手机APP延续护理形式在产褥期妇女自我管理中的应用研究

发布时间：2018-04-16 20:04

本文选题：APP + 产褥期　；参考：《青岛大学》2017年硕士论文

【摘要】：目的探讨设计一种以手机应用程序为媒介,以产妇为中心、将产褥期的自我管理与延续护理相结合的产褥期妇女自我管理网络干预模式,使产褥期妇女能掌握自身调养、母乳喂养、新生儿照护等知识与技能,更好的适应角色的转变,提高其生活质量。方法便利抽样选取青岛大学附属医院产科住院初产妇70例为研究对象,分为实验组和对照组(各35例)。实验组在给与常规出院护理指导的同时采用“以4C延续护理理论框架”为指导的手机移动客户端APP方式进行护理干预,对照组采用常规护理干预,于干预后6周(即产褥期结束)后调查两组产妇在抑郁水平、生存质量以及母乳喂养自我效能水平三方面的变化。用爱丁堡产后抑郁量表、自行设计的产褥期生存质量量表、母乳喂养自我效能量表来对指标进行测评。数据的处理和分析采用SPSSl7.0统计软件进行,统计方法主要为描述性统计、卡方检验、t检验等。结果经检验,实验组和对照组之间在社会人口信息学变量以及基线时的各结局变量都没有统计学差异(P0.05),两组具有可比性。干预6周后,实验组与对照组在抑郁水平得分差异无统计学意义(P0.05),实验组在生存质量与母乳喂养自我效能方面得分优于对照组,差异具有统计学意义(P0.05)。结论手机APP延续护理形式可以增加产妇在产褥期自我管理和新生儿照护方面的知识、技能,提升自信心,使医生、护士、产妇及其家庭关系更为密切,改善产妇的自我管理行为,提高其在产褥期的生命质量,使医院服务质量进一步提升。因此可认为,应用手机APP延续护理形式对提高产妇产褥期自我管理水平是一种行之有效的方法。
[Abstract]:Objective to explore the design of a network intervention model of puerperium women's self-management with mobile phone application program as the medium and the puerpera as the center, combining the puerperium self-management with continuous nursing care, so that the puerperal women can master the self-training and recuperation.Knowledge and skills such as breast-feeding and neonatal care can better adapt to the change of role and improve the quality of life.Methods 70 cases of primipara in obstetrics department of Qingdao University affiliated Hospital were selected and divided into experimental group (35 cases) and control group (35 cases).The experimental group was given routine discharge nursing instruction and the mobile client APP mode guided by 4C extended nursing theory frame was used to carry out nursing intervention, while the control group was treated with routine nursing intervention.After 6 weeks of intervention (that is, the end of puerperium), the changes of depression, quality of life and self-efficacy of breast-feeding were investigated in the two groups.The indexes were evaluated by Edinburgh postpartum depression scale, puerperium quality of life scale and breast-feeding self-efficacy scale.The data processing and analysis are carried out by SPSSl7.0 statistical software. The statistical methods are mainly descriptive statistics, chi-square test and t-test.Results there was no statistical difference between the two groups in the social-demographic informatics variables and the baseline outcome variables (P 0.05), and the two groups were comparable.After 6 weeks of intervention, there was no significant difference in the scores of depression between the experimental group and the control group (P 0.05). The scores of quality of life and self-efficacy of breast-feeding in the experimental group were better than those in the control group, and the difference was statistically significant (P 0.05).Conclusion the continuous nursing form of mobile phone APP can increase the knowledge, skills and self-confidence of puerperal self-management and newborn care, and make doctors, nurses, parturients and their families more closely related.Improve maternal self-management behavior, improve their quality of life in the puerperium, further improve the quality of hospital services.Therefore, it is an effective method to improve the level of self-management of puerperium by using mobile phone APP to continue nursing.
【学位授予单位】：青岛大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.71

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