“互联网+”医疗护理模式在产科三位一体家庭式病房产妇中的应用效果

目的 构建适合产科三位一体家庭式病房产妇的“互联网+”医疗护理模式，以进一步提高母婴VIP健康管理服务水平。方法 选择2018年12月—2020年6月在丽水市妇幼保健院产科三位一体家庭式病房分娩的足月初产妇240例，按照“互联网+”医疗护理模式建立前后分为对照组与观察组，每组120例。对照组采取常规产科VIP护理模式，观察组在对照组基础上采取以“互联网+”为基础的产科护理新模式。比较2组护理效果。结果 产后24 h,观察组分娩恐惧程度得分[(28.63±7.64)分]明显低于对照组[(32.81±8.16)分],自我效能得分[(259.04±60.15)分]明显高于对照组[(232.10±63.73)分],差异有统计学意义(t=4.099、-3.368,均P<0.05);观察组产后2 h出血量[(190.13±34.98)mL]明显小于对照组[(218.07±41.19)mL],差异有统计学意义(t=5.667,P<0.05);观察组产后42 d母乳喂养率为90.00%(108/120),明显高于对照组的78.33%(94/120),差异有统计学意义(χ²

Application effect of "Internet +" medical care model in the family ward of obstetrics trinity

  Objective  To construct an "Internet +" medical care model suitable for obstetric trinity family wards and improve the level of maternal and child VIP health management services.  Methods  A total of 240 full-term primiparous women who gave birth in the Trinity Family Ward of the Obstetrics Department of Lishui Maternal and Child Health Hospital from December 2018 to June 2020 were selected and divided equally into the control and observation groups. The control group adopted the routine obstetric VIP nursing model, and the observation group adopted the new model of obstetric nursing based on "Internet +". The nursing effect of the two groups was compared.  Results  At 24 h after delivery, the score of the intervention group [(28.63±7.64) points] was significantly lower than that of the control group [(32.81±8.16) points]. The self-efficacy score of the intervention group [(259.04±60.15) points] was significantly higher than that of the control group [(232.10±63.73) points, t=4.099, -3.368, all P < 0.05]. The bleeding volume [(190.13±34.98) mL] in the observation group at 2 h post-partum was significantly less than that in the control group [(218.07±41.19) mL, t=5.667, P < 0.05]. The 90.00% (108/120) breastfeeding rate at 42 days post-partum in the observation group was significantly higher than the 78.33% (94/120) in the control group (χ2=6.128, P < 0.05). The satisfaction score of the observation group for out-of-hospital care [(24.57±3.44) points] was significantly higher than that of the control group [(18.59±4.61) points, t=-11.387, P < 0.05].  Conclusion  The "Internet +" medical care model has a good application effect in the obstetric trinity family ward, which can significantly reduce the fear of childbirth, improve self-efficacy, reduce post-partum bleeding and increase breastfeeding rate and nursing satisfaction.