Effects of the Humanized Nursing Model in Obstetric Nursing Based on the Use and Gratification Theory

Abstract

Objective: To explore the application effect of the humanized nursing model in obstetric nursing based on the use and gratification theory. Methods: A total of 148 parturients who were hospitalized in the Obstetrics Department of our hospital from January 2018 to January 2020 were selected as the study subjects. The parturients were then divided into 2 groups, the study group and the control group, based on the order of maternal admission in a ratio of 1:1. Routine obstetric nursing was implemented for patients in the control group. For patients in the study group, an analysis of their needs for humanized care based on the use and gratification theory was performed and a humanized nursing model was constructed. The Edinburgh postnatal depression scale (EPDS), general self-efficacy scale (GSES-C32), and Berlin social support scale (SSS) were used to assess the depression, self-efficacy and social support of patients in the two groups before and after nursing. The pregnancy outcomes and nursing satisfaction of patients in the two groups were also compared. Results: There was no significant difference in the EPDS scores between patients from the two groups before nursing (P>0.05). There was a significant reduction in the EPDS scores of patients from both groups after nursing, with greater reductions seen in patients from the study group than their counterparts in the control group (P<0.05). There was no significant difference in the total efficiency expectation (EE-16), outcome expectation (OE-16) and GSES-C32 scores between patients from the two groups before nursing (P>0.05). After treatment, there was a significant increase in these parameters in patients from both groups, with the increase being more pronounced in the study group than the control group (P<0.05). There was no significant difference in the utilization of subjective support, objective support, social support and total scores between the two groups before nursing (P>0.05). After nursing, there was a significant increase in the utilization of subjective support, objective support, social support and total scores in patients from both groups. The increase was more pronounced in the study group than in the control group (P<0.05). The rates of cesarean deliveries, neonatal asphyxia and postpartum hemorrhage of patients in the study group were lower than those of patients in the control group (P<0.05). The rate of nursing satisfaction in the study group was 97.30%, significantly higher than that of 86.49% seen in the control group (P<0.05). Conclusion: The humanized nursing model in obstetric nursing based on the use and gratification theory is a reliable strategy in obstetric nursing. It can reduce postpartum anxiety and depression, enhance self-efficacy and social support, improve pregnancy outcomes and increase nursing satisfaction.