[1]曾祥英.早期协同式护理干预对初产妇剖宫产术后母乳喂养情况及负面情绪的影响[J].医学信息,2022,35(21):183-185,189.[doi:10.3969/j.issn.1006-1959.2022.21.050]
　ZENG Xiang-ying.Effect of Early Collaborative Nursing Intervention on Breast Feeding and Negative Emotion of Primipara after Cesarean Section[J].Journal of Medical Information,2022,35(21):183-185,189.[doi:10.3969/j.issn.1006-1959.2022.21.050]
点击复制

早期协同式护理干预对初产妇剖宫产术后母乳喂养情况及负面情绪的影响()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年21期
页码:
183-185,189
栏目:
护理研究
出版日期:
2022-11-01

文章信息/Info

Title:
Effect of Early Collaborative Nursing Intervention on Breast Feeding and Negative Emotion of Primipara after Cesarean Section
文章编号:
1006-1959（2022）21-0183-04
作者:
曾祥英
（石城县人民医院外三科，江西 石城 342700）
Author(s):
ZENG Xiang-ying
(The Third Department of Surgery,Shicheng County People’s Hospital,Shicheng 342700,Jiangxi,China)
关键词:
早期协同式护理; 初产妇; 剖宫产; 母乳喂养; 负面情绪
Keywords:
Early cooperative nursing; Primipara; Cesarean section; Breast feeding; Negative emotion
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2022.21.050
文献标志码:
A
摘要:
目的 研究早期协同式护理干预对初产妇剖宫产术后母乳喂养情况及负面情绪的影响。方法 选取2019年5月-2021年5月我院行剖宫产术的70例初产妇为研究对象，采用随机数字表法分为对照组和观察组，各35例。对照组采用常规护理，观察组在常规护理基础上采用早期协同式护理干预，比较两组母乳喂养率、开始泌乳时间、产后3 d泌乳量、每天哺乳次数、母乳喂养效能感评分、焦虑评分、抑郁评分以及护理满意度。结果 观察组母乳喂养率高于对照组（P＜0.05）；观察组开始泌乳时间短于对照组，产后3 d泌乳量、每天哺乳次数均大于对照组（P＜0.05）；观察组母乳喂养效能感评分各维度评分均高于对照组（P＜0.05）；观察组焦虑评分、抑郁评分均低于对照组（P＜0.05）；观察组护理满意度高于对照组（P＜0.05）。结论 早期协同式护理干预可提高初产妇剖宫产术后母乳喂养成功率，缩短开始泌乳时间，提高泌乳量，增加每天哺乳次数，提升母乳喂养效能感评分，降低抑郁和焦虑评分，促进良好护患关系，提高护理满意度，是一种有效、可行的护理模式。
Abstract:
Objective To study the effect of early collaborative nursing intervention on breastfeeding and negative emotions of primipara after cesarean section.Methods A total of 70 primiparas who underwent cesarean section in our hospital from May 2019 to May 2021 were selected as the research objects. They were divided into control group and observation group by random number table method, with 35 cases in each group.The control group was treated with routine nursing, and the observation group was treated with early collaborative nursing intervention on the basis of routine nursing. The breastfeeding rate, the starting lactation time, the lactation volume 3 days after delivery, the number of lactations per day, the breastfeeding efficacy score, anxiety score, depression score and nursing satisfaction were compared between the two groups.Results The breastfeeding rate of the observation group was higher than that of the control group (P<0.05). The starting time of lactation in the observation group was shorter than that in the control group, and the lactation volume 3 days after delivery and the number of lactations per day were higher than those in the control group (P<0.05).The scores of each dimension of breastfeeding efficacy in the observation group were higher than those in the control group (P<0.05). The anxiety score and depression score of the observation group were lower than those of the control group (P<0.05). The nursing satisfaction of the observation group was higher than that of the control group (P<0.05).Conclusion Early collaborative nursing intervention can promote the success rate of breastfeeding after cesarean section in primipara, shorten the time of starting lactation, increase the amount of lactation, increase the number of daily breastfeeding, improve the breastfeeding efficacy score, reduce the depression and anxiety score, promote good nurse-patient relationship, and improve nursing satisfaction. It is an effective and feasible nursing model.

参考文献/References:

[1]齐福莲.优质护理干预在初产妇剖宫产术后母乳喂养中的应用价值[J].中国药物与临床,2019,19(4):690-692.[2]罗宏,范萍,李蓉,等.母乳喂养认知行为干预对剖宫初产妇母乳喂养自信心的影响[J].实用医院临床杂志,2019,16(6):208-210.[3]王丽英.护理在初产妇剖宫产术后母乳喂养中的应用[J].包头医学,2017,41(4):49-51.[4]罗闻俊.初产妇剖宫产术后母乳喂养中优质护理的应用[J].中国药物与临床,2018,18(3):492-493.[5]廖若汐,曹莉,胥光碧,等.一对一协同家庭支持护理对初产妇产褥期知识及行为的影响[J].中国煤炭工业医学杂志,2016,19(4):619-622.[6]丁裕,黄丽玫,周玮.双路径协同健康教育模式应用于初产妇产褥早期护理的效果[J].沈阳医学院学报,2021,23(4):379-382.[7]郑媛媛,邹丽颖,范玲.新产程标准实施后产程中剖宫产指征的变化及母儿预后分析[J].中华妇产科杂志,2016,51(4):245-249.[8]柳爱兰.中西医结合护理对剖宫产产妇术后乳汁分泌的影响[J].护理实践与研究,2016,13(5):73-75.[9]肖媛媛.心理护理临床路径对妊娠高血压综合征患者心理状态、并发症及母乳喂养情况的影响分析[J].检验医学与临床,2020,17(7):926-929.[10]关渐明,汤艳霞,梁柳华,等.延续性护理对母婴分离母乳喂养的影响[J].齐齐哈尔医学院学报,2016,37(22):2847-2848.[11]张艳梅.早期吮吸及乳房按摩对初产妇的影响[J].齐鲁护理杂志,2017,23(10):78-80.[12]Saxton A,Fahy K,Rolfe M,et al.Does skin-to-skin contact and breast feeding at birth affect the rate of primary postpartum haemorrhage: Results of a cohort study[J].Midwifery,2015,31(11):1110-1117.[13]王茜.优质护理在农村初产妇母乳喂养中的应用探讨[J].山东医学高等专科学校学报,2017,39(5):340-343.[14]刘晓莉.母乳喂养同伴指导对初产妇产前母乳喂养自我效能及产后母乳喂养情况的影响研究[J].河北医药,2016,38(1):70-72.[15]梁宇鸣,鲁梅丽,潘迎春,等.分时段护理干预对纯母乳喂养依从性的影响[J].中华全科医学,2016,14(7):1231-1233.[16]宋艳芳.奥马哈延伸模式护理对高龄初产妇剖宫产术后母乳喂养率的影响[J].内蒙古医学杂志,2021,53(10):1266-1267.[17]赵梅平,武右锋,霍秋惠,等.护理干预对初产妇剖宫产后不良情绪及母乳喂养依从性的影响[J].昆明医科大学学报,2016,37(8):143-146.[18]张胜男.PDCA循环模式的品管圈活动对初产妇产后母乳喂养依从性及自我效能的影响[J].河南医学研究,2017,26(20):3828-3829.[19]项君艳.PDCA健康教育对提高初产妇母乳喂养率效果分析[J].医学理论与实践,2018,31(4):611-613.[20]邱文慧.初产妇剖宫产术后母乳喂养的系统护理[J].河南外科学杂志,2019,25(3):190-191.

相似文献/References:

[1]周美兰.陪伴分娩对初产妇分娩疼痛及分娩结局的影响分析[J].医学信息,2018,31(05):169.[doi:10.3969/j.issn.1006-1959.2018.05.062]
　ZHOU Mei-lan.Effect of Accompanying Delivery on Labor Pain and Delivery Outcome in Primipara[J].Journal of Medical Information,2018,31(21):169.[doi:10.3969/j.issn.1006-1959.2018.05.062]
[2]梁 军.硬膜外麻醉对初产妇分娩疼痛程度、产程进展及分娩结局的影响[J].医学信息,2022,35(14):83.[doi:10.3969/j.issn.1006-1959.2022.14.018]
　LIANG Jun.Effect of Epidural Anesthesia on Labor Pain, Labor Progress and Delivery Outcome in Primipara[J].Journal of Medical Information,2022,35(21):83.[doi:10.3969/j.issn.1006-1959.2022.14.018]
[3]周 泉.分阶段泌乳护理对初产妇产后母乳喂养行为及乳房胀痛程度的影响[J].医学信息,2023,36(19):175.[doi:10.3969/j.issn.1006-1959.2023.19.040]
　ZHOU Quan.Effect of Staged Lactation Nursing on Postpartum Breastfeeding Behavior and Breast Distending Pain Degree of Primipara[J].Journal of Medical Information,2023,36(21):175.[doi:10.3969/j.issn.1006-1959.2023.19.040]
[4]程 芳,辛 婷,王满兰,等.宫颈球囊扩张术联合缩宫素在初产妇引产中的效果观察[J].医学信息,2022,35(20):71.[doi:10.3969/j.issn.1006-1959.2022.20.017]
　CHENG Fang,XIN Ting,WANG Man-lan,et al.Effect Observation of Cervical Balloon Dilatation Combined with Oxytocin in Induced Labor of Primipara[J].Journal of Medical Information,2022,35(21):71.[doi:10.3969/j.issn.1006-1959.2022.20.017]
[5]靳紫薇,谢 玲.间苯三酚联合缩宫素对自然分娩初产妇促宫颈成熟的效果[J].医学信息,2023,36(02):130.[doi:10.3969/j.issn.1006-1959.2023.02.027]
　JIN Zi-wei,XIE Ling.Effect of Phloroglucinol Combined with Oxytocin on Cervical Ripening in Primiparas with Natural Childbirth[J].Journal of Medical Information,2023,36(21):130.[doi:10.3969/j.issn.1006-1959.2023.02.027]
[6]郝国娟.会阴无保护联合无痛分娩在促进初产妇自然分娩中的优势分析[J].医学信息,2021,34(16):143.[doi:10.3969/j.issn.1006-1959.2021.16.040]
　HAO Guo-juan.Analysis of Advantages of Perineum Unprotected Combined Painless Delivery in Promoting Natural Delivery of Primipara[J].Journal of Medical Information,2021,34(21):143.[doi:10.3969/j.issn.1006-1959.2021.16.040]
[7]胥琳玲,彭锦荣,罗 丽,等.袋鼠式护理对初产妇剖宫产术后子宫复旧和母乳喂养率的影响[J].医学信息,2023,36(06):164.[doi:10.3969/j.issn.1006-1959.2023.06.037]
　XU Lin-ling,PENG Jin-rong,LUO Li,et al.Effect of Kangaroo Nursing on Uterine Involution and Breastfeeding Rate of Primipara After Cesarean Section[J].Journal of Medical Information,2023,36(21):164.[doi:10.3969/j.issn.1006-1959.2023.06.037]
[8]张志巧.宫颈扩张球囊与米索前列醇在足月妊娠初产妇促宫颈成熟引产中的临床疗效及安全性[J].医学信息,2021,34(24):99.[doi:10.3969/j.issn.1006-1959.2021.24.023]
　ZHANG Zhi-qiao.Clinical Efficacy and Safety of Cervical Dilation Balloon and Misoprostol in Promoting Cervical Ripening and Induction of Labor in Primiparae with Full-term Pregnancy[J].Journal of Medical Information,2021,34(21):99.[doi:10.3969/j.issn.1006-1959.2021.24.023]
[9]冯 静,尹心红,肖志勇,等.初产妇产后疲乏与社会支持的纵向研究[J].医学信息,2022,35(01):144.[doi:10.3969/j.issn.1006-1959.2022.01.035]
　FENG Jing,YIN Xin-hong,XIAO Zhi-yong,et al.Longitudinal Study on Postpartum Fatigue and Social Support in Primipara[J].Journal of Medical Information,2022,35(21):144.[doi:10.3969/j.issn.1006-1959.2022.01.035]
[10]陈晶晶,朱钦芳.温馨助产服务模式联合产时体位管理对初产妇分娩产程及分娩质量的影响[J].医学信息,2022,35(04):140.[doi:10.3969/j.issn.1006-1959.2022.04.036]
　CHEN Jing-jing,ZHU Qin-fang.Effect of Warm Midwifery Service Mode Combined with Body Position Managementon Delivery Process and Delivery Quality of Primipara[J].Journal of Medical Information,2022,35(21):140.[doi:10.3969/j.issn.1006-1959.2022.04.036]

更新日期/Last Update: 1900-01-01