身心一体化护理干预对足月分娩孕妇角色转换和母乳喂养率的影响评价

Evaluation of the Effect of Integrated Physical and Mental Nursing Intervention on the Role Conversion and Breastfeeding Rate of Pregnant Women in Full-term Delivery

目的探讨对足月分娩孕妇予以身心一体化护理干预对其角色转换、母乳喂养率的具体影响。方法便利选取2019年7月—2020年6月该院收治的123例足月分娩孕妇纳入研究,并根据抓阄法将所有孕妇以单双数的表达形式分为观察组(n=62)与对照组(n=61),其中对照组孕妇予以常规护理,观察组孕妇则在常规护理基础上实施身心一体化护理干预,观察两组孕妇首次泌乳时间、产后1 d、2 d泌乳量以及催乳素(PRL)水平变化情况,详细记录两组孕妇母乳喂养情况,对两组孕妇护理干预前后心理状况进行评估,将所有观察所得数据加以记录,统计后进行对比。结果观察组孕妇分娩后1 d、2 d泌乳量和催乳素(PRL)水平与对照组相比较,差异有统计学意义(t=5.128、6.724、25.346、8.801,P<0.001);观察组孕妇完全实施母乳喂养率(74.19%)相较于对照组(54.10%)明显更高,完全奶粉喂养率(4.84%)相较于对照组(21.31%)明显更低,差异有统计学意义(χ^(2)=5.404、7.373,P<0.05),观察组孕妇混合喂养率(20.97%)相较于对照组(24.59%),差异无统计学意义(χ^(2)=0.230,P>0.05);两组孕妇护理干预前SAS、SDS评分相比较,差异无统计学意义(t=1.172、0.436,P>0.05),护理干预后观察组孕妇SAS、SDS评分与对照组相比较,差异有统计学意义(t=23.128、27.869,P<0.05)。结论对足月分娩孕妇予以身心一体化护理干预可以促使孕妇完成角色转换,利于母乳分泌和完全母乳喂养率,对于预防孕妇不良情绪方面能起到有效作用,因此身心一体化护理干预对于足月分娩孕妇而言应用价值更高,值得临床推广并加以应用。

Objective To explore the specific effects of physical and mental integrated nursing intervention for pregnant women with full-term delivery on their role transformation and breastfeeding rate.Methods Conveniently selected 123 full-term pregnant women admitted to the hospital from July 2019 to June 2020 were included in the study,and all pregnant women were divided into the observation group(n=62)and the control group(n=61)in the form of odd and even numbers according to the lottery method.The pregnant women in the control group received routine nursing,and the pregnant women in the observation group were treated with routine nursing and the physical and mental integrated nursing intervention was implemented.The time of first lactation,1 d postpartum,2 d postpartum lactation and prolactin were observed for the two groups of pregnant women(PRL)level changes,a detailed record of the breastfeeding of the two groups of pregnant women,assessment of the psychological status of the two groups of pregnant women before and after the nursing intervention,all the observed data are recorded,and then the statistics were compared.Results The lactation and prolactin(PRL)levels of pregnant women in the observation group at 1 and 2 d after delivery compared with the control group,the difference was statistically significant(t=5.128,6.724,25.346,8.801,P<0.001).The rate of complete breastfeeding of pregnant women(74.19%)was significantly higher than that of the control group(54.10%),and the rate of complete milk powder feeding(4.84%)was significantly lower than that of the control group(21.31%),and the difference was statistically significant(χ^(2)=5.404,7.373,P<0.05),the mixed feeding rate of pregnant women in the observation group(20.97%)compared with the control group(24.59%),the difference was not statistically significant(χ^(2)=0.230,P>0.05);compared the nursing care of the two groups of pregnant women in SAS and SDS scores before the intervention,the difference was not statistically significant(t=1.172,0.436,P>0.05).After the nursing intervention,the SAS and SDS scores of pregnant women in the observation group were compared with those in the control group,and the difference was statistically significant(t=23.128,27.869,P<0.05).Conclusion The physical and mental integrated nursing intervention for pregnant women with full-term delivery can prompt the pregnant women to complete the role conversion,which is beneficial to breast milk secretion and the rate of complete breastfeeding,and can play an effective role in preventing pregnant women’s unhealthy emotions.Therefore,the physical and mental integrated nursing intervention is effective for pregnant women in childbirth,the application value is increased,and it is worthy of clinical promotion and application.