目的：了解初产妇产褥期自我护理能力、生活质量及育儿胜任感现状， 并分析自我护理能力的影响因素，探讨初产妇产褥期自我护理能力与 育儿胜任感及生活质量之间的相关性。方法：采用随机抽样的方法，应用一般资料问卷（包括健康问题调 查）、产褥期妇女自我护理能力自评量表、世界卫生组织生活质量测 定量表简表（WHOQOL-BREF）和中文版育儿胜任感量表（C-PSOC）， 于 2019 年 11 月至 2021 年 2 月对我院 254 名 产褥期初产妇进行调查，以了解初产妇产褥期自我护理能力、生活质 量和育儿胜任感现状。结果：干预前，两组初产妇的一般人口学资料、自我护理能力得分、生活质量得分及育儿胜任感得分比较，差异均无统计学意义（P＞0.05），具有可比性。干预后，在产后 3 周和产后 6 周干预组初产妇产褥期自我护理能力、生活质量及育儿胜任感得分均高于对照组，差异有统计学意义（P＜0.05）；重复测量方差分析结果显示，两组研究对象自我护理 能力、生活质量及育儿胜任感得分在不同时间、不同分组差异有统计 学意义（P＜0.05），且时间与分组存在交互作用（P＜0.05）。结论：基于格林模式的护理干预能提高初产妇产褥期的自我护理能力，减少产褥期母婴健康问题的发生，改善其生活质量，增强育儿胜任感，促进母婴健康。

Objective: to understand the current situation of self-care ability, quality of life and childcare competence of primipara in puerperium, analyze the influencing factors of self-care ability, and explore the correlation between self-care ability in puerperium and childcare competence and quality of life. Methods: using the method of random sampling, 254 primiparas in our hospital were investigated from November 2019 to February 2021 by using the general information questionnaire (including the survey of health problems), the self-care ability of puerperal women self-assessment scale, the World Health Organization short form of quality of life (WHOQOL-BREF) and the Chinese version of parenting Competency Scale (c-psoc) Quality of life and parenting competence. Results: before intervention, there was no significant difference in general demographic data, self-care ability score, quality of life score and parenting competency score between the two groups (P > 0.05). After the intervention, the scores of self-care ability, quality of life and parenting competence of primipara in the intervention group were significantly higher than those in the control group at 3 and 6 weeks postpartum (P < 0.05); The results of repeated measurement analysis of variance showed that the scores of self-care ability, quality of life and parenting competence of the two groups were statistically significant at different times and groups (P < 0.05), and there was an interaction between time and groups (P < 0.05). Conclusion: nursing intervention based on green model can improve the self-care ability of primipara in puerperium, reduce the occurrence of maternal and infant health problems in puerperium, improve their quality of life, enhance their childcare competence and promote maternal and infant health.