刘安妮　赵晓燕

[摘要] 目的 探討共同参与式护理管理联合健康教育在母婴同室新生儿护理中的应用效果。 方法 选取2018年7月至2019年7月在我院进行分娩的初产妇114例为研究对象，依护理管理方式不同将其分为常规组与共同参与组，每组各57例，分别行常规母婴同室新生儿护理与共同参与式护理管理联合健康教育，比较两组产妇的新生儿护理操作标准情况、护理满意度情况及产妇母亲角色适应情况。 结果 共同参与组产妇的新生儿护理操作标准符合率为94.74%，明显高于常规组的80.70%，差异有统计学意义（P<0.05）;共同参与组产妇的护理满意度评分为（96.31±2.57）分，明显高于常规组的（83.43±2.78）分，差异有统计学意义（P<0.05）;共同参与组适应母亲角色的产妇比例为96.49%，明显高于常规组的75.44%，差异有统计学意义（P<0.05）。 结论 在母婴同室新生儿护理的过程中，采取共同参与式护理管理模式联合健康教育有利于提高产妇的新生儿护理能力与护理满意度，值得在临床中推广应用。

[关键词] 新生儿护理;母婴同室;共同参与式护理管理;健康教育;应用效果

[中图分类号] R473.72          [文献标识码] B          [文章编号] 1673-9701（2021）06-0159-04

The application of participatory nursing management combined with health education in neonatal nursing of mother and infant rooming

LIU Anni   ZHAO Xiaoyan

Women and Children′s Hospital Affiliated to Xiamen University， Department of Neonatal， Xiamen Maternal and Child Health Hospital， Xiamen Perinatal-Neonatal Infection Primary Laboratory， Xiamen   361006， China

[Abstract] Objective To investigate the application effect of participatory nursing management combined with health education in neonatal nursing of mother and infant rooming. Methods A total of 114 primiparas admitted to our hospital from July 2018 to July 2019 were selected as the research objects， and they were divided into the conventional group and the participatory group  according to different nursing management methods， with 57 cases in each group. They were given the health education in neonatal nursing of mother and infant rooming and participatory nursing management， respectively. Meanwhile， the nursing operation standards， nursing satisfactory degree and maternal role adaptation of the two groups were compared. Results The coincidence rate of neonatal nursing operation standard in the participatory group was 94.74%， which was significantly higher than that of 80.70% in the conventional group， with significant difference（P<0.05）. The nursing satisfactory degree score in the participatory group was （96.31±2.57） points， which was significantly higher than that of （83.43±2.78）points in the conventional group， with significant difference（P<0.05）. The proportion of maternal role adaptation in the participatory group was 96.49%， which was significantly higher than that of 75.44% in the conventional group， with significant difference（P<0.05）. Conclusion In the process of neonatal nursing of room of mother and infant， adopting the mode of participatory nursing management combined with health education is beneficial to improve the neonatal nursing ability and nursing satisfactory degree of primiparas， which is worthy of promotion and application in clinic.

[Key words] Neonatal nursing; Mother and infant rooming; Participatory nursing management; Health education; Application effect

母婴同室是指新生儿出生后24 h内均与母亲处同一房间，且每日与母亲分割的时间不超过1 h的情况[1]。母婴同室是产妇在娩出正常足月胎儿后被安置于与胎儿同一室内的集体陪护模式[2]，产妇在娩出胎儿后，尤其是初产妇，因缺乏科学喂养婴儿的经验，多数会存在紧张、焦虑等不良情绪，并随着观念的改变和社会模式的变化，母乳喂养率不断降低。加强产房陪护，实施健康教育，并使产妇及其家属共同参与新生儿的护理过程，不仅能提高产妇新生儿的护理能力，而且还能缓解产妇产后不良心理情绪，使产妇及早适应母亲的角色[3]。本研究选取2018年7月至2019年7月在我院进行分娩的114例初产妇为研究对象，旨在探讨在进行母婴同室新生儿护理过程中应用共同参与式护理管理联合健康教育的效果，现报道如下。……