“互联网+”医疗护理模式在产科三位一体家庭式病房产妇中的应用效果

纪建英; 郑聪霞; 何雪妃; 叶伟娟; 吴一军

doi:10.16766/j.cnki.issn.1674-4152.002528

“互联网+”医疗护理模式在产科三位一体家庭式病房产妇中的应用效果

doi: 10.16766/j.cnki.issn.1674-4152.002528

丽水市妇幼保健院产科，浙江丽水 323000

基金项目:

浙江省基础公益研究计划项目 LGF20H040002

详细信息

通讯作者:
吴一军，E-mail：2225651616@qq.com

中图分类号: R473.71 R715
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- 被引次数: 0
出版历程
- 收稿日期: 2020-08-26
- 网络出版日期: 2022-09-21

Application effect of "Internet +" medical care model in the family ward of obstetrics trinity

Department of Obstetrics, Lishui Maternal and Child Health Hospital, Lishui, Zhejiang 323000, China

摘要

摘要: 目的构建适合产科三位一体家庭式病房产妇的“互联网+”医疗护理模式，以进一步提高母婴VIP健康管理服务水平。方法选择2018年12月—2020年6月在丽水市妇幼保健院产科三位一体家庭式病房分娩的足月初产妇240例，按照“互联网+”医疗护理模式建立前后分为对照组与观察组，每组120例。对照组采取常规产科VIP护理模式，观察组在对照组基础上采取以“互联网+”为基础的产科护理新模式。比较2组护理效果。结果产后24 h，观察组分娩恐惧程度得分[(28.63±7.64)分]明显低于对照组[(32.81±8.16)分]，自我效能得分[(259.04±60.15)分]明显高于对照组[(232.10±63.73)分]，差异有统计学意义(t=4.099、-3.368，均P＜0.05)；观察组产后2 h出血量[(190.13±34.98)mL]明显小于对照组[(218.07±41.19)mL]，差异有统计学意义(t=5.667，P＜0.05)；观察组产后42 d母乳喂养率为90.00%(108/120)，明显高于对照组的78.33%(94/120)，差异有统计学意义(χ²=6.128，P＜0.05)；观察组对院外护理的满意度评分[(24.57±3.44)分]明显高于对照组[(18.59±4.61)分]，差异有统计学意义(t=-11.387，P＜0.05)。结论 “互联网+”医疗护理模式在产科三位一体家庭式病房产妇中的应用效果较好，能够明显减轻产妇分娩恐惧度，提高自我效能，减少产后出血量，提高母乳喂养率及院外护理满意度。
- 互联网+ /
- 产科护理 /
- 母婴健康 /
- 护理管理
Abstract: Objective To construct an "Internet +" medical care model suitable for obstetric trinity family wards and improve the level of maternal and child VIP health management services. Methods A total of 240 full-term primiparous women who gave birth in the Trinity Family Ward of the Obstetrics Department of Lishui Maternal and Child Health Hospital from December 2018 to June 2020 were selected and divided equally into the control and observation groups. The control group adopted the routine obstetric VIP nursing model, and the observation group adopted the new model of obstetric nursing based on "Internet +". The nursing effect of the two groups was compared. Results At 24 h after delivery, the score of the intervention group [(28.63±7.64) points] was significantly lower than that of the control group [(32.81±8.16) points]. The self-efficacy score of the intervention group [(259.04±60.15) points] was significantly higher than that of the control group [(232.10±63.73) points, t=4.099, -3.368, all P < 0.05]. The bleeding volume [(190.13±34.98) mL] in the observation group at 2 h post-partum was significantly less than that in the control group [(218.07±41.19) mL, t=5.667, P < 0.05]. The 90.00% (108/120) breastfeeding rate at 42 days post-partum in the observation group was significantly higher than the 78.33% (94/120) in the control group (χ²=6.128, P < 0.05). The satisfaction score of the observation group for out-of-hospital care [(24.57±3.44) points] was significantly higher than that of the control group [(18.59±4.61) points, t=-11.387, P < 0.05]. Conclusion The "Internet +" medical care model has a good application effect in the obstetric trinity family ward, which can significantly reduce the fear of childbirth, improve self-efficacy, reduce post-partum bleeding and increase breastfeeding rate and nursing satisfaction.
- Internet + /
- Obstetric care /
- Maternal and child health /
- Nursing management

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表 1 2组产妇一般资料比较

Table 1. Comparison of general data of puerperae in the two groups

组别	例数	年龄 (x±s, 岁)	孕期体重增长 (x>±s, kg)	职业[例(%)]				计划妊娠 [例(%)]	定期产检 [例(%)]	既往流产史 [例(%)]	文化程度[例(%)]
组别	例数	年龄 (x±s, 岁)	孕期体重增长 (x>±s, kg)	企事业单位	自由职业	家庭主妇	其他	计划妊娠 [例(%)]	定期产检 [例(%)]	既往流产史 [例(%)]	初中及以下	高中及中专	大专及以上
对照组	120	24.01±6.95	11.81±2.93	48(40.00)	34(28.33)	30(25.00)	8(6.67)	19(15.83)	99(82.50)	20(16.67)	10(8.33)	65(54.17)	45(37.50)
观察组	120	23.87±6.58	12.02±3.14	45(37.50)	36(30.00)	33(27.50)	6(5.00)	22(18.33)	102(85.00)	15(12.50)	8(6.67)	57(47.50)	55(45.83)
统计量		0.163^a	-0.536^a	0.582^b				0.265^b	0.276^b	0.836^b	-1.303^c
P值		0.870	0.591	0.900				0.607	0.600	0.360	0.193
注：^a为t值，^b为χ²值，^c为Z值。

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表 2 2组产妇不同时间的分娩恐惧程度和自我效能得分比较(x±s, 分)

Table 2. Comparison of childbirth fear and self-efficacy scores between the two groups of puerperae at different times (x±s, points)

组别	例数	分娩恐惧程度		自我效能
组别	例数	入院时	产后24 h	入院时	产后24 h
对照组	120	38.94±9.18	32.81±8.16^a	197.90±51.23	232.10±63.73^a
观察组	120	39.11±9.83	28.63±7.64^a	197.62±49.87	259.04±60.15^a
t值		-0.138	4.099	0.047	-3.368
P值		0.893	< 0.001	0.962	0.001
注：与入院时比较，^aP＜0.05。

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表 3 2组产妇住院相关指标及产后42 d母乳喂养情况比较

Table 3. Comparison of hospital-related indicators and breastfeeding status of puerperae on 42 days postpartum between the two groups

组别	例数	胎头拨露时间 (x±s, min)	第二产程时间 (x±s, min)	第三产程时间 (x±s, min)	产后2 h出血量 (x±s, mL)	Apgar评分 (x±s, 分)	住院时间 (x±s, d)	产后42 d母乳喂养[例(%)]
对照组	120	15.88±4.21	59.20±7.02	8.85±1.96	218.07±41.19	8.96±2.02	3.49±0.86	94(78.33)
观察组	120	15.73±4.07	57.85±6.16	9.04±2.18	190.13±34.98	9.25±1.89	3.44±0.78	108(90.00)
统计量		0.281^a	1.583^a	-0.708^a	5.667^a	-1.149^a	0.475^a	6.128^b
P值		0.775	0.115	0.478	< 0.001	0.250	0.637	0.013
注：^a为t值，^b为χ²值。

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表 4 2组产妇护理满意度比较(x±s, 分)

Table 4. Comparison of maternal nursing satisfaction between the two groups (x±s, points)

组别	例数	产前护理	产中护理	产后护理	院外护理
对照组	120	23.27±3.02	23.76±3.31	22.31±4.76	18.59±4.61
观察组	120	23.79±3.85	24.03±5.11	22.75±4.35	24.57±3.44
t值		-1.164	-0.489	-0.747	-11.387
P值		0.249	0.623	0.453	< 0.001

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