Clinical Nursing·Obstetrical and Gynecological Nursing
Prevention effect of collaborative care model-based continuous nursing on the postpartum posttraumatic stress disorder
Su Xinqun, Gao Linlin, Lu Shuying, Han Yuyu, Tian Dan
Published 2019-12-01
Cite as Chin J Prac Nurs, 2019,35(34): 2671-2675. DOI: 10.3760/cma.j.issn.1672-7088.2019.34.007
Abstract
ObjectiveTo explore the effectiveness of collaborative care model-based continuous nursing on the postpartum posttraumatic stress disorder(PPTSD), to provide reference for postpartum clinical nursing.
MethodsA total of 100 cases of postpartum puerpera in Beijing Luhe Hospital of Capital Medical University were assigned to the intervention group and the control group according to the random number table method with 50 cases each. In the control group, patients received continuous nursing, however, collaboration care model-based continuous nursing care was carried out in the intervention group. The PPTSD status and psychological resilience between the two groups was assessed by Posttraumatic stress Checklist-Civilian version (PCL-C) and Connor-Davidson Resilience Scale (CD-RISC), respevtively.
ResultsBefore intervention, symptoms scores and total scores of PCL-C and CD-RISC between the two group was no statistical difference (P>0.05). After intervention, the scores of increased arousal symptoms (7.22±1.09), avoidance/numbing (9.77±2.41), re-experiencing symptoms (5.66±1.17) and PCL-C total scores (22.64±3.02) were significantly decreased in the intervention group compared to the control group (8.32 ± 1.05), (11.46 ± 2.87), (6.36 ± 1.25), (26.14 ± 3.27), and there were significant differences between the two groups (t=2.899-5.559, all P<0.01). However, the scores of tenacity (24.90 ± 4.83), strength (14.91 ± 2.25), optimism (7.18 ± 1.61) symptoms and CD-RISC total scores (46.99 ± 6.30) were remakedly increased in the intervention group compared to the control group (23.22 ± 2.69), (13.61 ± 1.75), (6.14 ± 0.91), (42.97 ± 3.30), there were significant differences between the two groups (t=2.154-4.011, P<0.05 or 0.01).
ConclusionsCollaboration care model-based continuous nursing care can promote the psychological resilience and alliviate PPTSD.
Key words:
Collaborative care model; Postpartum posttraumatic stress disorder; Psychological resilience; Puerpera
Contributor Information
Su Xinqun
Department of Obstetrics, Beijing Luhe Hospital of Capital Medical University, Beijing 101101, China
Gao Linlin
Department of Obstetrics and Gynecology, Beijing Health Vocational College, Beijing 101100, China
Lu Shuying
Department of Obstetrics, Beijing Luhe Hospital of Capital Medical University, Beijing 101101, China
Han Yuyu
Department of Obstetrics, Beijing Luhe Hospital of Capital Medical University, Beijing 101101, China
Tian Dan
Department of Obstetrics, Beijing Luhe Hospital of Capital Medical University, Beijing 101101, China