基于自然生物角度的袋鼠式护理模式应用于剖宫产初产妇研究

Kangaroo nursing model based on natural biology applied to analysis of primipara in cesarean section

目的:分析自然生物角度的袋鼠式护理模式应用于剖宫产初产妇的效果。方法:将84例剖宫产初产妇分为研究组和对照组,每组各42例。对照组开展传统护理干预,研究组开展基于自然生物角度的袋鼠式护理模式。比较两组产妇首次乳汁分泌时间;比较两组产妇自胎盘从子宫顺利娩出后的第1、2天的子宫恢复情况;在分娩后40 d时,组织两组产妇来院接受复查,向两组产妇发放爱丁堡产后抑郁量表以评估其当前的心境状态。结果:研究组首次乳汁分泌时间早于对照组,差异有统计学意义(P<0.05);研究组在24 h子宫下降高度多于对照组,差异有统计学意义(P<0.05);两组在48 h子宫下降高度比较,差异无统计学意义(P>0.05)。研究组轻度抑郁发生率低于对照组,抑郁处于“无或极轻微”所占百分比高于对照组,差异有统计学意义(P<0.05)。结论:基于自然生物角度的袋鼠式护理模式应用于剖宫产初产妇,能强化新生儿的吸吮反射,且能刺激产妇泌乳,促进产妇子宫复原,降低产后抑郁症等负性情感事件。

Objective:To analyze the effect of kangaroo nursing mode applied to primipara of cesarean section from the perspective of natural biology.Methods:84 primiparas were randomly divided into the study group and the control group,42 cases in each group.Among them,the control group carried out traditional nursing intervention,and the research group carried out kangaroo nursing mode based on the perspective of natural biology.The first lactation time of two groups of parturients was compared,the recovery of uterus on the first and second days after the smooth delivery of placenta from two groups of parturients was compared.40 days after delivery,two groups of parturients were organized to come to hospital for reexamination,and Edinburgh Postpartum Depression Scale was issued to two groups of parturients to evaluate their current state of mind.Results:The first milk secretion time of the study group was earlier than that of the control group,and the difference was statistically significant(P<0.05).The descending height of uterus in the study group was higher than that in the control group at 24 h,the difference was statistically significant(P<0.05),there was no significant difference in the descending height of uterus between the two groups at 48 h(P>0.05).The incidence of mild depression in the study group was lower than that in the control group,and the percentage of depression in“none or very mild”was higher than that in the control group,with a statistically significant difference(P<0.05).Conclusion:Kangaroo nursing mode based on natural biology can strengthen sucking reflex of newborn,stimulate lactation,promote recovery of uterus and reduce negative emotional events such as postpartum depression.