目的 评价五维音乐呼吸法对初产妇分娩控制感和分娩恐惧的效果.方法 选取2020年6-9月北京协和医院自然分娩的初产妇100例,偶数日期临产的产妇为对照组,奇数日期临产的产妇为试验组,每组50例.试验组临产后予以五维音乐呼吸法指导,在音乐的陪伴下进行自我催眠暗示;对照组采用常规分娩指导.比较两组产妇的分娩控制感和恐惧感的评分,以及第1产程的疼痛评分.结果 两组第1产程宫口开2～3 cm时的视觉模拟评分(visual analogue scale,VAS)比较,差异无统计学意义(P＞0.05);试验组第1产程宫口开9～10cm时的VAS为(5.5±1.6)分,明显低于对照组的(6.9±1.4)分,差异有统计学意义(P＜0.05).试验组分娩时内在控制得分、外在控制得分及控制感总分均显著高于对照组[(36.06±3.74)分比(28.3±5.43)分、(42.48±2.99)分比(29.22±4.16)分、(78.54±4.49)分比(57.52±6.03)分],分娩恐惧中的对分娩时失去控制的恐惧得分、对疼痛伤害的恐惧得分及分娩恐惧总分均显著低于对照组[(8.98±2.21)分比(11.10±2.98)分、(6.96±2.77)分比(9.12±4.12)分、(32.62±6.05)分比(37.50±7.96)分],差异有统计学意义(P＜0.05).结论 五维音乐呼吸法能有效提升初产妇在分娩过程中自我控制感的积极心理,减轻分娩恐惧感的消极心理,值得临床推广应用.

目的 构建产科护士核心能力评价指标,为产科护士核心能力评价提供有效的测评工具.方法 通过文献分析、参考相关量表基础上,应用Delphi法等构建产科专科护士核心能力评价指标体系,并以构建的指标体系为依据,编制自评问卷;采用该问卷对北京市5所三级甲等医院238名产科护士进行自评调查,以检验该指标体系的信效度.结果 最终确立了包含一级指标5个(专业实践能力、专业发展能力、沟通协调能力、批判性思维能力、管理能力)、二级指标13个、三级指标68个的产科护士核心能力评价指标体系.指标体系的总体Cronbach'sα系数为0.896,内容效指数S-CVI为0.950,一级指标与总体相关系数为0.744～0.958(P<0.05).结论 产科核心能力评价指标体系可靠、信度较高,具有一定的区分度,可以作为后续产科护士培训和考核准入的有效测量工具.

Objective:To assess the reliability and validity of the Chinese version of Infertility-Related Stress Scale(IRSS)in patients treated with assisted reproductive technology for the first time.Methods:Translate Eng-lish version of IRSS into Chinese.A total of 200 patients has enrolled IRSS's content validity,calibration validi-ty,construct validity,and content consistency assessment scale.The applicability of the scale was tested.Re-sults:The content validity(CVI)of the Chinese version IRSS was 0.8-1.0,with an average of 0.94.The corre-lation coefficients of calibration were 0.29-0.55(P <0.05).Confirmatory factor analysis showed that the mod-el fitting was good.The common factors extracted by exploratory factor analysis can explain 59.78% of the to-tal variance.The internal consistency coefficient of the scale was 0.90,and the personal dimension and the social dimension coefficient of the scale were 0.89 and 0.87 respectively.The retest reliability after one week was 0.87, and the personal dimension and the social dimension coefficient of the scale were 0.84 and 0.86 respectively. The pressure of infertility on women was higher than that of men,especially on individual dimensions.Conclu-sion:Chinese version IRSS has a good measurement performance,which can be used for clinical evaluation of in-fertility patients'pressure.

目的 描述北京市住院产妇捐赠母乳的知识和态度现状.方法 采用便利抽样的方法,抽取北京市某三级甲等医院住院产妇共200例,使用《住院产妇捐赠母乳的知识和态度问卷》,对住院产妇的捐赠母乳知识和态度进行调查.结果 知识答对率总体不高,条目"捐赠的母乳是有有效期的"答对率最高为86.87％.答对率最低的条目为"用捐赠的母乳喂养早产儿,可降低早产儿心脏病的发病率".捐赠母乳的态度得分为(18.11±2.73)分,处于较低水平.结论 对孕产妇进行捐赠母乳的健康宣教应该受到重视.

OBJECTIVE To investigate the hand hygiene situation of accompany nursing staff in mother-infant ward.METHODS A total of 100 staff were sampled conveniently from Beijing Union Medical College Hospital.Samples were collected according to the standard of the Ministry of Health.RESULTS Before hands were washed,the number of colonies was 11.34±26.50;after hands were washed,the number of colonies was 10.52±26.75,which was larger than the number of colonies before washing hands;the difference was not significant(P0.05).Before hands were washed,the hand hygiene qualified rate was 64.0%;after hands were washed,the qualified rate was 65.0%.CONCLUSION The situation of accompany nursing staff in mother-infant ward is not optimistic.