产妇赋权计划对新生儿结肠造口并发症和产妇痛苦耐受的影响

Q3 Medicine

Evidence Based Care Journal Pub Date : 2020-10-01 DOI:10.22038/EBCJ.2020.50642.2360

Tahere Peiravi Dehsorkhi, H. Vashani, M. Ramezani, R. Shojaeian

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引用次数: 2

摘要

背景:新生儿结肠造口术的不同并发症可导致再入院、手术甚至死亡。因此，预防结肠造口并发症凸显了母亲对新生儿护理的赋权，减少了产妇的痛苦。目的:本研究旨在确定产妇赋权计划对新生儿结肠造口并发症和产妇痛苦耐受的影响。方法:本随机临床试验于2019年在伊朗东北部两家儿科专科中心转诊的60名1-90天结肠造口新生儿母亲进行。对照组接受了一个培训课程。干预组除了参加一次培训课程外，还参加了两次关于结肠造口新生儿护理的产妇赋权项目。收集的数据在SPSS软件(版本21)中使用方差分析、Friedman和Mann-Whitney U检验进行分析。结果:考虑人口学变量，两组均为均匀性(P<0.05)。Mann-Whitney U检验结果显示，干预组新生儿在三个评估阶段的皮肤并发症发生率均低于对照组(P<0.001)。重复测量方差分析结果显示，组的影响(P=0.006)、时间的影响(P<0.001)、组与时间的交互作用(P<0.001)对痛苦耐受总分有显著影响。实践启示:考虑到产妇赋权计划对减少新生儿结肠造口术后产妇窘迫和皮肤并发症的积极作用，建议在外科病房和新生儿重症监护病房使用该计划。

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Effect of Maternal Empowerment Program on Neonatal Colostomy Complications and Maternal Distress Tolerance

Background: Different complications of colostomy in neonates can lead to readmission, surgery, and even death. Therefore, prevention of colostomy complications highlights the empowerments of mother to care for the neonate and reduce maternal distress. Aim: The present study aimed to determine the effect of maternal empowerment programs on neonatal colostomy complications and maternal distress tolerance. Method: This randomized clinical trial was conducted on 60 mothers of newborns aged 1-90 days with colostomy referred to two specialized pediatric centers in northeastern Iran in 2019. The control group received a training session. The intervention group, in addition to one training session, participated in two sessions of maternal empowerment program regarding the care of neonates with a colostomy. The collected data were analyzed in SPSS software (version 21) using ANOVA, Friedman, and Mann-Whitney U tests. Results: The two groups were homogeneous considering demographic variables (P<0.05). According to the results of the Mann-Whitney U test, the skin complication in the neonates was less in the intervention group than in the control group at all three stages of assessment (P<0.001). Moreover, the repeated measures ANOVA results demonstrated that the effect of group (P=0.006), effect of time (P<0.001), and interaction of group and time (P<0.001) were significant on the total score of distress tolerance. Implications for Practice: Considering the positive effect of the maternal empowerment program on reducing maternal distress and skin complications of colostomy among neonates, it is recommended to use this program in surgical wards and neonatal intensive care unit.

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来源期刊

Evidence Based Care Journal Medicine-Health Policy

CiteScore

2.00

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： The Evidence Based Care Journal (EBCJ) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of patient care. The primary aim is to promote a high standard of clinically related scholarship which advances and supports patient care in practice. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, EBCJ seeks to enrich insight into clinical needs and the implications for patient care intervention and models of service delivery. Emphasis is placed on clinical practicality of research findings and strength of study design. EBCJ is essential reading for anyone involved in healthcare professions, whether clinicians, researchers, educators, managers, policy makers, or students. Contributions are welcomed from other health professionals on issues that have a direct impact on patient care.