| Objective:To improve the state of first-time mothers fear of high and low self-efficacy,try this study through the investigation of first-time mothers before birth childbirth fear degree and the self-efficacy level of delivery status,the analysis of conventional pattern of obstetric care and nursing mode FCMC respectively for first-time mothers after 24 h childbirth fear and childbirth self-efficacy level of change,the first,second and third labor,total labor time,total length of hospital stay,2h postpartum haemorrhage amount,cesarean section rate,breastfeeding rate,rate of neonatal asphyxia and the effect of clinical nursing satisfaction,to explore a kind of economic science,safe and effective,humane mode of obstetric care,in order to establish the standardized clinical FCMC system,optimization of obstetric services to provide reasonable scientific basis.Methods:Select January 2017 and June 2017 in lanzhou city maternity and child health care hospital to give a third rate,meets the criteria for the 304 cases of primipara for research object,in the maternal and their families after signing of the informed consent,were randomly divided into intervention group 150 cases and 154 cases of control group.Using the general data registration form ",the childbirth fear scale,CAQ,the childbirth self-efficacy scale,CBSEI-32 in into groups,postpartum 24 h respectively to the questionnaire survey of 304 cases of primipara,fear of its general situation,delivery,delivery self-efficacy level assessment,after giving birth to track the delivery outcome indicators and postpartum 42 days of follow-up.Control group:normal obstetric care model.Intervention group: on the basis of the conventional pattern of obstetric care FCMC nursing mode,which provide a familial ward environment,check-in LDR integration standard room and set up FCMC intervention group,FCMC intervention plan,provide family-centered prenatal education,family-oriented intrapartum delivery support,family-oriented postpartum nursing,family-oriented discharge guidance and postpartum visit.Participate in the subject ofnursing staff to receive training.FCMC evaluation the effect of nursing model aspects of maternal and their families.Of all the data are two machine respectively by two entry Epidata 3.1 data management software,data statistical analysis by SPSS 20.0software.Results:1.The survey included 286 cases of primipara,first of all,the CAQ,the average score was(32.19±10.90)points in a mild level of childbirth fear,without fear of delivery of primipara 54 cases(18.89%),mild childbirth fear of 206 cases(72.03%),moderate childbirth fear 26 cases(9.09%);CAQ fetal health dimension(11.15±3.55)points,labor pain hurt dimension(9.93±3.17)points,self control dimensions(8.68±2.61 mm),medical care dimension(5.06±1.53).Secondly,CBSEI-32,(216.48±66.58)marks self-efficacy expectations EE-16 averages in(106.70±25.89),the result expected OE-16 averages in(113.72 ±36.91),results showed that mothers' expectations(OE-16)than self-efficacy expectations(EE-16).2.Intervention before the CAQ and each dimension scored an average of similar between the two groups has no statistical significance(P>0.05).After FCMC intervention nursing mode,first-time mothers CAQ and each dimension score more similar between the two groups have statistical significance(P(27)0.05),and the intervention group CAQ and each dimension score lower than the control group respectively.3.Intervention in the first two group CBSEI-32,OE-16,EE-16 score difference has no statistical significance(P > 0.05).After FCMC intervention nursing mode,two groups of mothers CBSEI-32,OE-16,EE-16 score comparison difference was statistically significant(P(27)0.05),and the intervention group CBSEI-32,OE-16,EE-16 points higher than the control group respectively.4.Intervention group the first time,the second labor time,labor primipara total labor time,the total length of hospital stay,less than the control group(P < 0.05);The intervention group cesarean delivery rate is lower than the control group(P< 0.05);Intervention group breastfeeding rate is higher than the control group(P<0.05);Intervention group and control group in the third labor time,2 h postpartum bloodloss,there was no statistically significant difference rate of neonatal asphyxia(P >0.05).5.Before discharge,the intervention group of mothers and their families on LDR integration standard room nursing satisfaction is significantly higher than control group(P < 0.05).Conclusions:1.First-time mothers in hospital on the same day in different degrees of childbirth fear state,self-efficacy is lower than expected result expected.2.FCMC nursing mode can reduce the delivery of primipara fear level,improve the level of its delivery self-efficacy,help first-time mothers through during delivery.3.FCMC nursing mode can reduce cesarean section rate,shorten the first labor,the second labor and total labor time,total length of hospital stay,increase the rate of breastfeeding.4.FCMC significantly improve the implementation of the nursing mode first-time mothers and their families to LDR integration standard room nursing job satisfaction. |
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