家庭化病房对产妇产后康复的影响

Influence of the Homely Ward on Postpartum Rehabilitation of Parturients

目的 观察家庭化病房对产后康复的影响 ,为提高产后护理质量、论证家庭化病房的可行性提供依据。方法 选取 2 0 0 2年 2月至 2 0 0 3年 2月间顺产分娩的初产妇 4 71例 ,分为两组 (经本人及家属同意 ) ,观察组 2 1 7例 ,入院时即入住家庭化病房 ;对照组 2 5 4例 ,入院时即入住普通病房。观察两组产妇产后排尿、出血及泌乳情况。结果 ( 1 )观察组产后肌注新斯的明和导尿率较对照组显著降低 (P <0 .0 0 5 ) ;( 2 )观察组产后出血量较对照组显著降低 (P <0 .0 0 5 ) ;( 3 )观察组初乳分泌时间较对照组明显提前 (P <0 .0 5 ) ,观察组产后 4 8h内泌乳量较对照组显著增多 (P <0 .0 5 )。结论 家庭化病房有利于产妇产后康复。

Objective To observe the influence of homey ward on postpartum rehabilitation in order to provide evidence for improving postpartum nursing quality and demonstrate the practical value of the homey ward.Methods 471 term primiparous women undergoing spontaneous labor between February 2002 and February 2003 were divided into two groups according to the patients’ consent: 217 women enrolled in the homey ward group and the remaining 254 women enrolled in the ordinary ward group. Postpartum urination, hemorrhage and milk-secretion between the two groups were compared.Results Compared with the ordinary ward group.The results are as follows: (1)the incidences of postpartum intramuscular injection of neostigmine and urethral catheterization of the homey ward group were significantly lower (P<0.005);(2)the postpartum bleeding volume was significantly decreased (P<0.005); and (3)the secreting time of puerperal colostrum was significantly advanced (P<0.05), and the colostrum yield during the first 48 h postpartum was significantly increased (P<0.05).Conclusion The homey ward is beneficial to postpartum rehabilitation.