本文選題：APP + 產(chǎn)褥期　； 參考：《青島大學(xué)》2017年碩士論文

【摘要】：目的探討設(shè)計(jì)一種以手機(jī)應(yīng)用程序?yàn)槊浇?以產(chǎn)婦為中心、將產(chǎn)褥期的自我管理與延續(xù)護(hù)理相結(jié)合的產(chǎn)褥期婦女自我管理網(wǎng)絡(luò)干預(yù)模式,使產(chǎn)褥期婦女能掌握自身調(diào)養(yǎng)、母乳喂養(yǎng)、新生兒照護(hù)等知識(shí)與技能,更好的適應(yīng)角色的轉(zhuǎn)變,提高其生活質(zhì)量。方法便利抽樣選取青島大學(xué)附屬醫(yī)院產(chǎn)科住院初產(chǎn)婦70例為研究對(duì)象,分為實(shí)驗(yàn)組和對(duì)照組(各35例)。實(shí)驗(yàn)組在給與常規(guī)出院護(hù)理指導(dǎo)的同時(shí)采用“以4C延續(xù)護(hù)理理論框架”為指導(dǎo)的手機(jī)移動(dòng)客戶端APP方式進(jìn)行護(hù)理干預(yù),對(duì)照組采用常規(guī)護(hù)理干預(yù),于干預(yù)后6周(即產(chǎn)褥期結(jié)束)后調(diào)查兩組產(chǎn)婦在抑郁水平、生存質(zhì)量以及母乳喂養(yǎng)自我效能水平三方面的變化。用愛(ài)丁堡產(chǎn)后抑郁量表、自行設(shè)計(jì)的產(chǎn)褥期生存質(zhì)量量表、母乳喂養(yǎng)自我效能量表來(lái)對(duì)指標(biāo)進(jìn)行測(cè)評(píng)。數(shù)據(jù)的處理和分析采用SPSSl7.0統(tǒng)計(jì)軟件進(jìn)行,統(tǒng)計(jì)方法主要為描述性統(tǒng)計(jì)、卡方檢驗(yàn)、t檢驗(yàn)等。結(jié)果經(jīng)檢驗(yàn),實(shí)驗(yàn)組和對(duì)照組之間在社會(huì)人口信息學(xué)變量以及基線時(shí)的各結(jié)局變量都沒(méi)有統(tǒng)計(jì)學(xué)差異(P0.05),兩組具有可比性。干預(yù)6周后,實(shí)驗(yàn)組與對(duì)照組在抑郁水平得分差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),實(shí)驗(yàn)組在生存質(zhì)量與母乳喂養(yǎng)自我效能方面得分優(yōu)于對(duì)照組,差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論手機(jī)APP延續(xù)護(hù)理形式可以增加產(chǎn)婦在產(chǎn)褥期自我管理和新生兒照護(hù)方面的知識(shí)、技能,提升自信心,使醫(yī)生、護(hù)士、產(chǎn)婦及其家庭關(guān)系更為密切,改善產(chǎn)婦的自我管理行為,提高其在產(chǎn)褥期的生命質(zhì)量,使醫(yī)院服務(wù)質(zhì)量進(jìn)一步提升。因此可認(rèn)為,應(yīng)用手機(jī)APP延續(xù)護(hù)理形式對(duì)提高產(chǎn)婦產(chǎn)褥期自我管理水平是一種行之有效的方法。
[Abstract]:Objective to explore the design of a network intervention model of puerperium women's self-management with mobile phone application program as the medium and the puerpera as the center, combining the puerperium self-management with continuous nursing care, so that the puerperal women can master the self-training and recuperation.Knowledge and skills such as breast-feeding and neonatal care can better adapt to the change of role and improve the quality of life.Methods 70 cases of primipara in obstetrics department of Qingdao University affiliated Hospital were selected and divided into experimental group (35 cases) and control group (35 cases).The experimental group was given routine discharge nursing instruction and the mobile client APP mode guided by 4C extended nursing theory frame was used to carry out nursing intervention, while the control group was treated with routine nursing intervention.After 6 weeks of intervention (that is, the end of puerperium), the changes of depression, quality of life and self-efficacy of breast-feeding were investigated in the two groups.The indexes were evaluated by Edinburgh postpartum depression scale, puerperium quality of life scale and breast-feeding self-efficacy scale.The data processing and analysis are carried out by SPSSl7.0 statistical software. The statistical methods are mainly descriptive statistics, chi-square test and t-test.Results there was no statistical difference between the two groups in the social-demographic informatics variables and the baseline outcome variables (P 0.05), and the two groups were comparable.After 6 weeks of intervention, there was no significant difference in the scores of depression between the experimental group and the control group (P 0.05). The scores of quality of life and self-efficacy of breast-feeding in the experimental group were better than those in the control group, and the difference was statistically significant (P 0.05).Conclusion the continuous nursing form of mobile phone APP can increase the knowledge, skills and self-confidence of puerperal self-management and newborn care, and make doctors, nurses, parturients and their families more closely related.Improve maternal self-management behavior, improve their quality of life in the puerperium, further improve the quality of hospital services.Therefore, it is an effective method to improve the level of self-management of puerperium by using mobile phone APP to continue nursing.
【學(xué)位授予單位】：青島大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R473.71

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