优质护理在初产妇剖宫产术后的应用(1)
[摘要]目的 探讨优质护理在初产妇剖宫产术后的应用。方法 选取2018年1月～2019年4月我院收治的126例住院分娩初产妇作为研究对象，依据护理方法不同分为观察组(n=62)和对照组(n=64)。对照组采用常规护理方案，观察组在常规护理基础上采用优质护理干预。比较两组哺乳技能、泌乳量、母乳喂养情况及护理总满意度。结果 观察组哺乳技能评分和母乳喂养率高于对照组，差异均有统计学意义(P<0.05);观察组泌乳量多于对照组，差异有统计学意义(P<0.05);观察组护理总满意度高于对照组，差异有统计学意义(P<0.05)。结论 优质护理可改善初产妇哺乳技能，提高母乳喂养率，同时有助于提高护理满意度。
[关键词]初产妇;优质护理;剖宫产术;泌乳量;母乳喂养
[中图分类号] R473.71 [文献标识码] A [文章编号] 1674-4721(2020)5(b)-0247-03
Application of high-quality nursing after cesarean section for primipara
YU Hai-yan
Department of Obstetrics and Gynecology， Shangrao Guangfeng District Maternal and Child Health Hospital， Jiangxi Province， Shangrao 334600， China
[Abstract] Objective To discuss the application of high-quality nursing after cesarean section for primipara. Methods A total of 126 parturients admitted to our hospital from January 2018 to April 2019 were selected as the research subjects， they were divided into observation group (n=62) and control group (n=64) according to different nursing methods. Parturients in control group were given routine nursing program， while parturients in observation group were given high-quality nursing intervention on the basis of routine nursing. The breast-feeding skills score， lactation volume， breast-feeding situation and total maternal satisfaction were compared between the two groups. Results The breast-feeding skills score and breast feeding rate in observation group were higher than those in control group， the differences were significant (P<0.05). The lactation volume in observation group was higher than that in control group， the difference was statistically significant (P<0.05). The total nursing satisfaction in observation group was higher than that in control group， the difference was significant (P<0.05). Conclusion High-quality nursing can improve primipara breast-feeding skills and breast-feeding rate， and help improve women′s satisfaction.
[Key words] Primipara; High-quality nursing; Cesarean section; Lactation; Breastfeeding
随着社会发展，人们对婴幼儿母乳喂养重视程度逐渐提高。研究显示[1]，全世界产妇产后母乳喂养率仅有36%，且目前母乳喂养率持续走低。研究提出，初产妇剖宫产术母乳喂养情况与哺乳技能有密切关联[2]。良好的哺乳技能可改善产妇母乳喂养情况，此外剖宫产初产妇多因术后痛苦、疲惫、麻醉等多方因素影响，且早期产妇自觉无奶、少奶，导致其不愿哺乳，引起乳头刺激减小，进而降低泌乳量[3]。对初产妇实行合理、有效的优质护理干预可提升产妇哺乳技能水平，并通过胸部按摩，可提高剖宫产产妇乳汁排出量，预防乳汁淤积，改善产妇乳头情况和母乳喂养率[4]。本研究探讨优质护理对初产妇泌乳量与母乳喂养的干预作用，现报道如下。
1资料与方法
1.1一般资料
回顾性分析2018年1月～2019年4月在我院住院分娩的126例初产妇的临床资料。纳入标准：①臨床资料齐，研究无退出者;②产妇及家属对研究目的与内容知晓，并同意配合研究者。排除标准：①严重器质性疾病者;②年龄<18岁;③伴传染性、血液性疾病，需隔离治疗者;④智力障碍或精神障碍，无法配合调查工作者。依据护理方法的不同分为观察组62例，对照组64例。对照组中，年龄27～38岁，平均(30.81±1.98)岁;孕龄37～41周，平均(38.64±0.2)周。观察组中，年龄28～37岁，平均(30.14±1.77)岁;孕龄36～40周，平均(37.85±0.3)。两组的年龄、孕龄等一般资料比较，差异无统计学意义(P>0.05)，具有可比性。本研究经医院医学伦理委员会审核批准，产妇及家属知情同意。, http://www.100md.com(俞海燕)
[关键词]初产妇;优质护理;剖宫产术;泌乳量;母乳喂养
[中图分类号] R473.71 [文献标识码] A [文章编号] 1674-4721(2020)5(b)-0247-03
Application of high-quality nursing after cesarean section for primipara
YU Hai-yan
Department of Obstetrics and Gynecology， Shangrao Guangfeng District Maternal and Child Health Hospital， Jiangxi Province， Shangrao 334600， China
[Abstract] Objective To discuss the application of high-quality nursing after cesarean section for primipara. Methods A total of 126 parturients admitted to our hospital from January 2018 to April 2019 were selected as the research subjects， they were divided into observation group (n=62) and control group (n=64) according to different nursing methods. Parturients in control group were given routine nursing program， while parturients in observation group were given high-quality nursing intervention on the basis of routine nursing. The breast-feeding skills score， lactation volume， breast-feeding situation and total maternal satisfaction were compared between the two groups. Results The breast-feeding skills score and breast feeding rate in observation group were higher than those in control group， the differences were significant (P<0.05). The lactation volume in observation group was higher than that in control group， the difference was statistically significant (P<0.05). The total nursing satisfaction in observation group was higher than that in control group， the difference was significant (P<0.05). Conclusion High-quality nursing can improve primipara breast-feeding skills and breast-feeding rate， and help improve women′s satisfaction.
[Key words] Primipara; High-quality nursing; Cesarean section; Lactation; Breastfeeding
随着社会发展，人们对婴幼儿母乳喂养重视程度逐渐提高。研究显示[1]，全世界产妇产后母乳喂养率仅有36%，且目前母乳喂养率持续走低。研究提出，初产妇剖宫产术母乳喂养情况与哺乳技能有密切关联[2]。良好的哺乳技能可改善产妇母乳喂养情况，此外剖宫产初产妇多因术后痛苦、疲惫、麻醉等多方因素影响，且早期产妇自觉无奶、少奶，导致其不愿哺乳，引起乳头刺激减小，进而降低泌乳量[3]。对初产妇实行合理、有效的优质护理干预可提升产妇哺乳技能水平，并通过胸部按摩，可提高剖宫产产妇乳汁排出量，预防乳汁淤积，改善产妇乳头情况和母乳喂养率[4]。本研究探讨优质护理对初产妇泌乳量与母乳喂养的干预作用，现报道如下。
1资料与方法
1.1一般资料
回顾性分析2018年1月～2019年4月在我院住院分娩的126例初产妇的临床资料。纳入标准：①臨床资料齐，研究无退出者;②产妇及家属对研究目的与内容知晓，并同意配合研究者。排除标准：①严重器质性疾病者;②年龄<18岁;③伴传染性、血液性疾病，需隔离治疗者;④智力障碍或精神障碍，无法配合调查工作者。依据护理方法的不同分为观察组62例，对照组64例。对照组中，年龄27～38岁，平均(30.81±1.98)岁;孕龄37～41周，平均(38.64±0.2)周。观察组中，年龄28～37岁，平均(30.14±1.77)岁;孕龄36～40周，平均(37.85±0.3)。两组的年龄、孕龄等一般资料比较，差异无统计学意义(P>0.05)，具有可比性。本研究经医院医学伦理委员会审核批准，产妇及家属知情同意。, http://www.100md.com(俞海燕)