一贯制责任护理模式对提高孕产妇满意度的影响研究

Objective The purpose of this study is to find the influence of conducting the consistency primary nursing model in obstetrics department for improving patients' satisfaction to nursing work.Methods A quantitative research was conducted by an investigation of two groups of subjects,with one group being given the model of nursing and the other group not being given the same model of nursing.The investigation was to investigate the degree of satisfaction of patients to nursing work.And the total score of satisfaction and each score of each item investigated were analyzed and compared.Qualitative research:to abstract the related subject issues of pregnant and postpartum women to satisfaction degree to nursing work,by using the method of visiting and discussing of focuses of the pregnant and postpartum women groups.Results Patients' overall and sub-item satisfaction with invention of new model in the research group was higher than that of the control group,and had a statistical significance (P＜0.01).And the Results from visiting and discussing the groups of patients also reflected the research group had a good satisfaction.Conclusions The consistency primary nursing model improves pregnant and postpartum women's satisfaction to nursing work,and it is worthy of extending.     

产后母婴皮肤接触时间对初产妇住院期间母乳喂养的影响

目的探讨母婴皮肤接触时间对初产妇及健康足月儿住院期间母乳喂养的影响,为进一步开展母婴皮肤接触提供依据。方法采用便利抽样法选择2015年6-9月在同济大学附属第一妇婴保健院住院分娩的71例产妇为研究对象,按随机数字表法将其分为观察组(36例)和对照组(35例)。观察组产妇分娩后即刻给予母婴皮肤接触1h,对照组产妇分娩后给予母婴皮肤接触至会阴伤口缝合完毕,约20~30min,评价并比较两组产妇的新生儿首次母乳喂养吸吮时间、首次母乳喂养情况、产后第1天新生儿有效吸吮次数、出院当天泌乳量及出院时的喂养方式。结果观察组新生儿的首次母乳喂养吸吮时间为(17.06±8.66)min,长于对照组的(12.11±9.06)min,差异有统计学意义(t=2.057,P0.05);观察组产妇的首次母乳喂养成功率、产后第1天新生儿有效吸吮次数、出院当天泌乳量及出院时的纯母乳喂养率均优于对照组,差异均有统计学意义(P0.05或P0.01)。结论产后持续1h的母婴皮肤接触有利于促进初产妇住院期间的母乳喂养,值得在临床推广应用。     

剖宫产术后早期随意卧位的探讨

目的探讨剖宫产术后产妇早期取随意卧位，对术后产妇的主观舒适度、第1次排气时间、第1次下床活动时间、术后并发症及泌乳量的影响。方法选择2007年3月至5月择期行剖宫产的产妇200例，实验组和对照组各100例，实验组在剖宫产术后转入病房即给予低枕平卧位，根据产妇意愿尽早翻身取随意卧位，即平卧位、侧卧位、半侧卧位、低半卧位；对照组按常规术后去枕平卧6h后取随意卧位，观察两组产妇在主观舒适度、第1次排气时间、第1次下床活动时间、术后并发症及泌乳量方面的情况。结果在主观舒适度、第1次排气时间、泌乳量3个方面，实验组优于对照组（P〈0．01）。结论剖宫产术后早期取随意卧位使产妇更舒适、肠蠕动恢复更快、乳汁分泌更充足。     

饮食指导与运动干预对妊娠期糖尿病的影响

饮食行为和体力活动是影响糖代谢的最基本、最重要的因素,也是控制GDM患者血糖升高的重要治疗措施之一。本文对饮食及体力活动对GDM的影响和护理进展进行综述,旨在通过饮食护理及运动指导将GDM患者的血糖控制在正常范围。     

不孕妇女经体外授精-胚胎移植成功受孕的生活体验的质性研究

目的探讨经体外授精-胚胎移植（IVF-ET）治疗成功的不孕症妇女的生活经历,以指导护理工作。方法采用质性研究的方法,选取10例经IVF—ET治疗成功的不孕症妇女,经知情同意,通过面谈收集资料,采用现象学描述性方法分析资料。结果本研究数据提炼的主题包括7个：坚实的信念、明确的定位、积极的配合、支持的需要、绝对的隐私、工作的影响以及过山车般的情感体验。结论不孕症妇女在经IVF治疗期间经历了很多情感体验,值得护理人员注意及适时指导,帮助她们成功受孕。     

子宫内膜癌患者全子宫切除术后创伤后成长的影响因素

目的 探讨子宫内膜癌(EMC)患者全子宫切除术后创伤后成长(PTG)水平,分析影响患者术后PTG的相关因素.方法 回顾性分析,收集2014年8月至2018年8月同济大学附属第一妇婴保健院护理部收治的120例接受全子宫切除术治疗的EMC患者资料,根据出院后PTG评定量表评分,将其分为PTG水平正常组(PTG评定量表评分≥...     

一贯制责任护理模式对提高孕产妇满意度的影响研究

Objective The purpose of this study is to find the influence of conducting the consistency primary nursing model in obstetrics department for improving patients' satisfaction to nursing work.Methods A quantitative research was conducted by an investigation of two groups of subjects,with one group being given the model of nursing and the other group not being given the same model of nursing.The investigation was to investigate the degree of satisfaction of patients to nursing work.And the total score of satisfaction and each score of each item investigated were analyzed and compared.Qualitative research:to abstract the related subject issues of pregnant and postpartum women to satisfaction degree to nursing work,by using the method of visiting and discussing of focuses of the pregnant and postpartum women groups.Results Patients' overall and sub-item satisfaction with invention of new model in the research group was higher than that of the control group,and had a statistical significance (P＜0.01).And the Results from visiting and discussing the groups of patients also reflected the research group had a good satisfaction.Conclusions The consistency primary nursing model improves pregnant and postpartum women's satisfaction to nursing work,and it is worthy of extending.     

“一贯制”责任护理模式对提高产科护理质量的影响

目的探讨在产科实施“一贯制”责任护理模式对提高产科护理质量的影响。方法将采取“一贯制”责任护理模式的产科病房收治的孕产妇230例作为实验组,将基线资料均衡的未实施“一贯制”责任护理模式的产科病房收治的孕产妇240例作为对照组。采用产科护理工作满意度量表对2组研究对象进行问卷调查,了解2组孕产妇对护理的满意度及2组的护理质量考核成绩。结果实验组比对照组对护理的满意度明显提高;护理质量考核成绩除急救物品及消毒隔离2项均达到管理要求无显著差异外,其他各项成绩2组比较差异显著。结论“一贯制”责任护理模式明显提高孕产妇对产科护理工作的满意度以及产科护理质量,值得推广。     

一贯制责任护理模式对提高孕产妇满意度的影响研究

Objective The purpose of this study is to find the influence of conducting the consistency primary nursing model in obstetrics department for improving patients' satisfaction to nursing work.Methods A quantitative research was conducted by an investigation of two groups of subjects,with one group being given the model of nursing and the other group not being given the same model of nursing.The investigation was to investigate the degree of satisfaction of patients to nursing work.And the total score of satisfaction and each score of each item investigated were analyzed and compared.Qualitative research:to abstract the related subject issues of pregnant and postpartum women to satisfaction degree to nursing work,by using the method of visiting and discussing of focuses of the pregnant and postpartum women groups.Results Patients' overall and sub-item satisfaction with invention of new model in the research group was higher than that of the control group,and had a statistical significance (P＜0.01).And the Results from visiting and discussing the groups of patients also reflected the research group had a good satisfaction.Conclusions The consistency primary nursing model improves pregnant and postpartum women's satisfaction to nursing work,and it is worthy of extending.     

孕晚期膳食营养状况与新生儿体重的关系

目的:探讨孕妇孕晚期营养状况与新生儿体重的关系。方法:选取在同济大学附属第一妇婴保健院产科产检且无严重并发症的210例孕妇,收集孕晚期的膳食营养状况,并收集妊娠结局资料。采用直线相关分析及多元线性回归分析新生儿体重与孕产妇膳食营养状况的关系。结果:(1)新生儿体重与孕产妇身高、孕晚期体重、孕晚期BMI及分娩孕周呈正相关性(相关系数分别为0.034、0.000、0.025、0.000);(2)新生儿体重与脯氨酸、丙氨酸呈正相关(相关系数分别为0.018、0.021,P0.05);(3)多元回归分析发现:新生儿体重与孕周、孕晚期体重及脯氨酸有多元回归关系(P0.05)。结论:孕晚期的膳食营养状况可对新生儿的出生体重造成不同程度的影响,应有针对性的开展营养教育,促进母婴健康。