剖宫产产妇泌乳及产后抑郁的护理干预效果

Effect of nursing intervention on lactation and postpartum depression of puerperas with cesarean section

  • 摘要: 目的 探讨产后护理干预时机对剖宫产产妇泌乳情况及产后抑郁的改善效果。 方法 选择本院分娩的剖宫产产妇100例,随机分为研究组与对照组各50例。对照组产妇给予常规护理,观察组早期给予产妇按摩护理干预。比较2组开始泌乳时间、疼痛情况、48 h内泌乳成功率、人工喂养添加率,爱丁堡产后抑郁量表(EPDS)、抑郁自评量表(SDS)、焦虑自评量表(SAS)评分结果,以及产妇护理满意度。 结果 研究组产妇首次泌乳时间显著短于对照组(P<0.05), 48 h泌乳成功率显著高于对照组(P<0.05), 人工喂养添加率显著低于对照组(P<0.05), 疼痛评分显著低于对照组(P<0.05)。研究组产妇抑郁发生率显著低于对照组(P<0.05), SDS和SAS评分均显著低于对照组(P<0.05)。研究组产妇护理满意度显著高于对照组(P<0.05)。 结论 产后早期给予剖宫产产妇乳房按摩与腹部按摩护理干预可以有效促进产妇产后泌乳,减轻产后疼痛,提高产妇的护理满意度。

     

    Abstract: Objective To explore the effect of timing of postpartum nursing intervention in the improvement of lactation and postpartum depression of puerperas with cesarean section. Methods A total of 100 puerperas with cesarean section were selected and randomly divided into study group(n=50)and control group(n=50). The control group was given routine nursing, while the observation group was given early massage nursing intervention. The time to lactation, the pain condition, the success rate of lactation within 48 hours, the rate of artificial feeding as well as the scores of Edinburgh Postpartum Depression Scale(EPDS), Self-rating Depression Scale(SDS)and Self-rating Anxiety Scale(SAS)and nursing satisfaction degree were compared between the two groups. Results In the study group, the first time to lactation was significantly shorter than control group(P<0.05), the success rate of lactation within 48 hours was significantly higher than the control group(P<0.05), the rate of artificial feeding was significantly lower than control group(P<0.05), and the score of pain was significantly lower than control group(P<0.05). The incidence of depression and the scores of SDS and SAS in the study group were significantly lower than those in the control group(P<0.05). The nursing satisfaction degree of the study group was significantly higher than that of the control group(P<0.05). Conclusion Implementation of nursing intervention of breast massage and abdominal massage for puerperas with cesarean section in the early postpartum period can effectively promote the lactation, reduce the pain and improve the nursing satisfaction degree.

     

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