【摘要】目的：分析護理干预对初产妇产后泌乳困难的改善效果。方法：选取我院于2019年1月至2019年10月期间在我院生产的73例初产妇作为本次研究观察对象。根据入选的73例初产妇进行不同护理模式进行护理后，观察两组产妇的泌乳情况及并发症情况，分析其护理效果及作用。其中采用常规护理的32例初产妇进行常规产后护理；剩余41例初产妇给予针对性护理模式进行护理干预。观察两组产妇泌乳时间、产后48 h、产后一周、产后一月泌乳量及并发症情况。结果：传统护理干预模式的对照组产妇满意率为78.13%，显著低于采用综合护理干预模式的观察组满意率95.12%，具有统计学意义（P<0.05）；对照组产后开始泌乳时间高于观察组，产后48 h泌乳量低于观察组，具有统计学意义（P<0.05）；此外，产后回访数据统计显示，对照组产后泌乳量充足人数在产后第一个月、第二个月、第三个月均低于观察组，具有统计学意义（P<0.05）。结论：对初产妇进行针对性护理干预，能有效出击产妇泌乳、增加泌乳量，提升护理效果，有效解决初产妇泌乳困难等问题。

【关键词】护理干预； 初产妇； 产后泌乳困难

[中图分类号]R473.71 [文献标识码]A [文章编号]2096-5249（2021）07-006-03

The Effect of Nursing Intervention on the Improvement of Postpartum Lactation Difficulty of Primiparas

WANG Mei-qing（Yanggu County Peoples Hospital， liaocheng shandong 252300， China）

[Abstract] Objective： To analyze the effect of nursing intervention on the improvement of postpartum lactation difficulty of primiparas. Methods： A total of 73 pregnant women who gave birth in our hospital from January 2019 to October 2019 were selected as the observation subjects of this study. According to the selected 73 cases of primiparas with different nursing modes， the lactation status and complications of the two groups were observed， and the nursing effect and effect were analyzed. Among them， 32 cases of primiparas received routine postpartum nursing. The remaining 41 primiparas were given targeted nursing mode for nursing intervention. Lactation time， postpartum 48 h， postpartum 1 week， postpartum 1 month and complications of the two groups were observed. Results： The satisfaction rate of pregnant women in the control group of traditional nursing intervention mode was 78.13%， which was significantly lower than that in the observation group of comprehensive nursing intervention mode 95.12% （P<0.05）. The duration of postpartum lactation in the control group was higher than that in the observation group， and the amount of lactation at 48 h postpartum was lower than that in the observation group （P<0.05）. In addition， the data of postpartum follow-up showed that the number of patients with sufficient postpartum lactation in the control group was lower than that in the observation group in the first month， the second month and the third month （P<0.05）. Conclusions： The targeted nursing intervention can effectively attack the puerperas lactation， increase the lactation volume， improve the nursing effect and effectively solve the problems of puerperas lactation difficulty.

[Key words] Nursing Intervention； First-time Mothers； Difficulty in Lactation after Delivery

母乳是婴儿喂养的最理想的方式，也是当前最为提倡的方式。产后5 d内的母乳中含有新生儿所需的大量免疫因子，对增强新生儿集体抗体力，提高新生儿营养具有积极意义[1-2]。初产妇因经验不足，极容易发生喂养不当，容易导致新生儿营养不足引发各类疾病。临床数据显示，初产妇缺乏喂养经验、产后泌乳困难导致乳房胀痛、乳汁不足、乳腺炎等并发症不仅加剧了初产妇的痛苦、延长了住院时间，更为重要的是给婴儿的营养摄入带来的极大的影响[3-4]。妇产科作为医院的重要科室，做好初产妇产后泌乳及护理工作是产妇顺利分娩后工作的重点方向。为更好的执行产后早期母婴解除并进行母乳喂养，确保初产妇早期泌乳并保持泌乳量十分关键。……