母婴床旁护理对初产妇产后母乳喂养、康复及抑郁情绪的影响

赵 灵 王丽莉 闻爱群



母婴床旁护理对初产妇产后母乳喂养、康复及抑郁情绪的影响

赵 灵 王丽莉 闻爱群

【摘要】目的 探讨母婴床旁护理对初产妇产后母乳喂养、康复及抑郁情绪的影响。方法 将160例初产妇随机等分为对照组和干预组，对照组接受本科的常规护理，而干预组在此基础上接受母婴床旁护理，比较两组产后的母乳喂养情况、康复及抑郁情况。结果 干预组的母乳喂养率为66．3%（53/80），高于对照组的42．5%（34/80），差异有统计学意义（P＜0．05）；干预组子宫复旧不全、盆底肌松弛致阴道或膀胱膨出、尿潴留及产后抑郁的发生率均低于对照组（P＜0．05）。结论 母婴床旁护理可提高初产妇的母乳喂养率，促进产后康复及改善抑郁情绪。

【关键词】母婴床旁护理；母乳喂养；康复；抑郁情绪

Objective To evaluate the influence of maternal bedside nursing care on postpartum breastfeeding，rehabilitation and depression． Methods 160 cases of primary maternal were randomly divided into control group and intervention group． The control group received routine nursing，while the intervention group received the maternal bedside nursing care． The situations of postpartum breastfeeding，postpartum rehabilitation and depression were compared between two groups． Results The rate of breastfeeding in the intervention group was 66．3%（53/80），higher than 42．5%（34/80）in the control group（P＜0．05）． The rates of subinvolution of uterus，elytrocele and vesicocele induced by relaxation of pelvic floor muscle and urine retention as well as postpartum depression in intervention group were lower than those of control group（P＜0．05）． Conclusion The maternal bedside nursing care can improve the rate of breastfeeding，promote postpartum recovery and improve the depression．

【Key words】 Maternal bedside nursing care，Breast feeding，Rehabilitation，Depression

初产妇承担较大的身心压力，由于其对母乳喂养和产后康复情况认识不到位，极易在产后发生抑郁症状［1-2］。母婴床旁护理是一种产科新型护理模式，重点是为产妇提供咨询服务和产科健康教育［3-4］。本研究发现该护理模式对初产妇产后的母乳喂养情况、康复及抑郁情况均有一定改善效果，现将结果报告如下。

1 资料与方法

1.1 一般资料

选取2015年6～12月于本产科分娩的初产妇160例，年龄22～34岁，平均年龄为（28.3±4.2）岁。纳入病例均无分娩史及严重内分泌疾病。采用随机数字表将以上产妇随机分为对照组和干预组，两组例数、年龄、文化程度及经济状况的差异无统计学意义。

1.2 护理方法

对照组接受本科的常规护理，而干……