基于互联网+延续性护理服务下脊柱健康管理在社区产后访视中的效果研究

中华养生保健 ›› 2024, Vol. 42 ›› Issue (3): 99-102.

基于互联网+延续性护理服务下脊柱健康管理在社区产后访视中的效果研究

曾瑞芬, 詹天宇, 余贺杲, 李小玲^*, 曹湘竹, 张福英

中山大学附属第八医院（深圳福田）社区健康服务管理中心,广东深圳,518033

出版日期:2024-02-01 发布日期:2024-01-23
通讯作者: ^*李小玲,E-mail：905079409@qq.com。
作者简介:曾瑞芬（1980—）,女,汉族,籍贯：广东省潮州市,本科,副主任护师,研究方向：社区产后访视、骨科康复护理。
基金资助:
深圳市福田区卫生和计划生育局项目（FTWS2021025）

Study on the Effect of Internet + Continuous Nursing Services with Spinal Health Management in Community Health Care for Puerperium Women

ZENG Rui-fen, ZHAN Tian-yu, YU He-gao, LI Xiao-ling^*, CAO Xiang-zhu, ZHANG Fu-ying

Community Health Service Management Center, The Eighth Affiliated Hospital of Sun Yat-sen University, Shenzhen Guangdong 518033, China

Online:2024-02-01 Published:2024-01-23

摘要/Abstract

摘要： 目的探讨基于互联网+延续性护理服务引导下脊柱健康管理在社区产后访视中指导产妇康复的应用效果。方法选取2021年10月—2023年2月由深圳市妇幼保健信息平台分配至中山大学附属第八医院下属23家社区健康服务管理中心的200名足月分娩的健康初产妇作为研究对象,按照随机数表法将所有产妇分为干预组和对照组,每组100例。其中,对照组按常规要求进行入户产后访视,干预组在对照组的基础上结合互联网+延续性护理服务引导下的脊柱健康管理服务方法对产妇进行入户产后访视,分别于产后第30天和第90天对两组产妇进行电话随访,评估两组产妇在脊柱舒适度、纯母乳喂养率及爱丁堡产后抑郁量表评分的情况。结果干预组产妇脊柱舒适度、纯母乳喂养率高于对照组,爱丁堡产后抑郁量表评分低于对照组,差异有统计学意义（P<0.05）。结论在互联网+延续性护理服务引导下脊柱管理应用于社区产后访视,可有效提升产妇的脊柱舒适度及纯母乳喂养率,提高产妇产后的自我护理能力,值得临床应用。

关键词: 互联网+延续性护理服务, 脊柱健康, 产后访视

Abstract: Objective To Explore the application effect of spinal health management guided by Internet continuous nursing services on the recovery of puerperal women during community postpartum visits. Methods 200 healthy primiparous women who delivered at full term and were assigned by the Shenzhen Maternal and Child Health Information Platform to 22 social health centers under our hospital from October 2021 to February 2023 were selected as the study subjects. The study subjects were randomly divided into an intervention group and a control group in a 1∶1 ratio. Among them, the control group conducted postpartum visits according to routine requirements, and the intervention group conducted postpartum visits to the puerpera based on the control group combined with the spinal health management service method under the guidance of Internet+ continuous nursing services. The two groups of puerpera were followed up by telephone on the 30th and 90th day after delivery, respectively, to evaluate the spinal comfort, pure breastfeeding rate and Edinburgh Postpartum Depression Scale scores of the two groups of puerpera. Results After the intervention, the spinal comfort and pure breastfeeding rate of the intervention group were significantly higher than the control group, and the Edinburgh Postpartum Depression Scale score was lower than the control group. The differences between the groups were statistically significant （P<0.05）. Conclusion Under the guidance of Internet + continuous nursing services, the application of spinal management in community postpartum visits can effectively improve the spinal comfort of puerperal women and the rate of pure breastfeeding, and improve the ability of postpartum self-care of puerperal women, which is worth promoting.

Key words: Internet + continuous nursing service, spinal health, postpartum visit

中图分类号:

R473.2

曾瑞芬, 詹天宇, 余贺杲, 李小玲, 曹湘竹, 张福英. 基于互联网+延续性护理服务下脊柱健康管理在社区产后访视中的效果研究[J]. 中华养生保健, 2024, 42(3): 99-102.

ZENG Rui-fen, ZHAN Tian-yu, YU He-gao, LI Xiao-ling, CAO Xiang-zhu, ZHANG Fu-ying. Study on the Effect of Internet + Continuous Nursing Services with Spinal Health Management in Community Health Care for Puerperium Women[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(3): 99-102.

参考文献

[1] 张蓉,钟羽西,陈念妹,等.开展规范化培训对社区产后访视质量的影响[J].中国妇幼保健,2020,35(7):1186-1188.
[2] KARADAS M M, TERZIOGLU F.The impact of the using high-ﬁdelity simulation and standardized patients to management of postpartum hemorrhage in undergraduate nursing students: A randomized controlled study in Turkey[J]. Health Care for Women International, 2019,40(5):597-612.
[3] 郑春华,李红雨,陈晓霞,等.延续性护理对产妇管理的效果评价[J]. 陆军军医大学学报,2022,44(20):2082-2087.
[4] 娄丽芳. 浅谈脊柱运动的解剖基础及健康管理[J].卫生职业教育,2018,36(15):158-159.
[5] 曾瑞芬,余贺杲,杨志娟,等. 脊柱健康管理理念在社区产后访视中的探索[J].国际医药卫生导报,2020,26(13):1889-1892.
[6] 李娟. 产后康复护理干预措施在产褥期保健中的应用[J]. 养生保健指南,2021(26):207.
[7] 董家男,李秀荣,王娟,等.短视频在父亲支持母乳喂养健康教育中的应用[J]. 护理学杂志,2023,38(2):69-72.
[8] 张福英,杨志娟,赵丽丽,等.“互联网+”4C延续性护理管理模式应用于社区产褥期妇女保健的效果研究[J].智慧健康,2022,8(29):191-194.
[9] GABEL C P, MELLOH M, BURKETT B, Michener L A.The Spine Functional Index: development and clinimetric validation of a new whole-spine functional outcome measure[J]. Spine J,2019,19(2):19-27.
[10] 毋小茜. 爱丁堡产后抑郁量表在产后抑郁症筛查中的应用[J].国际精神病学杂志,2020,47(2):343-346,354.
[11] 王艳群. 健康教育在初产妇产后康复护理中的应用及对产妇不良情绪的影响[J].系统医学,2021,6(6):165-167.
[12] 张志聪. 黄帝内经灵枢集注[M].北京:中医古籍出版社,2012:361.
[13] 何梦瑶. 医碥[M].北京:中国中医药出版社,2009:281.
[14] 秦越人. 难经[M].北京:科学技术文献出版社,1996:17.
[15] 胥林波. 督脉与脊髓的关系探析[J].现代中西医结合杂志,2011,20(30):3844-3845.
[16] 刘建航,韦贵康,徐志为,等.韦贵康教授“六不通论”和“六通论”诊治颈源性血压异常的临证经验[J].中国全科医学,2016,19(16):1972-1975.
[17] 涂佩瑶,黄国付,李坤.从脾经、肾经论治脊柱疾病的思路探析[J].西部中医药,2023,36(2):40-43.
[18] LII Y Y.The effect of health propaganda and education combined with psychological care on the unhealthy mood and postpartum rehahilitation of primiparas[J].Friends of Health,2019(10):260-261.
[19] SUN F.The efbct of postpartum health education on self-care ability and postpartum rehabilitation of primiparas[J].Clinical Medical Engineerin,20l8,25(10):1397-1398.