产后综合康复干预对剖宫产产妇子宫复旧、母乳喂养及生活质量的影响分析

Effect analysis of postpartum comprehensive rehabilitation intervention on uterine involution,breast feeding and quality of life of cesarean section parturients

目的分析产后综合康复干预对剖宫产产妇子宫复旧、母乳喂养及生活质量的影响。方法66例行剖宫产产妇,根据随机数字表法分为常规组和实验组,每组33例。常规组实施常规康复干预,实验组实施产后综合康复干预。对比两组干预前后乳房胀痛程度、母乳喂养情况、生活质量,干预后子宫复旧情况。结果干预后,两组乳房胀痛程度均较本组干预前改善,且实验组改善程度优于常规组,差异具有统计学意义(P<0.05)。干预后,两组泌乳优良率均高于本组干预前,且实验组泌乳优良率90.91%高于常规组的69.70%,差异具有统计学意义(P<0.05)。干预后,实验组宫底高度(10.06±2.91)cm低于常规组的(12.25±3.16)cm,宫缩疼痛时间(2.23±0.27)d、恶露时间(2.36±0.46)周短于常规组的(3.02±0.62)d、(3.61±0.56)周,差异具有统计学意义(P<0.05)。干预后,两组生理功能、生理职能、躯体疼痛、总体健康、社会功能、情感职能、精神健康、睡眠质量评分均高于本组干预前,且实验组生理功能、生理职能、躯体疼痛、总体健康、社会功能、情感职能、精神健康、睡眠质量评分分别为(77.09±7.96)、(79.15±5.49)、(82.22±8.77)、(92.56±3.96)、(87.25±12.45)、(91.23±12.13)、(91.54±12.17)、(86.01±13.45)分,高于常规组的(61.56±5.50)、(66.88±3.69)、(66.01±7.58)、(62.27±3.58)、(70.13±11.42)、(77.08±11.33)、(78.87±10.16)、(77.33±12.02)分,差异具有统计学意义(P<0.05)。结论对剖宫产产妇给予产后综合康复干预效果显著,其能够降低产妇乳房胀痛程度,改善母乳喂养、子宫复旧情况,提高生活质量,预后佳。

Objective To analyze the effect of postpartum comprehensive rehabilitation intervention on uterine involution,breast feeding and quality of life of cesarean section parturients.Methods A total of 66 cases of cesarean section parturients were divided into conventional group and experimental group according to random numerical table,with 33 cases in each group.The conventional group received rehabilitation intervention,and the experimental group received postpartum comprehensive rehabilitation intervention.The degree of breast tenderness,breast feeding,quality of life before and after treatment,and uterine involution after intervention were compared between the two groups.Results After intervention,the degree of breast tenderness in both groups was improved compared with that before intervention in this group,and the improvement in the experimental group was better than that in the conventional group.The differences were statistically significant(P<0.05).After intervention,the excellent rate of lactation in both groups was higher than that before intervention in this group,and the excellent rate of lactation of 90.91%in the experimental group was higher than that of 69.70%in the conventional group.The differences were statistically significant(P<0.05).After intervention,the fundal height of(10.06±2.91)cm in the experimental group was lower than that of(12.25±3.16)cm in the conventional group;the duration of contraction of(2.23±0.27)d and lochia time of(2.36±0.46)weeks in the experimental group were shorter than those of(3.02±0.62)d and(3.61±0.56)weeks in the conventional group;the differences were statistically significant(P<0.05).After intervention,the scores of physical functioning,role-physical,bodily pain,general health,social functioning,role-emotional,mental health and sleep quality in both groups were higher than those before intervention in this group;the scores of physical functioning,role-physical,bodily pain,general health,social functioning,role-emotional,mental health and sleep quality in the experimental group were(77.09±7.96),(79.15±5.49),(82.22±8.77),(92.56±3.96),(87.25±12.45),(91.23±12.13),(91.54±12.17)and(86.01±13.45)points,which were higher than those of(61.56±5.50),(66.88±3.69),(66.01±7.58),(62.27±3.58),(70.13±11.42),(77.08±11.33),(78.87±10.16)and(77.33±12.02)points in the conventional group;the differences were statistically significant(P<0.05).Conclusion The effect of postpartum comprehensive rehabilitation intervention on uterine involution of cesarean section parturients is significant,which can reduce the degree of breast tenderness,improve breast feeding,uterine involution,and quality of life,and have a good prognosis.