目的:探讨心理疏导应用于剖宫产产妇中效果,并观察其对产妇不良情绪及母乳喂养状况的影响。方法:选取2014年6月-2016年6月160例于医院行剖腹产产妇纳入研究,其中产后行常规护理干预者为对照组,80例;于对照组常规护理干预基础上实施心理疏导干预者为观察组,80例;采用抑郁自评量表(SDS)、焦虑自评量表(SAS)分别评价两组产妇干预前、后抑郁、焦虑状态情况,采用视觉模拟评分法(VAS)评价两组产妇疼痛(切口疼痛、乳房胀痛)情况。采用母乳喂养自信心量表(BSES)评价两组产妇母乳喂养自我效能;通过问卷调查方式完成两组产妇母乳喂养依从性;记录两组产妇泌乳始动时间、母乳量及母乳喂养率情况。结果:观察组干预后SDS、SAS评分分别为(36.72±4.42)分、(40.69±4.85)分,明显低于对照组(46.39±5.36)分、(52.16±6.11)分,t=(12.44,13.15),P=(0.00,0.00);两组产妇干预后SDS、SAS评分均明显低于干预前,P<0.05。观察组干预后切口疼痛及乳房胀痛评分均明显低于对照组,两组干预后各项疼痛评分均明显低于干预前,P<0.05。两组产妇干预后技能维度、内心活动维度评分均明显高于干预前,且观察组干预后各维度自信心评分明显高于对照组,P<0.05。干预后,观察组母乳喂养依从率97.50%(78/80)、母乳喂养率92.50%(74/80),明显高于对照组78.75%(63/80)、72.50%(58/80),χ2=(14.77,11.81),P=(0.00,0.00)。观察组产妇泌乳始动时间(20.76±5.08)h,明显短于对照组(29.16±4.20)h,t=11.39,P=0.00。观察组48h母乳满足需求率为58.75%(47/80),明显高于对照组18.75%(15/80),χ2=26.96,P=0.00。结论:剖宫产产妇术后实施心理疏导有利于改善其不良情绪,增强其母乳喂养自信心,从而提高其母乳喂养状况。 Objective: To investigate the effect of psychological counseling applied to women with cesarean section and to observe their effects on maternal negative emotions and breastfeeding status. Methods: From June 2014 to June 2016, 160 cases of caesarean section in the hospital were enrolled in the study. Among them, 80 cases were routine nursing interventions in the postpartum period. Among the 80 cases who received psychological intervention on the basis of routine nursing intervention in the control group, 80 cases in the observation group and 80 cases in the observation group. SDS and SAS were used to evaluate the depression and anxiety of the two groups before and after the intervention. The visual analogue scale (VAS) Maternal pain (incision pain, breast tenderness). The breastfeeding self-confidence scale (BSES) was used to evaluate the self-efficacy of breastfeeding in two groups. The compliance of breastfeeding of two groups was completed by questionnaire. The time of lactation, breast milk and breastfeeding rate were recorded. Results: The scores of SDS and SAS in the observation group were (36.72 ± 4.42) and (40.69 ± 4.85) points lower than those in the control group (46.39 ± 5.36) and (52.16 ± 6.11) points respectively, t = (12.44, 13.15), P = (0.00,0.00). SDS and SAS scores of both groups were significantly lower than those before intervention (P <0.05). The scores of incision pain and breast tenderness in the observation group were significantly lower than those in the control group. The pain scores of the two groups after intervention were significantly lower than those before intervention (P <0.05). After intervention, the skill dimensions and the dimension of inner activity in both groups were significantly higher than those before intervention, and the self-confidence scores of each dimension in the observation group were significantly higher than those in the control group (P <0.05). After intervention, the compliance rate of breastfeeding in the observation group was 97.50% (78/80), the rate of breastfeeding was 92.50% (74/80), significantly higher than that in the control group (78.75%, 72.50%, 58/80) = (14.77, 11.81), P = (0.00, 0.00). The onset time of lactation in observation group (20.76 ± 5.08) h was significantly shorter than that in control group (29.16 ± 4.20) h, t = 11.39, P = 0.00. The observation group 48h breast meet the demand rate of 58.75% (47/80), significantly higher than the control group 18.75% (15/80), χ2 = 26.96, P = 0.00. CONCLUSION: Psychological counseling after cesarean delivery is beneficial to improve their bad mood, enhance their confidence in breastfeeding and improve their breastfeeding status.