袋鼠式护理对剖宫产初产妇泌乳、子宫复旧、产后心理状态的影响研究

Study on the Effect of Kangaroo Nursing on Lactation,Uterine Involution and Postpartum Psychological State of Primiparas Undergoing Cesarean Section

目的研究袋鼠式护理对剖宫产初产妇泌乳、子宫复旧、产后心理状态的影响。方法选取2020年1月-2021年12月在我院行剖宫产分娩的78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36例。对照组采用常规护理,观察组在对照组基础上采用袋鼠式护理。比较两组首次产妇泌乳时间、切口愈合时间、产后24 h出血量,不同时间段泌乳量和宫底高度、母乳喂养率、焦虑和抑郁评分。结果观察组首次产妇泌乳时间、切口愈合时间、产后24 h出血量均小于对照组(P<0.05);观察组产后1天泌乳量及产后48 h宫底高度与对照组比较,差异无统计学意义(P>0.05),产后2、3、7天泌乳量均大于对照组,产后12、24 h宫底高度小于对照组(P<0.05);观察组母乳喂养率为91.67%,高于对照组的77.78%(P<0.05);两组干预后焦虑、抑郁评分低于干预前,且观察组低于对照组(P<0.05)。结论袋鼠式护理可促进剖宫产初首次泌乳,增加泌乳量,缩短切口愈合时间,提高母乳喂养率,促进子宫复旧,降低产后焦虑、抑郁评分。

Objective To study the effect of kangaroo nursing on lactation,uterine involution and postpartum psychological state of primiparas undergoing cesarean section.Methods A total of 78 primiparas who underwent cesarean section in our hospital from January 2020 to December 2021 were selected as the research objects.They were divided into control group and observation group by random number table method,with 36 primiparas in each group.The control group was given routine nursing,and the observation group was given kangaroo nursing on the basis of the control group.The first lactation time,incision healing time,24 h postpartum bleeding volume,lactation volume and fundus height at different time periods,breastfeeding rate,anxiety and depression scores were compared between the two groups.Results The first lactation time,incision healing time and 24 h postpartum hemorrhage volume in the observation group were less than those in the control group(P<0.05).The lactation volume on the 2nd,3rd and 7th day after delivery was greater than that in the control group,and the uterine height at 12 h and 24 h after delivery was lower than that in the control group(P<0.05).The breastfeeding rate of the observation group was 91.67%,which was higher than 77.78%of the control group(P<0.05).The scores of anxiety and depression in the two groups after intervention were lower than those before intervention,and those in the observation group were lower than those in the control group(P<0.05).Conclusion Kangaroo nursing can promote the first lactation at the beginning of cesarean section,increase lactation volume,shorten incision healing time,improve breastfeeding rate,promote uterine involution,and reduce postpartum anxiety and depression scores.