Wan Hongwei, Hu Senqi, Thobaben Marshelle, Hou Yanwen, Yin Tao
Department of Nursing, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, China.
Contemp Nurse. 2011 Feb;37(2):149-59. doi: 10.5172/conu.2011.37.2.149.
To compare the differences in practicing continuous primary nursing care (CPNC) versus task-centered nursing care (TCNC) with regard to patient satisfaction with nursing care and early postpartum health problems for hospitalized pregnant women.
All participants filled out the satisfaction with nursing care questionnaire, breastfeeding knowledge questionnaire, and early postpartum problem questionnaire.
Participants in the CPNC group received continuous individualized primary nursing care and participants in the TCNC group received task-centered nursing care during their perinatal period.
Using a randomized controlled trial, 470 hospitalized pregnant women participated in the study with 230 pregnant women in the CPNC group and 240 in TCNC group.
Questionnaire data were collected, calculated, and statistically analyzed using independent t-tests or Χ(2) tests along with power analysis.
Participants in the CPNC group reported significantly higher overall satisfaction with nursing care (t(468) = 5.936, p < .001), had more breastfeeding knowledge (t(468) = 5.633, p < .001), and were more likely to breast feed six weeks after delivery (Χ(2) (1) = 39.237, p < .001) than those in the TCNC group. Participants in the CPNC group also showed a significantly lower occurrence of postpartum urinary retention (Fisher exact test was used, p < .002) and breast discomfort (Χ(2) (3) = 34.482, p < .001) than those in the TCNC group.
Practicing continuous primary nursing care was more effective than practicing traditional task-centered nursing care for hospitalized pregnant women in increasing satisfaction with nursing care, enhancing breastfeeding, and reducing early postpartum problems.
比较实施连续性初级护理（CPNC）与任务中心护理（TCNC）对住院孕妇护理满意度及产后早期健康问题的差异。
所有参与者填写护理满意度问卷、母乳喂养知识问卷和产后早期问题问卷。
CPNC组参与者在围产期接受连续性个体化初级护理，TCNC组参与者接受任务中心护理。
采用随机对照试验，470名住院孕妇参与研究，CPNC组230名孕妇，TCNC组240名孕妇。
收集问卷数据，使用独立t检验或Χ(2)检验进行计算和统计分析，并进行效能分析。
CPNC组参与者对护理的总体满意度显著更高（t(468)=5.936，p<.001），母乳喂养知识更多（t(468)=5.633，p<.001），且产后六周母乳喂养的可能性更大（Χ(2)(1)=39.237，p<.001）。CPNC组参与者产后尿潴留的发生率也显著低于TCNC组（采用Fisher精确检验，p<.002），乳房不适的发生率也更低（Χ(2)(3)=34.482，p<.001）。
对于住院孕妇，实施连续性初级护理在提高护理满意度、促进母乳喂养和减少产后早期问题方面比实施传统的任务中心护理更有效。
