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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

Effect of Comfort Nursing Combined with Psychological Intervention on Psychological Mood and Early Lactation of Parturients After Cesarean Section
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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。 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.
作者 邓金苹 廖水香 罗小玲 DENG Jin-ping;LIAO Shui-xiang;LUO Xiao-ling(Department of Obstetrics and Gynecology,People's Hospital of Xiajiang County,Xiajiang 331400,Jiangxi,China)
出处 《医学信息》 2024年第13期154-156,160,共4页 Journal of Medical Information
关键词 舒适护理 心理干预 剖宫产 心理情绪 早期泌乳 Comfortable nursing Psychological intervention Cesarean section Psychological mood Early lactation
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