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)計一種以手機應(yīng)用程序為媒介,以產(chǎn)婦為中心、將產(chǎn)褥期的自我管理與延續(xù)護理相結(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)、新生兒照護等知識與技能,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例為研究對象,分為實驗組和對照組(各35例)。實驗組在給與常規(guī)出院護理指導(dǎo)的同時采用“以4C延續(xù)護理理論框架”為指導(dǎo)的手機移動客戶端APP方式進行護理干預(yù),對照組采用常規(guī)護理干預(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。用愛丁堡產(chǎn)后抑郁量表、自行設(shè)計的產(chǎn)褥期生存質(zhì)量量表、母乳喂養(yǎng)自我效能量表來對指標進行測評。數(shù)據(jù)的處理和分析采用SPSSl7.0統(tǒng)計軟件進行,統(tǒng)計方法主要為描述性統(tǒng)計、卡方檢驗、t檢驗等。結(jié)果經(jīng)檢驗,實驗組和對照組之間在社會人口信息學(xué)變量以及基線時的各結(jié)局變量都沒有統(tǒng)計學(xué)差異(P0.05),兩組具有可比性。干預(yù)6周后,實驗組與對照組在抑郁水平得分差異無統(tǒng)計學(xué)意義(P0.05),實驗組在生存質(zhì)量與母乳喂養(yǎng)自我效能方面得分優(yōu)于對照組,差異具有統(tǒng)計學(xué)意義(P0.05)。結(jié)論手機APP延續(xù)護理形式可以增加產(chǎn)婦在產(chǎn)褥期自我管理和新生兒照護方面的知識、技能,提升自信心,使醫(yī)生、護士、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)量進一步提升。因此可認為,應(yīng)用手機APP延續(xù)護理形式對提高產(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)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R473.71

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