Application of three-dimensional quality evaluation model in continuous nursing during puerperium in the first-time cesarean section
10.3760/cma.j.cn115682-20220419-01919
- VernacularTitle:三维质量评价模式在首次剖宫产产妇产褥期延续性护理中的应用
- Author:
Lixue FENG
1
;
Yongmei ZHANG
;
Guoyun LI
Author Information
1. 新乡市中心医院（新乡医学院第四临床学院）孕妇儿童体检中心，新乡 453000
- Keywords:
Puerpera;
Caesarean section;
Puerperium;
Three-dimensional quality evaluation model;
Continuous nursing
- From:
Chinese Journal of Modern Nursing
2023;29(4):517-522
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application effect of three-dimensional quality evaluation model in continuous nursing during puerperium in the first-time cesarean section.Methods:The convenient sampling method was used to select the first cesarean section women who gave birth in Xinxiang Central Hospital from January to December 2018 as the research objects. Parturients were divided into the control group and the observation group, with 93 cases in each group by random number table method. The control group was given conventional puerperal care, while the observation group was given continuous care based on the control group using three-dimensional quality evaluation model. The intervention time was 6 weeks. Maternal health knowledge, maternal and child health status and quality of life were assessed in both groups. In this study, 8 cases were lost to follow-up in the control group and 7 cases in the observation group, and 171 cases of parturients were finally included, including 85 cases in the control group and 86 cases in the observation group.Results:After intervention, maternal health knowledge scores, neonatal health knowledge scores and scores of all dimensions of the WHO Quality of Life Inventory were higher in the two groups than before intervention, and the observation group was higher than the control group, and the differences were statistically significant ( P<0.05) . The cases of poor incision healing, poor uterine recovery, acute mastitis, puerperal infection and postpartum constipation in the observation group were lower than those in the control group, and the differences were statistically significant ( P<0.05) . The incidence of neonatal jaundice, eczema and diarrhea in the observation group were lower than that in the control group, and the differences were statistically significant ( P<0.05) . Conclusions:Based on the three-dimensional quality evaluation model as the theoretical basis, continuous nursing for first-time cesarean delivery mothers helps the mothers grasp the knowledge of puerperium health, has a positive effect on the health status of mothers and infants and improves the quality of life of the women, which is worthy of clinical application.
