田素文

[摘要]目的 探讨基于问题为导向的健康教育在剖宫产产妇中的应用效果。方法 选取我院2017年2月～2018年2月收治的60例剖宫产产妇，根据入院时间分为观察组（基于问题为导向的健康教育干预）与对照组（常规护理干预），每组各30例。随访6个月，比较两组产妇干预后的生活质量、心理状况、喂养知识评分及纯母乳喂养情况。结果 观察组干预后的生活质量评分、喂养知识评分及出院时、产后3个月及6个月的纯母乳喂养率均高于对照组，焦虑自评量表（SAS）、抑郁自评量表（SDS）评分明显低于对照组（P<0.05）。结论 基于问题为导向的健康教育在剖宫产产妇中的实践效果显著，可明显提高产妇的喂养知识认知度，减少其心理压力，改善其生活质量，值得推广。

[关键词]健康教育;护理;剖宫产

[中图分类号] R719.8          [文献标识码] A          [文章编号] 1674-4721（2019）7（a）-0247-03

[Abstract] Objective To explore the application effect of health education based on problem-oriented in caesarean section women. Methods All of 60 women with cesarean section treated in our hospital from February 2017 to February 2018 were selected. According to the admission time， they were divided into the observation group （health education intervention based on problem-oriented and control group （routine nursing intervention）， with 30 cases in each group. After 6 months of follow-up， the quality of life， psychological status， feeding knowledge score and exclusive breast feeding were compared after intervention in women between the two groups. Results The scores of quality of life， feeding knowledge and pure breastfeeding rate at discharge， 3 months and 6 months postpartum in the observation group were all higher than those in the control group， and the scores of self-rating anxiety scale （SAS） and self-rating depression scale （SDS） were obviously lower than those in the control group （P<0.05）. Conclusion Health education based on problem-oriented in cesarean section women has a remarkable practical effect. It can significantly improve maternal awareness of feeding knowledge， reduce their psychological pressure and improve their quality of life. It is worth promoting.

[Key words] Health education; Nursing; Cesarean section

剖宮产术是产科领域中的重要手术，是解决难产和某些产科合并症，挽救产妇和围生儿生命的有效手段[1-3]。随着“二孩政策”的开放，剖宫产呈上升趋势，产后并发症也逐渐增加，产妇在分娩前后，受各种因素影响，心理压力较大，易产生较为严重的负性情绪，增加了分娩风险，同时不利于产后康复[4-7]。为改善这一情况，给予有效的护理干预至关重要，健康教育是临床护理的主要组成部分，通过相关知识讲解，提升认知度，可有效缓解心理压力，提升配合度。本研究中，给予观察组基于问题为导向的健康教育模式，效果显著，现报道如下。

1资料与方法

1.1一般资料

选取我院2017年2月～2018年2月收治的60例剖宫产产妇，根据入院时间分为观察组与对照组，每组各30例。纳入标准：初产妇且无母乳喂养经验者;单胎妊娠;均自愿参与并亲属知情同意书。……