目的 探讨袋鼠式护理对剖宫产产妇母乳喂养、子宫复旧及情感状态的影响。方法 选取本院244例剖宫产孕妇为研究对象，按照抽签法分为两组，各122例。常规组采用产科一般护理方法，观察组采用袋鼠式护理方法 。比较两组泌乳情况、子宫复旧、产后出血情况及情感状态(EPDS)评分。结果 试验组乳汁首行分泌时间短于常规组，产后1周及2周时母乳喂养率、母乳量高于常规组(P＜0。05)。观察组子宫复旧各指标及产后24 h出血量优于常规组(P＜0。05)。观察组产妇产后42 d EPDS评分为(6。16±1。20)分，低于常规组的(7。21±1。31)分，差异有统计学意义(P＜0。05)。结论 在初产妇剖宫产术后开展袋鼠式护理能有效缩短泌乳时间，促进子宫恢复。同时还能有效预防产后抑郁发生，在临床剖宫产初产妇中具备积极推广意义。
The effect of kangaroo style nursing on breastfeeding,uterine involution,and emotional status of cesarean section mothers
Objective To explore the effects of kangaroo style nursing on breastfeeding,uterine involution,and emotional status in cesarean section mothers.Methods 244 pregnant women who underwent cesarean section in our hospital were selected as the research subjects,and were divided into two groups using a lottery method,with 122 cases in each group.The conventional group received general obstetric care,while the observers group received kangaroo care.Compare lactation,uterine involution,postpartum hemorrhage,and emotional state(EPDS)scores between two groups.Results The first secretion time of the observers group was shorter than that of the conventional group,and the breastfeeding rate and amount of breast milk were higher in the conventional group at 1 and 2 weeks postpartum(P＜0.05).The observers group showed better uterine involution indicators and 24 hour postpartum bleeding compared to routine nursing care(P＜0.05).The EPDS score of the observers group postpartum women at 42 days was(6.16±1.20)points,which was lower than the(7.21±1.31)points of the conventional group,and the difference was statistically significant(P＜0.05).Conclusion Kangaroo style nursing for primiparous women after cesarean section can effectively shorten lactation time and promote uterine recovery.At the same time,it can effectively prevent postpartum depression and has positive promotion significance in clinical cesarean section primiparous women.
Cesarean sectionKangaroo style careBreastfeedingUterine involutionEmotional state
万方数据
维普
