分阶段泌乳护理对初产妇产后母乳喂养行为及乳房胀痛程度的影响

Effect of Staged Lactation Nursing on Postpartum Breastfeeding Behavior and Breast Distending Pain Degree of Primipara

目的分阶段泌乳护理对初产妇产后母乳喂养行为及乳房胀痛程度的影响。方法选取2021年5月-2022年5月在我院分娩的72例初产妇为研究对象,采用随机数字表法分为对照组(n=36)和观察组(n=36)。对照组实施常规护理,观察组在对照组基础上给予分阶段泌乳护理,比较两组母乳喂养率、初次泌乳时间、泌乳量、不同时间段乳房胀痛评分、母乳喂养行为和技能评分、母乳喂养不良事件发生率以及护理满意度。结果观察组母乳喂养率为94.44%,高于对照组的83.33%(P<0.05);观察组初次泌乳时间短于对照组,泌乳量大于对照组(P<0.05);观察组产后3天乳房胀痛评分与对照组比较,差异无统计学意义(P>0.05);观察组产后4、5天均低于对照组(P<0.05);两组护理后母乳喂养行为、技能评分均高于护理前,且观察组高于对照组(P<0.05);观察组母乳喂养不良事件发生率为8.33%,低于对照组的19.44%(P<0.05);观察组护理满意度为97.22%,高于对照组的83.33%(P<0.05)。结论分阶段泌乳护理可提高初产妇产后母乳喂养率,改善母乳喂养行为和技能,缩短初次泌乳时间,增大泌乳量,减轻乳房胀痛,降低母乳喂养不良事件,提高护理满意度。

Objective To explore the effect of staged lactation nursing on postpartum breastfeeding behavior and breast distending pain degree of primipara.Methods A total of 72 primiparas who gave birth in our hospital from May 2021 to May 2022 were selected as the research objects.They were divided into control group(n=36)and observation group(n=36)by random number table method.The control group was given routine nursing,and the observation group was given staged lactation nursing on the basis of the control group.The breastfeeding rate,initial lactation time,lactation volume,breast distending pain score at different time periods,breastfeeding behavior and skill score,incidence of breastfeeding adverse events and nursing satisfaction were compared between the two groups.Results The breastfeeding rate of the observation group was 94.44%,which was higher than 83.33%of the control group(P<0.05).The initial lactation time of the observation group was shorter than that of the control group,and the lactation volume was greater than that of the control group(P<0.05).There was no significant difference in breast distending pain score between the observation group and the control group on 3rd days after delivery(P>0.05).The observation group was lower than the control group on 4th and 5th days after delivery(P<0.05).The scores of breastfeeding behavior and skills in the two groups after nursing were higher than those before nursing,and those in the observation group were higher than those in the control group(P<0.05).The incidence of breastfeeding adverse events in the observation group was 8.33%,which was lower than 19.44%in the control group(P<0.05).The nursing satisfaction of the observation group was 97.22%,which was higher than 83.33%of the control group(P<0.05).Conclusion Staged lactation nursing can improve postpartum breastfeeding,increase breastfeeding rate,improve breastfeeding behavior and skills,shorten the first lactation time,increase lactation volume,reduce breast tenderness,reduce breastfeeding adverse events,and improve nursing satisfaction.