Journal of Modern Nursing Medicine
Journal of Modern Nursing Medicine. 2025; 4: (6) ; 10.12208/j.jmnm.20250297 .
总浏览量: 55
山西医科大学第一医院 山西太原
*通讯作者: 宋润花,单位:山西医科大学第一医院 山西太原;
目的 观察分析对产妇实施个案管理标准化护理的临床效果和应用价值。方法 选择院内就诊的60例产妇(样本纳入例数:60例;样本纳入时间:2023年5月至2024年5月),以随机数字为基础分组方式,分为对照、实验两个小组,分别实施常规护理,个案管理标准化护理。收集分析护理效果。结果 与对照组(常规护理)相比,实验组(个案管理标准化护理)产后恢复时间(首次排气时间/首次下床活动时间/首次排便时间/切口愈合时间)更短(P<0.05);开始泌乳时间更短,平均泌乳量(产后2d平均30s泌乳量/产后7d平均30s泌乳量)更高(P<0.05);生活质量评分(角色功能/情绪功能/认知功能/社会功能/躯体功能/总体健康)更高(P<0.05)。结论 个案管理标准化护理可以有效减少产妇产后恢复所需时间,促进产后泌乳,改善生活质量,促进产后恢复,预后较好,有较高应用价值。
Objective Observe and analyze the clinical effects and application value of implementing standardized case management nursing for postpartum women. Methods Sixty parturients who received medical treatment in the hospital were selected (sample included: 60 cases; sample included time: May 2023 to May 2024), and were randomly divided into two groups based on random numbers: control group and experimental group. Routine nursing and standardized case management nursing were implemented respectively. Collect and analyze nursing outcomes. Results Compared with the control group (conventional nursing), the experimental group (standardized case management nursing) had a shorter postpartum recovery time (first exhaust time/first mobilization time/first defecation time/incision healing time) (P<0.05); The start of lactation time is shorter, and the average milk production (2 days postpartum average 30 seconds milk production/7 days postpartum average 30 seconds milk production) is higher (P<0.05); The quality of life score (role function/emotional function/cognitive function/social function/physical function/overall health) was higher (P<0.05). Conclusion Standardized case management nursing can effectively reduce the time required for postpartum recovery, promote lactation, improve quality of life, promote postpartum recovery, and have good prognosis, with high application value.
[1] 陈冬冬,嵇秀明,杨秀娟.基于循证案例分析的标准化护理程序对初产妇产后母乳喂养的影响[J].中西医结合护理(中英文),2024,10(4):93-95.
[2] 汤敏,支美芳,张娜.产后康复治疗仪结合围生期角色标准化递进护理模式对无痛分娩产妇的效果研究[J].中国医学创新,2022,19(31):126-129.
[3] 梁秋霞,梁丁英,郭焕喜.基层医院联动社区标准化产后护理模式的建立与应用研究[J].中国标准化,2022(14): 213-215.
[4] 梁少英.连续性助产标准化护理对围生期孕产妇焦虑抑郁状况的影响研究[J].中国标准化,2023(8):314-317.
[5] 魏琴,丁葵花.个案管理标准化模式对剖宫产产妇泌乳情况及术后康复的影响[J].基层医学论坛,2022,26(6):82-84.
[6] 曾丽容,邓惠玲,陈小莲.自由体位管理联合家属陪伴护理对自然分娩初产妇母婴结局及预后的影响[J].齐鲁护理杂志,2024,30(6):159-161.
[7] 陈冬冬,嵇秀明,杨秀娟.基于循证案例分析的标准化护理程序对初产妇产后母乳喂养的影响[J].中西医结合护理(中英文),2024,10(4):93-95.
[8] 海迪,袁凤霞,孙冬冬.基于个案管理的全程无缝护理模式在胎盘早期剥离产妇护理中的应用观察[J].黑龙江医学,2025,49(2):234-236.
[9] 汤敏,支美芳,张娜.产后康复治疗仪结合围生期角色标准化递进护理模式对无痛分娩产妇的效果研究[J].中国医学创新,2022,19(31):126-129.
[10] 魏琴,丁葵花.个案管理标准化模式对剖宫产产妇泌乳情况及术后康复的影响[J].基层医学论坛,2022,26(6):82-84.