Department of Obstetrics and Gynecology, The Second Affiliated Hospital of Soochow University, No.1055 of Sanxiang Road, Suzhou District, Jiangsu, 215004, China.
BMC Pregnancy Childbirth. 2024 Aug 16;24(1):544. doi: 10.1186/s12884-024-06742-2.
Pregnancy care can improve maternal pregnancy outcomes. Cluster nursing, an evidence-based, patient-centered model, enhances pregnancy care, can provide patients with high-quality nursing services, has been widely used in clinical practice in recent years. However, most previous studies evaluated cluster nursing program only for a single clinical scenario. In this study, we developed and implemented a antenatal cluster care program for various prenatal issues faced by puerpera to analyze its application effect.
This is a historical before and after control study. 89 expectant mothers who had their prenatal information files registered in the outpatient department of a grade III, level A hospital from June 2020 to September 2021 were finally enrolled in observation group, and received prenatal cluster management. Another set of 89 expectant mothers from January 2019 to December 2019 were included in the control group and received traditional routine prenatal management. The effect of cluster nursing management on maternal delivery and postpartum rehabilitation was evaluated and compared between the two groups.
Compared with the control group, the observation group had a significantly higher natural delivery rate, better neonatal prognosis, higher rates of exclusive breastfeeding, lower incidence of postpartum complications, shorter postpartum hospital stay, better postpartum health status, and higher satisfaction with nursing services. Compared with before intervention, the SAS and SDS scores of the observation group showed significant improvement after intervention.
Antenatal cluster care is beneficial to improve maternal and neonatal outcomes, and can have positive effects on natural pregnancy and breastfeeding, while improving the multimedia health education ability of medical care and emphasizing the importance of social support.
妊娠护理可改善产妇妊娠结局。基于循证、以患者为中心的群组护理模式可增强妊娠护理，为患者提供高质量的护理服务，近年来已在临床实践中广泛应用。然而，之前的大多数研究仅评估了群组护理方案在单一临床情况下的效果。在本研究中，我们针对产妇面临的各种产前问题制定并实施了产前群组护理方案，以分析其应用效果。
这是一项历史性的前后对照研究。最终纳入了 2020 年 6 月至 2021 年 9 月在一家三级甲等医院的门诊登记产前信息档案的 89 名孕妇作为观察组，接受产前群组管理。另一组 89 名孕妇来自 2019 年 1 月至 2019 年 12 月，纳入对照组并接受传统常规产前管理。比较两组群组护理管理对产妇分娩和产后康复的效果。
与对照组相比，观察组的自然分娩率显著更高，新生儿预后更好，纯母乳喂养率更高，产后并发症发生率更低，产后住院时间更短，产后健康状况更好，对护理服务的满意度更高。与干预前相比，观察组的 SAS 和 SDS 评分在干预后均显著改善。
产前群组护理有利于改善母婴结局，对自然妊娠和母乳喂养有积极影响，同时提高医护人员多媒体健康教育能力，并强调社会支持的重要性。
