护理干预在剖宫产术后母乳喂养中的效果评价

Effect Evaluation of Nursing Intervention on Breastfeeding after Cesarean Section

目的分析影响剖宫产术后母乳喂养的因素,探讨护理干预的措施。方法将我院2010年1月—2010年12月收治的剖宫产280例纳入研究,随机分为对照组和干预组各140例。对照组按剖宫产术后常规护理,干预组在常规护理的基础上,采取宣传教育,相关知识的培训,心理疏导,乳房护理,体位及饮食营养的指导。结果干预组泌乳始动时间显著短于对照组(P<0.05),干预组产妇术后48 h母乳满足需求率显著高于对照组(P<0.01),干预组产妇术后3 d纯母乳喂养率显著高于对照组(P<0.01)。结论恰当的护理干预能够缩短剖宫产妇术后泌乳始动时间,增加泌乳量,促进纯母乳的喂养。

Objective To analyze the effective factors of breastfeeding after cesarean section and explore the methods of nursing intervention. Methods A total of 280 patients with cesarean delivery in our hospital from January to December 2010 were randomly divided into control group （n = 140） and intervention group （n = 140）. Control group was given conventional care after cesarean section, while intervention group was given propaganda, relevant knowledge training, psychological counseling, breast care, direction of posture and diet nutrition based on conventional care. Results Lactation initiating time in intervention group was significantly shorter than that in control group （P 〈 0. 05 ） ; satisfaction rate of puerpera within 48 h after cesarean section in intervention group was significantly higher than that in control group （P 〈 0.01 ） ; breastfeeding rate 3 d after operation in intervention group was significantly higher than that in control group （P 〈0.01）. Conclusion Appropriate nursing intervention may quicken the initial breast feeding time, increase milk yield and promote breastfeeding.