首页|综合护理干预对剖宫产术后母乳喂养的影响研究

综合护理干预对剖宫产术后母乳喂养的影响研究

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目的 分析综合护理干预对剖宫产术后母乳喂养的作用与影响,以期为剖宫产术后母乳喂养的护理提供指导.方法 选取2019年12月-2020年12月天津医科大学朱宪彝纪念医院收治的剖宫产产妇138例,采用随机1∶1分组法将产妇分为综合护理组和常规护理组,每组各69例.综合护理组产妇接受综合护理干预,常规护理组产妇接受常规护理服务.分析比较两组产妇泌乳始动时间、术后1、2、3 d泌乳量及喂养方式.结果 综合护理组产妇泌乳始动时间为(14.36±1.59)h,短于常规护理组的(25.06±2.23)h,差异有统计学意义(t=3.451,P<0.05).综合护理组术后1、2、3d泌乳量明显多于常规护理组,差异均有统计学意义(P<0.05).综合护理组母乳喂养率为84.06%,高于常规护理组的52.17%;人工喂养率为10.14%,混合喂养率为5.80%,均低于常规护理组的27.54%、20.29%,差异均有统计学意义(x2=11.352、19.327、15.809,P<0.05).结论 在为剖宫产产妇提供护理服务的过程中,综合护理干预的应用可以缩短泌乳始动时间,增加泌乳量,具有较为理想的临床指导价值和意义,可以将其作为一种理想的剖宫产产妇护理方案进行临床推广.
Study on the influence of comprehensive nursing intervention on breastfeeding after cesarean section
Objective To analyze the effect and influence of comprehensive nursing intervention on breastfeeding after cesarean section,in order to provide guidance for the nursing of breastfeeding after cesarean section.Methods A total of 138 cases of parturients with cesarean section admitted to Tianjin Medical University Chu Hsien-Ⅰ Memorial Hospital from December 2019 to December 2020 were selected.Parturients were divided into comprehensive nursing group and routine nursing group by random 1:1 grouping method,with 69 cases in each group.Parturients in the comprehensive nursing group received comprehensive nursing intervention,parturients in the routine nursing group received routine nursing services.The first lactation time of parturients,the amount of lactation at 1,2 and 3 days after surgery and breastfeeding mode of the two groups were analyzed and compared.Results The first lactation time of parturients in the comprehensive nursing group was(14.36±1.59)hours,which was shorter than that in the routine nursing group with(25.06±2.33)hours,and the difference was statistically significant(t=3.451,P<0.05).The amount of lactation in the comprehensive nursing group were significantly higher than those in the routine nursing group at 1,2 and 3 days after surgery,and the differences were statistically significant(P<0.05).The breastfeeding rate in the comprehensive nursing group was 84.06%,which was higher than that in the routine nursing group with 52.17%;the rate of artificial feeding was 10.14%,and the rate of mixed feeding was 5.80%,which both were lower than 27.54%and 20.29%in routine nursing group,and the differences were statistically significant(x2=1 1.352,19.327,15.809,P<0.05).Conclusion In the process of providing nursing services for parturients with cesarean section,the application of comprehensive nursing intervention could shorten the first lactation time and improve the amount of lactation,which had ideal clinical guiding value and significance,and could be used as an ideal nursing plan for parturients with cesarean section to promote.

Comprehensive nursing interventionCesarean sectionBreastfeeding

蔡雅丽、刘雪洁

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天津医科大学朱宪彝纪念医院妇产科,天津市内分泌研究所,国家卫健委激素与发育重点实验室,天津市代谢性疾病重点实验室,天津 300134

天津市红桥医院妇产科

综合护理干预 剖宫产 母乳喂养

2024

中国城乡企业卫生
中华预防医学会 天津市职业病防治院

中国城乡企业卫生

影响因子:0.239
ISSN:1003-5052
年,卷(期):2024.39(5)