舒适护理应用于剖宫产初产妇母乳喂养的效果评价

Application on the Effect of Comfort Care in Breastfeeding of primipara with Cesarean Delivery

目的对舒适护理应用于剖宫产初产妇母乳喂养的效果进行评价分析。方法选择2012年6月至2013年2月在我院112例剖宫产初产妇为研究对象,应用随机数字表法将剖宫产初产妇分为常规护理组和护理干预组,每组各56例,常规护理组给予常规护理干预,护理干预组则采用舒适护理措施,比较两组初产妇泌乳量、母乳喂养成功率和抑郁评分。结果护理干预组产后第三天的泌乳量明显优于常规护理组,差异明显,具有统计学意义(χ2=19.857,P<0.05);护理干预组在出院前一天的母乳喂养成功率为98.21%,常规护理组的为85.71%,明显优于常规护理组(χ2=5.920,P=0.015);在抑郁评分方面,护理干预组的抑郁程度明显低于常规护理组,差异明显,均具有统计学意义(t=18.351,P=0.000)。结论舒适护理对提高剖腹产初产妇母乳喂养率,以及母乳喂养的质量,有着显著地效果,所以应完善舒适护理模式在剖腹产中应用体系,以期能够实现更多初产妇的母乳喂养。

Objective To evaluate the effect of comfort care in breastfeeding of primipara with cesarean delivery. Methods 112 cases of primipara in our hospital from June 2012 to February were selected as the research object, and randomly divided into two groups, with 56 cases in each group. The convention group received conventional nursing, while the intervention group received comfort care. The lactation amount, breastfeeding success rate and depression score were compared between two groups. Results The lactation amount at the third after delivery of intervention group was higher than that of convention group（ x^2 = 19.857, P 〈0.05）. The breastfeeding success rate at the day before discharge was 98.21% of intervention group, significantly higher than 85.71% of convention group （x^2 = 5.920, P = 0.015）. The depression score of intervention group was lower than that of convention group （t = 18.351, P = 0.000）. Conclusions Comfort care can improve the breastfeeding rate of primipara with cesarean delivery, and improve the quality of breastfeeding. It should be perfected and applied at the cesarean delivery to achieve more breastfeeding ofprimipara.