产后心理-饮食-康复锻炼一体化护理对剖宫产产妇心理健康、自护能力及母乳喂养行为的影响

Effects of Psychology-Diet-Rehabilitation Exercise Integrated Nursing on Psychological Health,Self-care Ability and Breastfeeding Behaviors in Puerperae after Cesarean Section

目的:探究产后心理-饮食-康复锻炼一体化护理对剖宫产产妇心理健康、自护能力及母乳喂养行为的影响。方法:回顾性分析2021年1月—2022年1月于上饶市立医院进行剖宫产分娩的87例产妇的临床资料。根据接受的不同产后护理方案进行分组,将接受常规护理方案的产妇纳入产后常规组(43例),将接受心理-饮食-康复锻炼一体化护理纳入一体化护理组(44例),护理周期为2周。观察两组产妇干预前后的心理状态[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分]、自护能力[自护能力量表(ESCA)评分]及母乳喂养行为[母乳喂养自我效能简化量表(BSES-SF)评分和母乳喂养率]。结果:干预后,一体化护理组产妇HAMA、HAMD评分均低于产后常规组(P<0.05);一体化护理组产妇ESCA评分均高于产后常规组(P<0.05);一体化护理组BSES-SF评分均高于产后常规组(P<0.05);一体化护理组产妇产后1、2、3个月的母乳喂养率均高于产后常规组(P<0.05)。结论:心理-饮食-康复锻炼一体化护理能够改善剖宫产产妇产后心理状态和母乳喂养行为,有利于提高自护能力和母乳喂养率,适合用于剖宫产产后护理。

Objective:To explore the effects of psychology-diet-rehabilitation exercise integrated nursing on psychological health,self-care ability and breastfeeding behaviors in puerperae after cesarean section.Method:A retrospective analysis was conducted on the clinical data of 87 parturients who underwent cesarean section in Shangrao Municipal Hospital from January 2021 to January 2022.According to different postpartum nursing methods,43 parturients who received routine nursing plans were included in the postpartum routine group,and 44 parturients who received psychology-diet-rehabilitation exercise integrated nursing were included in the integrated nursing group.All were nursed for 2 weeks.The psychological state[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)],self-care ability[exercise of self-care agency scale(ESCA)]and breastfeeding behaviors[breastfeeding self-efficacy scale-short form(BSES-SF),breastfeeding rate]in the two groups were observed before and after intervention.Result:After intervention,scores of HAMA and HAMD in integrated nursing group were lower than those in postpartum routine group(P<0.05);scores of ESCA were higher than those in postpartum routine group(P<0.05);scores of BSES-SF were higher than those in postpartum routine group(P<0.05);at 1 month,2 months and 3 months after delivery,breastfeeding rates in integrated nursing group were higher than those in postpartum routine group(P<0.05).Conclusion:The psychology-diet-rehabilitation exercise integrated nursing can improve psychological state and breastfeeding behaviors in puerperae after cesarean section,which is beneficial to improve self-care ability and breastfeeding rate,and is suitable for postpartum nursing of cesarean section.