行为干预和心理疏导对剖宫产术后母乳喂养和抑郁情绪影响

Behavioral Intervention and Psychological Counseling on Impact of Breastfeeding and Depression after Cesarean Section

目的:探讨行为干预和心理疏导对剖宫产术后母乳喂养和抑郁情绪的影响,更好为患者服务。方法:选择2012年3月—2012年10月在来我院行剖宫产的产妇135例,此135例患者采取行为干预和心理疏导的护理方法,并将此作为观察组。回顾性分析2011年6月—2011年12月来我院行剖宫产的产妇118例患者作为对照组,对照组采用常规的护理方法。比较两组产妇术后48h内通乳情况,并比较两组产妇产后抑郁自我测评量表。结果:两组产妇术后48h内通乳情况比较,观察组患者与对照组相比,对照组产妇术后48h内乳汁充足65例占总人数的55.13%,观察组产妇术后48h内乳汁充足116例占总人数的86.41%,两组比较,P<0.05,差异显著,具有统计学意义。两组患者抑郁自我测评量表比较,对照组平均分为(47.56±5.26)分,标准分≥50分的有73例占总人数的62.15%;观察组平均分为(42.13±6.59)分,平均分≥50的有16例占总人数的12.56%,差异显著,P<0.05,有统计学意义。结论:行为干预和心里疏导能够有效的减轻剖宫产孕妇产后乳房的胀痛,并促进乳汁分泌,降低产后抑郁的不良情绪。

Objective ： To explore the effect of behavioral intervention and psychological counseling on breastfeeding and depression after cesarean section, in order to better service for patients. Method： 135 cases during March 2012 to October 2012 in our hospital were selected. The method of nursing intervention on psychological behavior intervention was given the patients with 135 cases in the observation group. A retrospective analysis from June 2011 to December 2011 in our hospital of 1 lg cases in the control group was carried out. The control group used conventional methods of nursing. The milk of 48 hours was compared between the two groups after operation, and compared between the two groups of postpartum depression self rating scale. Results ： Compared the milk of two groups within 48 hours after operation and compared the patients in the observation group and control group, the control group patients within 48 hours after plenty of milk were 65, accounting for 55.13%. The observation group patients within 48 hours after plenty of milk were 116, accounting for 86.41%. The two groups were significant, P〈0.05. Two groups patients＇ depression self rating scale comparison, the average score was 47.56 ± 5.26, standard score ≥ 50 points were 73 cases, accounting for 62.15%. The observation group＇s average score was 42.13 ± 6.59 and the average more than 50 were 16, accounting for 12.56%, P〈0.05. Conclusion： The behavior intervention and easing the mind can effectively reduce cesarean postpartum breast pain, and promote milk secretion and reduce postpartum depression emotion.