摘要
目的观察基于自护理论的综合护理对阴道分娩产妇产后排尿管理的影响。方法选取上海市嘉定区中心医院2021年1月至2021年10月的260例待产产妇为研究对象, 依照区组随机化分组法将其分为对照组(n=100)、观察1组(n=80)和观察2组(n=80)。对照组实施常规护理干预, 观察1组在对照组基础上实施综合护理干预, 观察2组则在对照组基础上实施基于自护理论的综合护理干预。比较三组产妇产后排尿情况(排尿时间、尿潴留发生率), 对比干预前、干预后三组产妇自护能力〔汉化修正版自我护理能力评估量表(ASAS-R-C)〕及生活质量〔世界卫生组织生活质量量表(WHOQOL-100)〕。结果观察2组、观察1组产妇产后排尿时间均明显短于对照组(P<0.05), 观察2组产妇尿潴留发生率明显低于对照组(P<0.05)。干预后, 三组产妇ASAS-R-C量表评分、WHOQOL-100量表评分较干预前均有明显升高(P<0.05), 且观察2组均明显高于同期观察1组、对照组(P<0.05), 观察1组WHOQOL-100量表评分明显高于对照组(P<0.05)。结论基于自护理论的综合护理能促进阴道分娩产妇产后排尿, 减少尿潴留的发生, 并能提高产妇自护能力, 改善其生活质量, 具有较高临床应用价值。
Objective To observe the influence of comprehensive nursing based on self-care theory on postpartum urination management of puerperae with vaginal delivery.Methods A total of 260 expectant mothers in this hospital between January 2021 and October 2021 were selected as the research subjects,and they were divided into the control group(n=100),the observation group 1(n=100)and the observation group 2(n=80)according to the block randomization method.The control group carried out routine nursing intervention,the observation group 1 was given comprehensive nursing intervention on the basis of the control group and the observation group 2 adopted comprehensive nursing intervention based on self-care theory on the basis of the control group.The postpartum urination status(urination time,incidence of urinary retention)as well as maternal self-care ability〔Chinese version of the appraisal of self-care agency scale-revised(ASAS-R-C)〕and quality of life〔World Health Organization quality of life scale(WHOQOL-100)〕before intervention and after intervention were compared among the three groups.Results Postpartum urination time in the observation group 2 and observation group 1 was significantly shorter than that in the control group(P<0.05),and the incidence rate of urinary retention in the observation group 2 was significantly lower than that in the control group(P<0.05).After intervention,the scores of ASAS-R-C scale,score of WHOQOL-100 scale in three groups were enhanced compared with those before intervention(P<0.05),and the scores in the observation group 2 were significantly higher than those in the observation group 1 and the control group(P<0.05).The scores of WHOQOL-100 scale were significantly higher in the observation group 1 than those in the control group(P<0.05).Conclusions Comprehensive nursing based on self-care theory can promote the postpartum urination,reduce the occurrence of urinary retention,enhance the self-care ability and improve the quality of life of puerperae with vaginal delivery,with high clinical application value.
作者
刘瑶
王晔骅
张倩睿
孙建红
李静
刘玲
Liu Yao;Wang Yehua;Zhang Qianrui;Sun Jianhong;Li Jing;Liu Ling(Department of Obstetrics and Gynecology,Jiading District Central Hospital Affiliated to Shanghai Health Medical College,Shanghai 201800,China;Department of Delivery Room,Jiading District Central Hospital Affiliated to Shanghai Health Medical College,Shanghai 201800,China;Department of Nursing,Jiading District Central Hospital Affiliated to Shanghai Health Medical College,Shanghai 201800,China)
出处
《国际护理学杂志》
2023年第23期4225-4229,共5页
international journal of nursing
基金
上海市嘉定区中心医院院级课题(ZQN202106)。
关键词
自护理论
综合护理
阴道分娩
产后排尿
产后尿潴留
Self-care theory
Comprehensive nursing
Vaginal delivery
Postpartum urination
Postpartum urinary retention
