预见性护理干预在初产妇产后乳房胀痛中应用效果体会

Effect of predictive nursing intervention on postpartum breast distending pain of primiparas

目的讨论应用预见性护理干预在初产妇产后乳房胀痛中的效果。方法选择2011年1月至2012年6月间，到本院产前检查门诊定期产检初产妇776例，其中451例为知情同意，选作观察组，另325例为知情不同意，选作对照组。对照组实施常规围产期护理，观察组在此基础上实施预见性护理干预。比较两组产后4天时间内的泌乳量和产后3天内乳房胀痛情况、硬结存在情况、泌乳通畅情况。结果两组产妇产后第1天泌乳量差异无统计学意义（P〉0．05），观察组产后第2天、第3天、第4天泌乳量均明显高于对照组（P〈0．05）；观察组产妇泌乳通畅率明显高于对照组沪〈O．05）；乳房胀痛、乳房存在硬结情况明显低于对照组（P〈O．05）。结论预见性护理干预在减少初产妇产后乳房胀痛效果良好，并可提高母乳喂养的成功率，值得临床妇产科护理推广应用。

Objective To explore the effect of predictive nursing intervention on postpartum breast distending pain in primiparas. Methods A total of 776 primiparas who had received antenatal examination in our hospital during the period of January 2011 to June 2012 were chosen. 451 primiparas were informed-consent and chosen in the observation group and 325 case were informed-disconsent and chosen in the control group. The control group received conventional peripartum nursing, while the study group received predictive nursing intervention in addition to routine peripartum nursing. The volume of milk secretions 4 days after childbirth and breast distending pain, existing of hardness and smooth secretion 3 days after childbirth were compared between the two groups. Results Secretions of milk 1 day after childbirth did not differ significantly between the two groups （/〉〉0.05）. Secretions of milk 2, 3, and 4 days after childbirth were obviously higher in the study group than in the control group （P〈0.05）. The rate of smooth secretion was obviously higher in the study group than in the control group （P〈0.05）. Breast distending pain and existing of hardness were markedly lower in the study than in the control group （P〈0.05）. Conclusions Predictive nursing intervention a has better effect in relieving the postpartum breast distending pain in primiparas and can increase the successful rate of breast feeding. It is worth popularizing in gynaecological and obstetrical nursing.