叙事护理联合思维地图健康教育对产妇自我效能及新生儿护理能力的影响。
Effect of Narrative Nursing Combined with Thinking Map Health Education on Parturient Self-Efficacy and Neonatal Nursing Ability.
机构信息
Obstetrics Department of the First People's Hospital of Lianyungang City, Lianyungang 222001, Jiangsu Province, China.
出版信息
Comput Intell Neurosci. 2022 May 26;2022:8466797. doi: 10.1155/2022/8466797. eCollection 2022.
The motivation behind this study is to explore the influence of narrative nursing combined with thinking map health education on parturient self-efficacy and neonatal nursing ability. To verify this claim, we have selected 60 parturients who were treated in the hospital from February 2019 to April 2021. Moreover, these patients were randomly assigned to control and study groups. The former received narrative nursing, and the latter received narrative nursing combined with thinking map health education. The nursing satisfaction, maternal and neonatal nursing ability, maternal health knowledge awareness score, maternal self-efficacy, anxiety, and depression scores were compared. Initially, we have compared the nursing satisfaction: in the study group, 22 cases were satisfied, 8 cases were basically satisfied, and 0 cases were dissatisfied, and the satisfaction rate was 100.00%; in the control group, 12 cases were satisfied, 14 cases were basically satisfied, and 4 cases were dissatisfied, and the satisfaction rate was 86.67%. The nursing satisfaction in the study group was higher compared to the control group ( < 0.05). Secondly, we compared the mastery of neonatal nursing ability. The study group mastered the relevant knowledge of neonatal nursing in 23 cases, basically mastered 6 cases, and did not master 1 case, with a mastery rate of 96.67%. The control group mastered the knowledge of neonatal nursing in 12 cases, basically mastered 10 cases, and did not master 8 cases with a mastery rate of 73.33%. In the comparison between the two groups, the mastery of neonatal nursing ability in the study group was higher compared to the control group ( < 0.05). Considering the scores of maternal health knowledge, the scores of neonatal basic nursing, physiological characteristics, breastfeeding methods, environmental nursing knowledge, vaccination, and physical examination requirements in the study group were higher compared to the control group ( < 0.05). In the comparison of maternal self-efficacy, the total scores for promoting development, health care, safety, feeding, and self-efficacy in the study group were significantly higher compared to the control group ( < 0.05). Finally, we compared the scores for anxiety and depression. Before nursing, there exhibited no significant difference ( > 0.05). After nursing, the anxiety and depression scores decreased. Furthermore, the anxiety and depression scores of the study group were lower compared to the control group ( < 0.05). In the health education of primary parturient, the adoption of narrative nursing combined with thought guiding schema can enhance the level of nursing satisfaction and self-efficacy, strengthen the nursing ability of primiparas and the awareness rate of health knowledge, and reduce the occurrence of a maternal bad mood, which is more in line with the requirements of parturient.
本研究旨在探讨叙事护理联合思维图健康教育对产妇自我效能感和新生儿护理能力的影响。为了验证这一观点，我们选择了 2019 年 2 月至 2021 年 4 月在我院接受治疗的 60 名产妇。此外，这些患者被随机分配到对照组和研究组。前者接受叙事护理，后者接受叙事护理联合思维图健康教育。比较护理满意度、产妇及新生儿护理能力、产妇健康知识知晓评分、产妇自我效能感、焦虑和抑郁评分。首先，我们比较了护理满意度：在研究组中，22 例满意，8 例基本满意，0 例不满意，满意度为 100.00%；在对照组中，12 例满意，14 例基本满意，4 例不满意，满意度为 86.67%。研究组的护理满意度高于对照组（<0.05）。其次，我们比较了掌握新生儿护理能力的情况。研究组掌握新生儿护理相关知识 23 例，基本掌握 6 例，不掌握 1 例，掌握率为 96.67%。对照组掌握新生儿护理知识 12 例，基本掌握 10 例，不掌握 8 例，掌握率为 73.33%。两组比较，研究组掌握新生儿护理能力高于对照组（<0.05）。考虑到产妇健康知识得分，研究组在新生儿基础护理、生理特征、母乳喂养方法、环境护理知识、疫苗接种、体检要求等方面的得分均高于对照组（<0.05）。在产妇自我效能感比较中，研究组促进发展、保健、安全、喂养和自我效能的总分明显高于对照组（<0.05）。最后，我们比较了焦虑和抑郁评分。护理前无显著性差异（>0.05）。护理后焦虑和抑郁评分降低。此外，研究组的焦虑和抑郁评分低于对照组（<0.05）。在初产妇健康教育中，采用叙事护理联合思维图健康教育可提高护理满意度和自我效能感，增强初产妇护理能力和健康知识知晓率，减少产妇不良情绪发生，更符合产妇需求。
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