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目的:探讨剖宫产产后母乳喂养的全方位护理干预措施。方法:选择慈溪市人民医院2013年1月到2015年12月接诊的128例剖宫产产妇作为本次研究的对象,按照随机数表法将所有患者均分为两组,即观察组和对照组,每组各有患者64例,观察组患者给予常规护理并实行全方位的护理干预,对照组患者仅给予常规护理,分析观察两组不同护理方法的剖宫产产妇对母乳喂养知识的掌握情况、纯母乳喂养情况以及产妇临床效果情况。结果:从两组产妇对母乳喂养知识的掌握情况看,观察组优良率为100%,对照组优良率为82.81%,观察组优良率显著高于对照组,两组差异有统计学意义(χ~2=12.034 2,P=0.000 5);观察组开始泌乳的时间为(35.85±8.10)h,对照组为(45.62±7.35)h,观察组开始泌乳时间明显更短,观察组纯母乳喂养、48h和72h泌乳量充足分别有51例、49例和55例,均显著多于对照组的41例、35例和45例,有统计学意义(P<0.05);观察组母乳喂养成功率为68.75%,胀奶发生率3.13%,对护理的满意率为100%,对照组则分别为42.19%、14.06%和79.69%,观察组与对照组相比均更高,有统计学意义(P<0.05)。结论:对剖宫产产妇实行全方位的护理干预,可以提高产妇母乳喂养知识的掌握程度,缩短开始泌乳时间,能提高泌乳充足率和喂养的成功率,且能提高全方位护理的满意度,其临床价值较高,值得推广应用。
Objective: To explore the full range of breast-feeding nursing interventions after cesarean section. METHODS: A total of 128 cesarean section mothers who were admitted to Cixi People’s Hospital from January 2013 to December 2015 were selected as the subjects of this study. All patients were divided into two groups according to the random number table method: the observation group and Control group, each group of 64 patients, the observation group of patients given routine care and practice a full range of nursing interventions, patients in the control group were given only routine care, analysis of two groups of different nursing methods of cesarean section maternal breastfeeding knowledge Master the situation, exclusive breastfeeding and maternal clinical effects. Results: According to the mastery of breastfeeding knowledge of two groups, the excellent and good rate was 100% in the observation group and 82.81% in the control group, the excellent and good rate in the observation group was significantly higher than that in the control group (χ ~ 2 = 12.034 2, P = 0.000 5). The lactation time in the observation group was (35.85 ± 8.10) h and that in the control group (45.62 ± 7.35) h, the observation group was significantly shorter lactation time, the observation group exclusively breastfeeding , 48h and 72h respectively. There were 51 cases, 49 cases and 55 cases respectively, all of which were significantly higher than those in control group (41 cases, 35 cases and 45 cases), with statistical significance (P <0.05). The breastfeeding success rate 68.75%, the rate of inflated milk was 3.13%, the satisfaction rate of nursing was 100%, while that of the control group was 42.19%, 14.06% and 79.69% respectively. The observation group and the control group were higher and statistically significant ( P <0.05). Conclusion: The full range of nursing interventions for cesarean section mothers can improve maternal breastfeeding knowledge mastery, shorten the beginning of lactation time, increase lactation adequacy and feeding success rate, and can improve the satisfaction of nursing in all directions, Its high clinical value, it is worth promoting application.