Abstract:

Objective　To explore the application effect of the Internet + multidisciplinary collaboration model in puerperal continuous nursing. Methods　This study was a randomized controlled trial. A total of 78 women who gave birth in the Department of Obstetrics, Zhujiang Hospital, Southern Medical University from May 2022 to May 2023 were selected as the study objects, and were divided into a control group and an observation group according to the random number table method with 39 cases in each group. The women in the observation group were (22.67±4.65) years old, and their gestational age was (37.67±2.65) weeks, including 29 cases of vaginal delivery and 10 cases of cesarean section. The women in the control group were (22.64±4.84) years old, and their gestational age was (37.75±2.17) weeks, including 30 cases of vaginal delivery and 9 cases of cesarean section. The control group received routine nursing, and the observation group received continuous nursing intervention based on the Internet + multidisciplinary collaboration model. The continuous nursing in both groups lasted until 28 days after delivery, and they were followed up until 42 days after delivery. The changes of mood state and self-care ability before and after intervention, as well as the adverse reactions of mothers and infants and satisfaction with the nursing intervention were compared between the two groups. t test, χ² test, and Fisher exact probability method were used. Results　Before intervention, the mood scores of the observation group and the control group were (22.56±2.38) points and (22.51±2.38) points, respectively, with no statistically significant difference (P>0.05). After intervention, the mood scores of the two groups were (13.95±1.56) points and (17.41±2.35) points, respectively, which were significantly decreased compared with those before intervention (both P<0.001), and there was a statistically significant difference between the two groups after intervention (P<0.001). Before intervention, the self-care ability scores of the observation group and the control group were (122.67±6.43) points and (122.62±6.33) points, respectively, with no statistically significant difference (P>0.05). After intervention, the scores of self-care ability of the two groups were (141.44±7.74) points and (131.44±6.85) points, respectively, which were significantly higher than those before intervention (both P<0.001), and there was a statistically significant difference between the two groups after intervention (P<0.001). The incidences of maternal and neonatal complications in the observation group [7.69% (3/39) and 5.13% (2/39)] were significantly lower than those in the control group [28.21% (11/39) and 33.33% (13/39)], with statistically significant differences (both P<0.05). Conclusion　The continuous nursing intervention based on the Internet + multidisciplinary cooperation model is contribute to improve the maternal mood, improve the maternal self-care ability, and reduce the maternal and neonatal complications during the puerperal period, which is worthy of clinical promotion and use.

Key words:

Puerperium, Continuous nursing, Internet, Multidisciplinary collaboration

摘要：

目的　探讨基于互联网+的多学科协作模式在产后延续护理中的应用效果。方法　本研究为随机对照试验。选取2022年5月至2023年5月于南方医科大学珠江医院产科分娩的产妇78例作为研究对象，按随机数字表法分为对照组和观察组，每组39例。观察组年龄（22.67±4.65）岁，孕周（37.67±2.65）周，其中阴道分娩29例，剖宫产10例；对照组年龄（22.64±4.84）岁，孕周（37.75±2.17）周，其中阴道分娩30例，剖宫产9例。对照组实施常规护理，观察组采用基于互联网+多学科协作模式的延续护理干预。两组延续护理均开展至产后28 d，随访至产后42 d。比较两组产妇干预前后的心境状态、自我护理能力变化，以及母婴并发症和两组产妇对护理干预的满意度。采用t检验、χ²检验、Fisher确切概率法。结果　干预前，观察组和对照组的心境状态评分分别为（22.56±2.38）分、（22.51±2.38）分，差异无统计学意义（P>0.05）；干预后，两组心境状态评分分别为（13.95±1.56）分、（17.41±2.35）分，均较干预前下降（均P<0.001），且干预后两组差异有统计学意义（P<0.001）。干预前，观察组和对照组自我护理能力评分分别为（122.67±6.43）分、（122.62±6.33）分，差异无统计学意义（P>0.05）；干预后，两组自我护理能力评分分别为（141.44±7.74）分、（131.44±6.85）分，均较干预前提高（均P<0.001），且干预后两组差异有统计学意义（P<0.001）。观察组产妇、新生儿并发症发生率［7.69%（3/39）、5.13%（2/39）］均低于对照组［28.21%（11/39）、33.33%（13/39）］，差异均有统计学意义（均P<0.05）。结论　基于互联网+多学科协作模式的延续护理干预模式有助于改善产褥期产妇心境，提高产妇自护能力，减少母婴并发症，值得在临床推广使用。

关键词:

产褥期, 延续护理, 互联网, 多学科协作