护理干预对初产妇剖宫产后不良情绪及母乳喂养依从性的影响

Influence of Nursing Intervention on Postpartum Adverse Emotions and Breastfeeding Compliance in Primipara

目的观察护理干预对初产妇剖宫产后不良情绪以及母乳喂养依从性的影响.方法选择汉中市中心医院2013年8月至2015年4月收治的行剖宫产手术的初产妇146例,随机分为干预组和对照组,每组73例,对照组采取常规护理措施,干预组在对照组的基础上实施护理干预措施,采用抑郁自评量表(SDS)、焦虑自评量表(SAS)对产妇产后不良情绪进行评价,采用母乳喂养自信心量表(BSES)评价产妇母乳喂养自信心,观察比较2组母乳喂养依从性,并在产妇出院后1周及1个月随访母乳喂养率.结果与对照组比较,干预组干预后SDS、SAS评分均明显降低,差异有统计学意义(P<0.05);干预组干预后母乳喂养自信心明显优于对照组,差异有统计学意义(P<0.05);干预组母乳喂养依从性为97.26%,明显高于对照组的78.08%,差异有统计学意义(P<0.05);随访1周及1个月,干预组母乳喂养率分别为95.89%、91.78%,均明显高于对照组的83.56%、72.60%,差异有统计学意义(P<0.05).结论对初产妇剖宫产后实施护理干预措施,可以明显的改善产妇的不良情绪,增强产妇的母乳喂养自信心,提高母乳喂养依从性及母乳喂养率,值得进行推广.

Objective To observe the influence of nursing intervention on postpartum depression and breastfeeding compliance in primipara. Me thods From August 2013 to April 2015, 146 women received cesarean section in North Jiaochang Branch of Hanzhong Central Hospital were randomly divided into intervention group and control group with 73 cases in each group. The control group was treated with routine nursing measures, and the intervention group with both routine care and nursing intervention. Self- Rating Depression Scale（SDS） and Self- Rating Anxiety Scale（SAS） were used to evaluate the negative emotions of maternal postpartum. Breastfeeding Self- Efficacy Scale（BSES） were used to evaluate the confidence of maternal breast feeding. The breast feeding compliance between the two groups was compared. The breast feeding rates of the two groups were compared in 1week and 1 month after discharge. Re s ults Compared with the control group, the SDS and SAS scores of the intervention group were significantly lower（P〈0.05）. The breastfeeding confidence of the intervention group was significantly better than the control group and the difference was statistically significant（P〈0.05）. The compliance of breast feeding of the intervention group was 97.26% significantly higher than that of the control group（78.08%）with a statistically significant difference（P 〈0.05）. After one- week and one- month follow- up, the rate of breastfeeding of the intervention group was significantly higher than that of the control group（95.89% VS 83.56%;91.78% VS 72.60%, P 〈0.05）. Conclus ion The nursing intervention measures for primipara after cesarean section can significantly break bad mood, enhance maternal breastfeeding confidence, increase the rate of breastfeeding compliance and are worthy of promotion.