Application and effect of the integrated service mode of medical care in maternity department / 中国实用护理杂志

ABSTRACT

Objective To construct integrated service mode of medical care in maternity department and discuss its effect. Methods 160 participants who had been registered and taken periodic inspection in our hospital were divided into two groups observation group with 80 cases from June to December, 2014 while control group with 80 cases from January to May, 2015. Two groups were offered routine prenatal examination and pregnancy guidance, but observation group was also offered additional integrated service mode (including early pregnant assessment, second-trimester educations, one-to-one late pregnant directives, exchanges during the duration of hospital stay and sustained professional postpartum care). Two groups in mental state, delivery outcome, and pregnancy weight control and satisfaction rate were compared. Results Anxiety and depression score in observation group were (41.89 ± 7.50) points and (42.40 ± 7.40) points, and that in control group were (57.55 ± 9.68) points and (55.00±9.35) points, differences had statistical significance (t=-11.44,-9.42,P<0.05);vaginal delivery cases (48/80) in observation group were higher than control group (33/80) , differences had statistical significance (χ 2=5.63,P < 0.05). Body weight of antepartum and gestation were (67.80 ± 8.18) kg and (12.96 ± 3.44) kg in observation group, and those in control group were (70.98 ± 8.82) kg and (14.28 ± 3.68) kg,differences had statistical significance (t=-2.36,-2.35, P<0.05). Satisfaction rate of observation group was 90.00%(72/80), which was higher than 78.75%(63/80) of control group (U=592.00, P<0.01). Conclusions Integrated service mode of medical care can improve pregnant women′s negative mental state, control pregnancy weight, promote natural labour and enhance satisfaction rate effectively.