持续性阶段护理联合中医情志护理对剖宫产产妇焦虑、抑郁情绪及乳汁分泌的影响

Effect of Continuous Stage Nursing Combined with Traditional Chinese Medicine Emotional Nursing on Anxiety,Depression,and Milk Secretion of Cesarean Section Puerperants

目的 分析持续性阶段护理联合中医情志护理对剖宫产产妇焦虑、抑郁情绪及乳汁分泌的影响。方法 选取2021年8月—2022年8月在妇产科住院的84名产妇为研究对象,将其随机分成实验组和对照组,每组42名。实验组采用持续性阶段护理联合中医情志护理方法进行干预,对照组采用常规护理方法进行干预。对比两组产妇术后乳汁分泌情况以及术后不同时间产妇焦虑、抑郁情绪。结果 实验组孕妇术后泌乳始动时间优良率为95.24%,高于对照组的78.57%(P<0.05);术后实验组孕妇乳汁充足率高于对照组,实验组术后乳腺疼痛发生率明显降低(P<0.05);两个月后,实验组产妇的SDS和SAS得分明显降低(P<0.05)。结论 持续性阶段护理结合中医情志护理能明显降低剖宫产产妇的焦虑和抑郁情绪,有利于产妇产后泌乳的发生。

Objective To analyze the effects of continuous nursing on anxiety,depression and milk secretion in cesarean section.Methods 84 women hospitalized in obstetrics and gynecology from August 2021 to August 2022 were selected as the study objects and were randomly divided into two groups and 42 in the control group.The experimental group used the continuous stage nursing combined with the TCM sentiment nursing method,and the control group used the routine nursing method.The two groups of maternal postoperative milk secretion and maternal anxiety and depression at different times after surgery were compared.Results The rate of postoperative lactation was 95.24%higher than 78.57%(P<0.05);the milk adequacy rate of pregnant women was higher than the control group,and the incidence of postoperative breast pain was significantly reduced(P<0.05).After two months,the SDS and SAS scores in the experimental group decreased significantly(P<005).Conclusion Continuous nursing combined with emotional intervention can significantly reduce the anxiety and depression of cesarean section,which is conducive to the occurrence of postpartum lactation.