Omaha System Based On The Formulation Of Continuous Nursing Program In The Puerperal Period And Its Application In The Study Of Parturient

Objectives To develop an Omaha System based continuing care program during the puerperium,and to explore the effects of applying Omaha System based continuing care during the puerperium on self-care ability of postpartum depression,breastfeeding and quality of life,so as to provide the oretical basis for continuing care for puerperium.Methods Based on the three subsystems of OS,combined with the characteristics of the puerperium,the Delphi method was applied to carry out 2 rounds of expert consultation for15 experts,and an OS-based continuous care plan for the puerperium was developed.The120 puerperas who met the inclusion criteria were randomly divided into the intervention group and the control group.The puerperas in the control group were given routine continuity of care,while the puerperas in the intervention group were given continuity of care based on OS.Two groups of mothers and postpartum 42 days after the day before discharge,Omaha evaluation system on two groups of women in the field of environment,physical field,social psychology and health related behavior score before and after the intervention,and applies the Edinburgh postnatal depression scale,self-care ability to implement scale,breastfeeding knowledge questionnaire and quality of life scale before and after the intervention of maternal assessment.The incidence of mastitis,puerperal infection and late postpartum hemorrhage in the two groups were evaluated at postpartum 42 days,and the differences between the two groups were compared.Results 1 Fifteen questionnaires were sent out for the two rounds of expert consultation of Delphi,and the recovery rate of the two rounds was 100%,The expert authority coefficients are all greater than 0.7.The OS-based continuous care plan for puerperium included 4problem areas(13 in level 1 category and 57 in level 2 category),4 intervention categories,25 intervention directions,and puerperium nursing measures and evaluation system.2 After intervention,the scores of the puerpera in the experimental group were better than those in the control group in the health and shelter of the environment,in the pain,postpartum and defecation function of the physiological field,and in the role change of the social psychological field,interpersonal relationship,mental health and childcare.The supervising scores of nutrition,sleep and rest,family planning and health care in health-related behavioral areas were better than those in the control group,and the scores of Edinburgh Postpartum Depression Scale,self-care ability and breastfeeding knowledge were better than those in the control group,with statistical significance between groups(P<0.05).3 After intervention,there were no significant differences in the scores of environmental,physiological,psychosocial,parenting,and health-related behavioral nutrition in the control group,and there was no statistical significance in intra-group comparison(P>0.05).After intervention,the scores of interpersonal relationship in the psychosocial field in the control group were higher than before intervention,and the scores of mental health in the psychosocial field and the scores of sleep and rest,family planning,and supervision of health care in the psychosocial field were lower than before intervention,with statistical significance within the group(P<0.05).After intervention,the score of Edinburgh postpartum depression in the control group was higher than that before intervention,and the score of breastfeeding knowledge in the control group was higher than that before intervention,with statistical significance within the group(P<0.05).After the intervention,there was no significant difference in the score of self-care ability of puerpera compared with that before the intervention,and there was no statistical significance in intra-group comparison(P>0.05).4 After intervention,the scores of Edinburgh Postpartum Depression Scale,self-care ability and breastfeeding knowledge in the intervention group were all higher than those before intervention,with statistical significance within the group(P<0.05).5 There was no significant difference in the incidence of maternal mastitis,puerperal infection and late postpartum hemorrhage between the two groups at postpartum 42 days(P>0.05).Conclusions 1 Based on Omaha system,the plan of continuous nursing in puerperium includes nursing evaluation,intervention category,intervention orientation,nursing measures and nursing evaluation,which provides a theoretical basis for continuous nursing in puerperium and makes the process of continuous nursing in puerperium more standardized and proceduralized.2 The application of Omaha-based puerperal continuous care can effectively improve the environmental,physiological,psychosocial and health-related behavioral problems of puerperal women,reduce the occurrence of postpartum depression,improve the self-care ability of puerperal women,and increase the level of breastfeeding knowledge.Figure2;Table35;Reference110.