The Establishment And Evaluation Of The Continuity Of Nursing Programs For Primipara Puerperium

BackgroundPuererium refers to from the placenta to maternal body organs except breast back to normal state of unfertilized required for a period of time,generally for 6 weeks,this period is the key to maternal physical and mental recovery period.However,as most of the women under the influence of traditional ideas,the lack of medical knowledge,combined with the weak community health service at present stage in our country,far cannot meet the demand of maternal health care after discharge.In recent years,under the enlightenment of foreign nursing and home care needs and gradually developed the continuity of care just to fill the vacancy,implements the effective continue nursing from hospital to home.ObjectiveEstablish a set of scientific and effective primipara puerperium continuity care plan,and evaluate the application effect of this plan,provide practical experience and reference to building puerperal continue nursing model and carrying out the continue nursing work.MethodsThrough literature study and expert interview to primipara puerperium continue nursing plan,to select 80 cases of maternal women as the research object,who delivering in hospital,that from March 2015 to August 2015 in Henan Province,a tertiary general hospital.according to the order of admission time is divided into the 40 cases of control group,40 cases of treatment group.The control group implement the regular discharge guidance and telephone follow-up.The experimental group set up continuity care service team,to give common discharge guidance and continuity of nursing intervention.Using the maternal puerperium continuity nursing care demand questionnaire,the maternal health care knowledge in puerperium situation questionnaire,the Chinese version of Edinburgh postnatal depression scale,Chinese version of the MOS item short from health survey,maternal and child health statistics and satisfaction questionnaire to evaluate.Using SPSS17.0 statistical software for data analysis and processing,measuring data to x ± s deviation,the count data to the number of cases or incidence rate,said by independent sample t-test,paired sample t-test and chi-square test,inspection level for ?=0.05.Results1.Maternal puerperium continuity nursing care demand situation: continuity in puerperium care needs in the top three content in the order: baby common diseases prevention and nursing knowledge and identification of abnormal activity,infant vaccination knowledge.Continuity in puerperium care needs in the top three forms in the order: using the Internet platform(WeChat/QQ),giving health handbook,telephone follow-up.2.The comparison of two groups of maternal puerperal health knowledge score: experimental group puerperium care knowledge scores are significantly higher than the control group,the difference between the two groups was statistically significant(P<0.05).3.The comparison of two groups of maternal postpartum depression score: experimental group of Edinburgh postnatal depression scale score lower than the control group,the difference between the two groups was statistically significant(P<0.05).4.The comparison of two groups of maternal puerperal quality of life score: There was no significant difference in the physiological function(PF)between the two groups,and no statistically significant difference(P>0.05);In physiological function,body pain,health,energy,social function,emotional function,and mental health,the seven aspects difference was obvious,was statistically significant(P<0.05).5.The comparison of two groups of maternal and infant health: experimental group the Oxford maternal pelvic floor muscle strength score higher than the control group,the difference was statistically significant(P<0.05).Patients of acute mastitis,postpartum maternal constipation,hemorrhoids,anal fissure,the incidence of overweight is lower than the control group,the difference was statistically significant(P<0.05),compared the incidence of two groups of maternal episiotomy poor healing,poor healing of abdominal incisions,there was no statistically significant difference(P>0.05).Experimental group infant eczema,diarrhea,jaundice,the incidence of hip red is lower than the control group,the difference was statistically significant(P<0.05),compared the incidence of two groups of baby weight?500g,the umbilical cord fall off delay,there was no statistically significant difference(P>0.05).Experimental group breastfeeding rate is higher than the control group,the difference was statistically significant(P<0.05).6.The comparison of two groups of women in nursing service satisfaction survey scores: experimental group maternal satisfaction to nursing service is significantly higher than the control group,the difference was statistically significant(P<0.05).ConclusionsContinuous nursing can improve the maternal grasp of the puerperium care knowledge and the maternal satisfaction to nursing service,reduce the degree of maternal puerperal depression,improve maternal puerperal quality of life and puerperal maternal and child health.