| ObjectiveTo explore the impact of information-motivation-behavior skill model on high-risk primiparas feelings of competence of attending new babies,postpartum depression and inpatient satisfaction.Methods70 high-risk primiparas who were treated in specialized hospital in Dalian and planned to give birth in the hospital were selected as the study object by convenient sampling method.The non-synchronous control study method was as followed,the control group was selected from October 2019 to January 2020,and the intervention group was selected from February 2020 to May 2020,35 cases in each group.The research objects were received routine nursing guidance in the control group,including parenting knowledge and improve their compliance of obstetric exams.On this basis,the research objects in the intervention group were provided with parenting knowledge and skills,namely IMB skill model nursing intervention,once every two weeks from 28 weeks of gestation to full term.Also,we made a questionnaire survey,before intervention,before leaving hospital,42 days after postpartum and three months after postpartum,including normal information questionnaire,C-PSOC,EPDS and inpatients satisfaction survey scale.To compare the situation of treating babies,postpartum depression and inpatients satisfaction.In this research,SPSS 22.0 was used,statistical methods included t text、c2 text、non-parametric rank sum test、repeated measures analysis of variance and pearson correlation analysis.Results1.Before intervention,in the control group the total score of parenting competency was(63.88±8.88),and the other was(64.25±6.48).Efficiency dimension,the score was(31.70±4.67)in the control group and was(31.47±4.14)in the intervention group.Satisfaction dimension,control group was(32.18±6.63)points,intervention group was(32.78± 4.96)points.The total score for depression was(9.49±3.47)in the control group,and that in the intervention group was(9.47±3.37).About emotion absence,the score was(1.88±1.11)in the control group and was(2.19 ±1.06)in the intervention group.About anxiety,the score was(4.85±1.28)in the control group and was(4.69±1.47)in the intervention group.Depression dimension,control group was(2.76±2.11)points,intervention group was(2.59±1.58)points.Pre-intervention parenting competency and depression scores of the two groups were comparable(P>0.05),parenting competence was in the medium level.2.Comparison of feelings of competence of parenting after intervention.At each time points the results of the inter-group comparison showed that the total points and the points of all dimension in the intervention group were higher than those in the control group(t=-2.903~-2.024,P<0.05).Comparison of parenting competence at different time points,time factors and interference factors and intervention factors(F=7.205~61.878,P<0.05),the total points and points of all dimensions were increased in both groups,the intervention group was significantly higher.3.Comparison of postpartum depression after intervention.At each time points the results of inter-group comparison showed that the total points and the grade of every aspect in the intervention group were lower than those of the control group(t=2.028~3.166,P<0.05).Comparison of postpartum depression at different time points,the total points of postpartum depression of the time factors and interference factors(F=8.218,3.047,P<0.05).Emotional loss of dimensional depression of the intervention factors and the interaction factors(F=2.810,3.194,P<0.05).Anxiety dimension and depression dimension of the time factors(F=8.658,3.016,P<0.05).Three months after postpartum,the incidence of postpartum depression in the intervention group was lower than in the control group(c2=4.748,P<0.05).4.Parenting competence before leaving hospital,42 days after postpartum and three months after postpartum in the intervention group was negatively correlated with postpartum depression during the same period(r=-0.807~-0.378,P<0.05).5.The total grade of hospital satisfaction in the intervention group(133.19±12.64)was higher than that in the control group(122.97±20.70).Also,the grades of four aspects were all increased,the total score and the score of all dimensions were compared(t=-2.393,-2.441,-2.370,-2.043,-2.212,P<0.05).Conclusion1.Information-motivation-behavior nursing intervention could improve high-risk primiparas feelings of competence of treating babies.2.Information-motivation-behavior nursing intervention could improve the condition of postpartum depression of high-risk primiparas.3.Parenting competence was negatively correlated with postpartum depression.Information-motivation-behavior nursing intervention to improve feeling of competence of treating babies,and improve postpartum depression.4.Information-motivation-behavior nursing intervention could provide high-risk primiparas with better quality nursing serves,to improve the satisfaction of high-risk primiparas in communication,system,environment,service and other aspects. |
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