自制乳旁加奶器在未开奶产妇母乳喂养中的应用及护理(1)
[摘要] 目的 对未开奶产妇母乳喂养时采用自制乳旁加奶器进行应用，实施护理干预手段，探索其在临床中的治疗效果。 方法 选择2015年10月～2017年5月期间我医院收治的未开奶产妇进行筛选出240例，经随机分为两组，其中对照组120例给未开奶产妇的婴儿用小杯、小勺喂哺，实验组120例给未开奶产妇的婴儿用自制一次性乳旁加奶器，对两组的应用效果记录包括婴儿乳头错觉发生情况、吸吮初始时间、产后初始泌乳时间、母乳充盈平均时间。并对两组婴儿的母乳喂养成功率及患者满意率分别进行比较。 结果 与对照组相比，实验组吸吮初始时间，产后开始泌乳时间，母乳充盈平均时间均较早，差异有统计学意义(P<0.05);实验组产妇中乳头错觉发生率较对照组明显低，差异具有统计学意义(P<0.05);與对照组比较，实验组母乳喂养成功率及患者满意度均得到大幅提高，差异具有统计学意义(P<0.05)。 结论 对未开奶产妇母乳喂养中采用自制乳旁加奶器，有助于促进母乳喂养，效果明显，且护理满意度得到显著提高，在临床上具有借鉴意义。
[关键词] 自制乳旁加奶器;未开奶产妇;母乳喂养;应用
[中图分类号] R473.71 [文献标识码] B [文章编号] 1673-9701(2018)36-0136-03
[Abstract] Objective To explore the therapeutic effects of self-made breast-side milk feeder plus nursing intervention applied in breastfeeding women with no secretion of milk. Methods 240 cases without secretion of milk admitted to our hospital from October 2015 to May 2017 were selected and randomly divided into two groups. Infants of the 120 patients in the control group were fed by cup and spoon， while infants of the 120 patients in the study group were fed by self-made disposable breast-side milk feeder. The application effects were recorded， including the occurrence of babies' nipple misconception， the initial time of sucking， the initial lactation time after birth， and the average time of breast filling. Results Compared with the control group， the initial time of sucking， the time of lactation after birth， and the average time of breast milk filling in the study group were significantly shorter(P<0.05); the incidence of nipple misconception in the study group was significantly lower than that of the control group(P<0.05); compared with the control group， the success rate of breastfeeding and patients' satisfaction in the study group were significantly improved(P<0.05). Conclusion The use of self-made breast-side milk feeder in women without lactation is helpful to promote breastfeeding with evident effects， and the satisfaction of nursing is significantly improved， which is of clinical significance.
[Key words] Self-made breast-side milk feeder;Maternal women without lactation;Breastfeeding;Application
在世界卫生组织及联合国儿童基金会中母乳喂养作为全力倡导的科学育儿方法之一，是保证儿童能够健康成长的一个必备过程。母乳喂养主要指的是用母亲的乳汁予以喂养自己婴儿[1-2]。因母乳本身是婴儿天然食品，母乳喂养不单仅仅对婴儿出生后期的营养、生长及免疫等各方面具有重要作用，还对母亲预防产后出血，进一步提高机体代谢能力，还有助于降低乳腺癌发生率及卵巢癌的风险[3-5]。而在产后早泌乳与多泌乳是作为母乳喂养成功的关键环节，而婴儿吸吮过程能促进乳汁分泌量，而吸吮的次数、持续的时间、强度与乳汁分泌间的分泌量存在密切关系[6]。
在临床科室中常有很多产妇在产后未有分泌乳汁，而新生儿又需母亲喂养，是一个较担忧的问题。随着社会的发展自制乳旁加奶器在未开奶产妇母乳喂养中不断的应用，其不仅可促进产妇分泌乳汁，避免乳头错觉发生，促进母子间感情[7]，最终实现母乳喂养。在临床护理实践中一般也常用小杯、小勺去喂哺婴儿，新生儿发生乳头错觉现象屡屡常见，很难进行纠正甚至超过已被废除的橡皮奶头、奶瓶的发生率[8]。乳头错觉发生可能会减弱婴儿对母亲乳头吸吮反射强度，致母乳分泌量降低。若喂哺方法不恰当，往往会致婴儿呛奶事件发生，严重时甚至导致窒息及新生儿吸入性肺炎现象。本文通过对未开奶产妇母乳喂养中采用自制乳旁加奶器，对其应用及护理效果进行评价。, http://www.100md.com(朱卫平)
[关键词] 自制乳旁加奶器;未开奶产妇;母乳喂养;应用
[中图分类号] R473.71 [文献标识码] B [文章编号] 1673-9701(2018)36-0136-03
[Abstract] Objective To explore the therapeutic effects of self-made breast-side milk feeder plus nursing intervention applied in breastfeeding women with no secretion of milk. Methods 240 cases without secretion of milk admitted to our hospital from October 2015 to May 2017 were selected and randomly divided into two groups. Infants of the 120 patients in the control group were fed by cup and spoon， while infants of the 120 patients in the study group were fed by self-made disposable breast-side milk feeder. The application effects were recorded， including the occurrence of babies' nipple misconception， the initial time of sucking， the initial lactation time after birth， and the average time of breast filling. Results Compared with the control group， the initial time of sucking， the time of lactation after birth， and the average time of breast milk filling in the study group were significantly shorter(P<0.05); the incidence of nipple misconception in the study group was significantly lower than that of the control group(P<0.05); compared with the control group， the success rate of breastfeeding and patients' satisfaction in the study group were significantly improved(P<0.05). Conclusion The use of self-made breast-side milk feeder in women without lactation is helpful to promote breastfeeding with evident effects， and the satisfaction of nursing is significantly improved， which is of clinical significance.
[Key words] Self-made breast-side milk feeder;Maternal women without lactation;Breastfeeding;Application
在世界卫生组织及联合国儿童基金会中母乳喂养作为全力倡导的科学育儿方法之一，是保证儿童能够健康成长的一个必备过程。母乳喂养主要指的是用母亲的乳汁予以喂养自己婴儿[1-2]。因母乳本身是婴儿天然食品，母乳喂养不单仅仅对婴儿出生后期的营养、生长及免疫等各方面具有重要作用，还对母亲预防产后出血，进一步提高机体代谢能力，还有助于降低乳腺癌发生率及卵巢癌的风险[3-5]。而在产后早泌乳与多泌乳是作为母乳喂养成功的关键环节，而婴儿吸吮过程能促进乳汁分泌量，而吸吮的次数、持续的时间、强度与乳汁分泌间的分泌量存在密切关系[6]。
在临床科室中常有很多产妇在产后未有分泌乳汁，而新生儿又需母亲喂养，是一个较担忧的问题。随着社会的发展自制乳旁加奶器在未开奶产妇母乳喂养中不断的应用，其不仅可促进产妇分泌乳汁，避免乳头错觉发生，促进母子间感情[7]，最终实现母乳喂养。在临床护理实践中一般也常用小杯、小勺去喂哺婴儿，新生儿发生乳头错觉现象屡屡常见，很难进行纠正甚至超过已被废除的橡皮奶头、奶瓶的发生率[8]。乳头错觉发生可能会减弱婴儿对母亲乳头吸吮反射强度，致母乳分泌量降低。若喂哺方法不恰当，往往会致婴儿呛奶事件发生，严重时甚至导致窒息及新生儿吸入性肺炎现象。本文通过对未开奶产妇母乳喂养中采用自制乳旁加奶器，对其应用及护理效果进行评价。, http://www.100md.com(朱卫平)