护士分层管理模式下母婴床旁护理的实践

目的 探讨产科病区在护士分层管理模式下开展母婴床旁护理的方法,评价实施效果.方法 将产科病区护士分3层,即责任组长—高级责任护士—初级责任护士,实施责任组长负责的小组包干制整体护理.责任护士针对孕产妇不同住院阶段在床旁实行一对一、有重点的健康教育,对产妇及家属进行新生儿护理技能一对一的讲解和操作演示.结果 实施前后纯母乳喂养率、母乳喂养方法正确率(除抱奶体位外)及孕产妇对护理工作满意度比较,差异有统计学意义(P＜0.05,P＜0.01).结论 在护士分层管理模式的基础上实施母婴床旁护理能提高纯母乳喂养率,提高孕产妇对护理工作的满意度.

Practice of maternal and child care bedside based on graded management of nurses

Objective To explore the practice of maternal and child care bedside on the basis of graded management of nurses,and to evaluate the effects of the management model.Methods All nurses working in obstetric wards were stratified into such 3 levels as group leaders,senior charge nurses and junior charge nurses;group-based holistic nursing care led by a group leader was provided to patients.Maternal and child care was carried out bedside:charge nurses provided health education to mothers on one to one basis,and they demonstrated skills of nursing a neonate for mothers and their family members. Results The rate of pure breastfeeding,the rate of appropriate breastfeeding(except for positioning),and mother′s satisfaction with nursing service had significant differences before and after the implementation of the practice(P<0.05,P<0.01).Conclusion The practice of maternal and child care bedside on the basis of graded management of nurses can increase patient satisfaction and the rate of breastfeeding.