产褥期心理干预对产妇纯母乳喂养率的影响

Effect of psychological intervention during puerperium on the rate of pure breastfeeding of puerperal women

目的:探讨产褥期心理干预对产妇纯母乳喂养率的影响。方法:收集2016年12月至2018年6月来江西百佳艾玛妇产医院产科入住的200例VIP产妇的临床资料,按照护理方案不同分为观察组100例和对照组100例。观察组产妇年龄为22~38岁,平均年龄为(29.81±4.33)岁,其中初产妇62例,经产妇38例;对照组年龄为22~39岁,平均年龄为(29.84±4.41)岁,其中初产妇60例,经产妇40例。对照组产妇接受综合护理干预,观察组产妇在此基础上接受针对性心理护理,比较两组产妇干预前后心理状态及哺乳技能Latches评分的变化以及产后纯母乳喂养情况。结果:观察组产妇干预后焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分均低于对照组,哺乳技能Latches评分高于对照组,差异均有统计学意义(P <0.05);观察组产妇产后1周、1个月、3个月、6个月的纯母乳喂养率均高于对照组,差异均有统计学意义(P <0.05)。结论:产褥期心理干预可改善产妇心理状态、提高母乳喂养技能和纯母乳喂养率。

Objective: To explore the effect of psychological intervention during puerperium on the rate of pure breast-feeding of puerperal women. Methods: The clinical data of 200 VIP parturients admitted to Obstetrics Department of Baijiaemma Obstetrics and Gynecology Hospital from December 2016 to June 2018 were collected and divided into an observation group with 100 cases and a control group with 100 cases according to different nursing schemes. The maternal age of the observation group was from 22 to 38 years old, and the average age was(29.81±4.33) years old, among them, 62 were primipara and 38 were multipara;the age of the control group was from 22 to 39 years old, and the average age was(29.84±4.41) years old, including 60 cases of primipara and 40 cases of multipara. The control group received comprehensive nursing intervention, the observation group received targeted psychological nursing on this basis, and the changes of psychological status and Latches score of breastfeeding skills before and after intervention and the situation of pure breast-feeding after delivery were compared between the two groups. Results: The self-rating anxiety scale(SAS) score and self-rating depression scale(SDS) score of the observation group were lower than those of the control group, and the Latches score of lactation skills of the observation group was higher than that of the control group(P<0.05), and the difference was statistically significant(P<0.05);the pure breast-feeding rate of the maternal women of the observation group at 1 week, 1 month, 3 months, and 6 months after delivery was higher than that of the control group, and the difference was statistically significant(P<0.05). Conclusion: Psychological intervention during puerperium can improve maternal psychological status, and enhance breastfeeding skills and pure breast-feeding.