[1]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):164-167.[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(06):164-167.[doi:10.3969/j.issn.1006-1959.2023.06.037]
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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()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年06期
页码:
164-167
栏目:
护理研究
出版日期:
2023-03-15

文章信息/Info

Title:
Effect of Kangaroo Nursing on Uterine Involution and Breastfeeding Rate of Primipara After Cesarean Section
文章编号:
1006-1959（2023）06-0164-04
作者:
胥琳玲; 彭锦荣; 罗 丽; 等
（万载县妇幼保健院手术室，江西 万载 336100）
Author(s):
XU Lin-ling; PENG Jin-rong; LUO Li; et al.
(Operating room of Wanzai County Maternal and Child Health Hospital,Wanzai 336100,Jiangxi,China)
关键词:
袋鼠式护理; 剖宫产; 初产妇; 子宫复旧; 母乳喂养率
Keywords:
Kangaroo nursing; Cesarean section; Primipara; Uterine involution; Breastfeeding rate
分类号:
R473.71
DOI:
10.3969/j.issn.1006-1959.2023.06.037
文献标志码:
A
摘要:
目的 研究袋鼠式护理对剖宫产初产妇术后子宫复旧和母乳喂养率的影响。方法 选取2020年1月-2022年1月在我院行剖宫产的62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31例。对照组采用常规护理，观察组在对照组基础上实施袋鼠式护理干预，比较两组产妇母乳喂养率，产后不同时间（产后2 d、3 d、1周）泌乳量、产后初次泌乳时间、24 h阴道出血量、产后不同时间（24、48 h）宫底高度、产妇焦虑和抑郁评分。结果 观察组母乳喂养率为93.55%，高于对照组的80.65%（P＜0.05）；观察组产后2 d泌乳量与对照组比较，差异无统计学意义（P＞0.05），产后3 d、1周泌乳量均大于对照组（P＜0.05）；产后初次泌乳时间、24 h阴道出血量均小于对照组（P＜0.05）；观察组产后24、48 h宫底高度均小于对照组（P＜0.05）；观察组焦虑、抑郁评分均低于对照组（P＜0.05）。结论 袋鼠式护理可促进剖宫产初产妇术后子宫恢复，提升母乳喂养率，增加泌乳量，缩短初次泌乳时间，减小产后24 h阴道出血量，改善产妇焦虑、抑郁情绪，具有显著的临床应用价值。
Abstract:
Objective To study the effect of kangaroo nursing on uterine involution and breastfeeding rate of primipara after cesarean section.Methods A total of 62 primiparas who underwent cesarean section in our hospital from January 2020 to January 2022 were selected as the research objects. They were divided into control group and observation group by random number table method, with 31 cases in each group. The control group was given routine nursing, and the observation group was given kangaroo nursing intervention on the basis of the control group. The breastfeeding rate, lactation volume at different postpartum time (2 d, 3 d, 1 week after delivery), postpartum initial lactation time, 24 h vaginal bleeding volume, uterine height at different postpartum time (24, 48 h), maternal anxiety and depression scores were compared between the two groups.Results The breastfeeding rate of the observation group was 93.55%, which was higher than 80.65% of the control group (P<0.05). There was no significant difference in lactation volume between the observation group and the control group at 2 days after delivery (P>0.05), and the lactation volume at 3 days and 1 week after delivery was higher than that in the control group (P<0.05). The first postpartum lactation time and 24 h vaginal bleeding volume were less than those in the control group (P<0.05). The height of uterine fundus in the observation group was lower than that in the control group at 24 and 48 hours after delivery (P<0.05). The scores of anxiety and depression in the observation group were lower than those in the control group (P<0.05).Conclusion Kangaroo nursing can promote the uterine recovery of primipara after cesarean section, improve the breastfeeding rate, increase the amount of lactation, shorten the time of first lactation, reduce 24 h vaginal bleeding volume, and improve maternal anxiety and depression. It has significant clinical application value.

参考文献/References:

[1]王琳蕊,于丁一,李月.围产期情绪评估及管理对初产妇产后抑郁和分娩结局的影响[J].中国计划生育和妇产科,2019,11(2):74-76,96.[2]王秀玉,张洁清,黄桂慧,等.孕晚期分娩预演对初产妇的妊娠结局及心理应激反应的影响[J].广东医学,2019,40(14):2050-2053.[3]Dunn K,Bayer LL,Mody SK.Postpartum Contraception: Anexploratory study of lactation consultants′ knowledge and prac tices[J].Contraception,2016,94(1):87-92.[4]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,2017,37(8):143-146.[5]张佳惠.袋鼠式护理对剖宫产初产妇泌乳、子宫复旧、产后抑郁的影响研究[D].太原:山西医科大学,2018.[6]王桂英,张莉,苏敏谊,等.以家庭为中心袋鼠式护理对产妇子宫复旧及母乳喂养的影响[J].中国临床护理,2018,10(3):234-236.[7]孙丹,朱晓雪.产后乳房穴位按摩配合袋鼠式护理在促进乳汁分泌和预防乳胀中的应用[C]//中国医院药学杂志学术年会.2016.[8]何力,黄朝梅,刘丹,等.袋鼠式护理方案改善早产儿经口喂养的效果评价[J].蚌埠医学院学报,2019,44(11):1567-1569.[9]连莲淑,郑淑敏,郑月惠,等.抚触配合袋鼠式护理对缺氧性肺动脉高压新生儿神经行为与体格发育的影响[J].护理实践与研究,2019,16(23):127-129.[10]Karunesh C,Kumar DS,Chandra SS.Chronic Gastric Volvulus: Cause of Feed Intolerance[J].Indian Journal of Pediatrics,2018,85(8):1-2.[11]刘蓓蓓,王楠,徐业芹,等.袋鼠式护理对极低出生体质量早儿喂养及发育的影响[J].上海护理,2019,19(10):43-45.[12]Adeli M,Alirezaei S.A Comparative Study of the Effects of Skin Contact and Kangaroo Care on Mother＇s Anxiety[J].Iranian Journal of Nursing ＆ Midwifery Research,2018,23(4):327.[13]曹雪云.剖宫产产妇母乳喂养影响因素分析及护理[J].承德医学院学报,2017,34(2):137-138.[14]朱萍,高丽丽,卢惠琴.发展性照顾联合袋鼠式护理对早产儿体格生长发育和生化水平的影响[J].护理实践与研究,2019,16(20):117-119.[15]郝春贞,吴宏伟.袋鼠式护理干预对新生儿缺氧缺血性脑病患儿智力、体格及运动功能的影响[J].现代中西医结合杂志,2019,28(29):3279-3281,3293.[16]熊小云,谢小华,杨传忠,等.袋鼠式护理改善无创辅助通气超未成熟儿喂养的效果评价[J].护理学杂志,2019,34(15):1-4.[17]徐建平,王晓鸣,顾水琴,等.晚期早产剖宫产术中袋鼠式护理对新生儿出生"黄金小时"健康指标的影响[J].中华围产医学杂志,2019,22(8):560-564.[18]张燕,卢碧君,沈阳,等.袋鼠式护理对喂养不耐受的极低出生体重早产儿生长发育及母亲护理满意度的影响[J].广州医科大学学报,2019,47(2):138-140.[19]刘攀兰.袋鼠式护理干预对足月新生儿操作性疼痛缓解效果分析[J].检验医学与临床,2017,14(9):1282-1284.[20]张佳惠,郭锦丽.袋鼠式早吸吮促进剖宫产初产妇乳汁分泌的效果观察[J].全科护理,2017,15(21):2643-2644.

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更新日期/Last Update: 1900-01-01