早期协同式护理干预对初产妇剖宫产术后母乳喂养情况及负面情绪的影响

Effect of Early Collaborative Nursing Intervention on Breast Feeding and Negative Emotion of Primipara after Cesarean Section

目的 研究早期协同式护理干预对初产妇剖宫产术后母乳喂养情况及负面情绪的影响。方法 选取2019年5月-2021年5月我院行剖宫产术的70例初产妇为研究对象,采用随机数字表法分为对照组和观察组,各35例。对照组采用常规护理,观察组在常规护理基础上采用早期协同式护理干预,比较两组母乳喂养率、开始泌乳时间、产后3 d泌乳量、每天哺乳次数、母乳喂养效能感评分、焦虑评分、抑郁评分以及护理满意度。结果 观察组母乳喂养率高于对照组(P<0.05);观察组开始泌乳时间短于对照组,产后3 d泌乳量、每天哺乳次数均大于对照组(P<0.05);观察组母乳喂养效能感评分各维度评分均高于对照组(P<0.05);观察组焦虑评分、抑郁评分均低于对照组(P<0.05);观察组护理满意度高于对照组(P<0.05)。结论 早期协同式护理干预可提高初产妇剖宫产术后母乳喂养成功率,缩短开始泌乳时间,提高泌乳量,增加每天哺乳次数,提升母乳喂养效能感评分,降低抑郁和焦虑评分,促进良好护患关系,提高护理满意度,是一种有效、可行的护理模式。

Objective To study the effect of early collaborative nursing intervention on breastfeeding and negative emotions of primipara after cesarean section.Methods A total of 70 primiparas who underwent cesarean section in our hospital from May 2019 to May 2021 were selected as the research objects. They were divided into control group and observation group by random number table method, with 35 cases in each group.The control group was treated with routine nursing, and the observation group was treated with early collaborative nursing intervention on the basis of routine nursing.The breastfeeding rate, the starting lactation time, the lactation volume 3 days after delivery, the number of lactations per day, the breastfeeding efficacy score, anxiety score, depression score and nursing satisfaction were compared between the two groups.Results The breastfeeding rate of the observation group was higher than that of the control group(P<0.05). The starting time of lactation in the observation group was shorter than that in the control group, and the lactation volume 3 days after delivery and the number of lactations per day were higher than those in the control group( P<0.05).The scores of each dimension of breastfeeding efficacy in the observation group were higher than those in the control group( P<0.05). The anxiety score and depression score of the observation group were lower than those of the control group(P<0.05). The nursing satisfaction of the observation group was higher than that of the control group(P <0.05).Conclusion Early collaborative nursing intervention can promote the success rate of breastfeeding after cesarean section in primipara, shorten the time of starting lactation, increase the amount of lactation, increase the number of daily breastfeeding, improve the breastfeeding efficacy score, reduce the depression and anxiety score, promote good nurse-patient relationship, and improve nursing satisfaction. It is an effective and feasible nursing model.