IKAP模式护理在产后缺乳初产妇中的应用效果

Application effect of IKAP nursing model on primipara with hypogalactia

目的探讨IKAP模式护理在产后缺乳初产妇中的应用效果。方法选取2016年2-8月在浙江省衢州市中医医院分娩的产后缺乳初产妇108人，依据随机数字表法分为观察组（IKAP模式护理）和对照组（常规护理），每组各54人，比较两组初产妇的护理效果、血清催乳素和护理满意度。结果观察组痊愈28人，有效16人，无效10人，总有效率为81．48％；对照组痊愈16人，有效16人，无效22人，总有效率为59．26％。护理前，两组初产妇的血清催乳素水平差异无统计学意义（t=1．205，P〉0．05）。护理后，观察组初产妇的血清催乳素高于对照组，差异具有统计学意义（t=2．357，P〈0．05）。观察组54人中非常满意39人，基本满意13人，一般或不满意2人；对照组54人中非常满意21人，基本满意22人，一般或不满意11人。结论IKAP模式护理能够有效改善初产妇产后缺乳问题，明显提高血清催乳素水平，产妇满意度较高，值得临床推广。

Objective To evaluate the application effect of IKAP nursing model on primipara with postpartum hypogalactia. Methods A total of 108 primiparas with hypogalaetia who had delivered their babies in Quzhou Hospital of Traditional Chinese Medicine, Zhejiang province, from Feburary to August 2016 were selected and divided according to random number table into observation group （with IKAP nursing model） and control group （with routine nursing）, each with 54 eases. Nursing effect, serum prolaetin and nursing satisfaction were compared between the two groups. Results Total effective rate was 81.48% in the observation group, with 28 cases cured, 16 effectively treated, and 10 ineffectively treated; while total effective rate in the control group 59.26%, with 16 eases cured, 16 eases effective and 22 ineffectively treated. Before the nursing care, differences in serum prolaetin levels of primiparas in the two groups were not statistically significant （t=1.205, P 〉 0.05）, while after the nursing care, the serum prolaetin level of primiparas in the observation group was significantly higher than that in the control group （t=2.357, P 〈 0.05）. Among 54 eases in the observation group, 39 were very satisfied, 13 basically satisfied, and 2 dissatisfied; while in the control group, 21 were very satisfied, 22 basically satisfied, and 11 dissatisfied. Conclusions The IKAP nursing model can effectively solve hypogalaetia of primiparas, improve the serum prolactin level, with high satisfaction from primiparas, which makes it worth promoting in clinic.