[1]邓金苹,廖水香,罗小玲.舒适护理联合心理干预对剖宫产术后产妇心理情绪及早期泌乳的影响[J].医学信息,2024,37(13):154-156,160.[doi:10.3969/j.issn.1006-1959.2024.13.033]
　Effect of Comfort Nursing Combined with Psychological Intervention on Psychological Mood and Early Lactation of Parturients After Cesarean Section.Effect of Comfort Nursing Combined with Psychological Intervention on Psychological Mood and Early Lactation of Parturients After Cesarean Section[J].Journal of Medical Information,2024,37(13):154-156,160.[doi:10.3969/j.issn.1006-1959.2024.13.033]
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舒适护理联合心理干预对剖宫产术后产妇心理情绪及早期泌乳的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年13期
页码:
154-156,160
栏目:
护理研究
出版日期:
2024-07-01

文章信息/Info

Title:
Effect of Comfort Nursing Combined with Psychological Intervention on Psychological Mood and Early Lactation of Parturients After Cesarean Section
文章编号:
1006-1959（2024）13-0154-04
作者:
邓金苹; 廖水香; 罗小玲
（峡江县人民医院妇产科，江西 峡江 331400）
Author(s):
Effect of Comfort Nursing Combined with Psychological Intervention on Psychological Mood and Early Lactation of Parturients After Cesarean Section
(Department of Obstetrics and Gynecology,People’s Hospital of Xiajiang County,Xiajiang 331400,Jiangxi,China)
关键词:
舒适护理; 心理干预; 剖宫产; 心理情绪; 早期泌乳
Keywords:
Comfortable nursing; Psychological intervention; Cesarean section; Psychological mood; Early lactation
分类号:
R473.71
DOI:
10.3969/j.issn.1006-1959.2024.13.033
文献标志码:
A
摘要:
目的 研究舒适护理联合心理干预对剖宫产术后产妇心理情绪及早期泌乳的影响。方法 选取2020年1月-2022年2月在我院行剖宫产的76例产妇为研究对象，采用随机数字表法分为对照组和观察组，各组38例。对照组采用常规护理，观察组在对照组基础上实施舒适护理和心理干预，比较两组产妇心理情绪指标（焦虑、抑郁）、初次泌乳时间、不同时间段泌乳量、喂养情况（纯母乳、混合、人工喂养），以及护理满意度。结果 两组干预后焦虑、抑郁评分均低于干预前，且观察组低于对照组（P＜0.05）；观察组初次泌乳时间短于对照组（P＜0.05）；观察组产后24 h泌乳量与对照组比较，差异无统计学意义（P＞0.05），48、72 h泌乳量均大于对照组（P＜0.05）；观察组纯母乳喂养率高于对照组，混合、人工喂养率均小于对照组（P＜0.05）；观察组护理满意度为94.74%，高于对照组的81.58%（P＜0.05）。结论 舒适护理联合心理干预可促进剖宫产术后产妇心理情绪改善，缩短早期泌乳时间，提高母乳喂养率、护理满意度，具有较好的应用效果。
Abstract:
Objective To study the effect of comfort nursing combined with psychological intervention on psychological mood and early lactation of parturients after cesarean section.Methods A total of 76 parturients who underwent cesarean section in our hospital from January 2020 to February 2022 were selected as the research objects. They were divided into control group and observation group by random number table method, with 38 parturients in each group. The control group was given routine nursing, and the observation group was given comfort nursing and psychological intervention on the basis of the control group. The psychological and emotional indexes (anxiety, depression), initial lactation time, lactation volume at different time periods, feeding status (pure breast milk, mixed, artificial feeding), and nursing satisfaction were compared between the two groups.Results The scores of anxiety and depression in the two groups after intervention were lower than those before intervention, and those in the observation group were lower than those in the control group (P<0.05). The first lactation time of the observation group was shorter than that of the control group (P<0.05). There was no significant difference in lactation volume between the observation group and the control group at 24 h postpartum (P>0.05), and the lactation volume at 48 and 72 h postpartum was higher than that of the control group(P<0.05). The exclusive breastfeeding rate of the observation group was higher than that of the control group, and the mixed and artificial feeding rates were lower than those of the control group (P<0.05). The nursing satisfaction of the observation group was 94.74%, which was higher than 81.58% of the control group (P<0.05).Conclusion Comfortable nursing combined with psychological intervention can promote the improvement of maternal psychological mood after cesarean section, shorten the early lactation time, improve the breastfeeding rate and nursing satisfaction, and has a good application effect.

参考文献/References:

[1]陈军防.产前综合护理对初产妇分娩应对方式及分娩结局的影响[J].河南医学研究,2017,26(13):2483-2484.[2]黄雪花,赖团结,黄耀东.产前心理护理干预对初产妇产后心理状态及分娩的影响[J].四川解剖学杂志,2019,27(3):147-148.[3]余洪.产前心理护理干预对初产妇分娩方式、产后出血及产后心理的影响[J].实用医院临床杂志,2020,17(3):185-188.[4]李秒,邓姗丹.心理护理联合产前综合护理干预对初产妇分娩结局及对血清E2、P、PRL水平的影响[J].检验医学与临床,2020,17(7):981-983.[5]余雪丹.心理护理干预对疼痛患者康复的影响[J].实用临床医药杂志,2013,17(22):112,125.[6]符夏瑜,陈雄,张云志.爱丁堡产后抑郁量表在孕晚期妇女产前抑郁筛查中的临界值分析[J].中国妇产科临床杂志,2018,19(5):453-454.[7]张丽英,周倩,张月英,等.FCC模式的护理干预对初产妇剖宫产术后纯母乳喂养自我效能的影响[J].内蒙古医学杂志,2019,51(6):738-739.[8]谭恺.快速康复护理在剖宫产术后产妇恢复及早期泌乳的作用分析[J].基层医学论坛,2019,23(6):833-834.[9]叶书红.产前心理护理干预对初产妇分娩方式及分娩后抑郁的影响[J].河南医学研究,2017,26(14):2678-2679.[10]胡凤蝉,胡爱丽,牛小群.共情护理对剖宫产产妇焦虑情绪及护理满意度的影响[J].昆明医科大学学报,2016,37(8):147-150.[11]Boccolini CS,Pérez-Escamilla R,Giugliani ERJ,et al.Inequities in milk-based prelacteal feedings in Latin America and the Caribbean：The role of cesarean section delivery[J].J Hum Lact,2016,31(1):89-98.[12]高静,姜燕.淮安市2000例二胎孕妇产前心理应激状况及其影响因素的调查研究[J].中国妇幼保健,2019,34(16):3787-3790.[13]余萍.浅谈剖宫产产妇的乳汁分泌和母乳喂养率的整体护理干预[J].医学信息,2016,29(33):143-144.[14]吴雪华,白莉.舒适护理对剖宫产术后患者疼痛、应激反应的影响[J].实用临床医药杂志,2019,23(21):115-117,121.[15]张秀英,冯小军.舒适护理对剖宫产产妇术后应激反应及疼痛的影响[J].医学理论与实践,2019,32(20):3385-3386.[16]杨晗.舒适护理在剖宫产术后产妇护理中的应用[J].安徽卫生职业技术学院学报,2018,17(3):133-134,137.[17]张贤.产前综合护理在促进初产妇自然分娩中的效果分析[J].西藏医药,2018,39(1):65-67.[18]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.[19]刘银燕.舒适护理对剖宫产初产妇焦虑情绪和分娩的影响[J].基层医学论坛,2020,20(9):70-72.[20]马良骎.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[J].现代诊断与治疗,2019,30(19):3496-3498.

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更新日期/Last Update: 1900-01-01