母婴床旁服务在产科中的应用

目的：探讨母婴床旁服务在产科病房的应用及效果，以寻求人性化、个体化、家庭化的产科服务模式。方法选取2013年1至12月在西安交通大学医学部第一附属医院就诊并入院经阴道分娩的初产妇286例，随机将其分为实验组和对照组，各143例，实验组采取母婴床旁服务操作模式，产妇及新生儿各项服务操作及健康教育由专科护士在床旁进行；对照组采取传统封闭式服务模式，对两组产妇自我保健能力、产妇其家属的服务满意度及遵医行为进行分析比较。结果实验组产妇满意度显著高于对照组（χ2＝26．640，P＜0．01），实验组产妇母乳喂养、新生儿洗澡、抚触、游泳、臀部护理遵医嘱率显著高于对照组（χ2值分别为19．227、7．176、19．697、13．853、9．742，均P＜0．01），实验组产妇日常生活自理能力显著高于对照组（χ2＝7．692，P＜0．05）。结论床旁服务操作模式适应现代服务模式的转变，能提高产妇及其家属满意度，进而提高产妇及家属的遵医行为水平，提高产妇自我照顾能力。

Application of mother-infant bedside servicing in obstetric department

Objective To evaluate the application and effects of mother-infant bedside servicing in obstetric department, and to find humanized, individualized and family-centered obstetric servicing mode.Methods This survey was made on 286 primiparas accepting vaginal delivery in the First Affiliated Hospital of Medical College of Xi’an Jiaotong University from January to December in 2013, and they were randomly divided into experimental group and control group with 143 cases in each group.The experimental group received mother-infant bedside servicing operation mode, and the servicing procedures and maternal and neonatal health education was carried out by specialist nurse beside the bed.The control group accepted traditional closed servicing mode.The self-care ability of puerperas, the satisfaction degree and compliance behavior of puerperas and their family members were investigated and compared between two groups. Results The maternal service satisfaction degree in the experimental group was significantly higher than that in the control group （χ2 =26.640,P〈0.01） .Maternal breastfeeding, baby bath, touch, swimming, hip nursing in the experimental group were significantly better than those in the control group （χ2 value was 19.227, 7.176, 19.697, 13.853 and 9.742, respectively, all P〈0.01）.The ability to care for daily life in the experimental group was significantly higher than that in the control group （χ2 =7.692,P〈0.05）.Conclusion The mother-infant bedside servicing operation mode is adapted to the change of modern nursing mode.It can improve the satisfaction degree of puerperas and their family members and, furthermore, improve their compliance behavior level and the self-care ability of puerperas.