nursing resources,greatly enhance the quality and level of nursing service.