优质护理干预在初产妇剖宫产术后母乳喂养中的实施效果

2024-01-21董卫芳刘明侠

婚育与健康 2023年24期

董卫芳刘明侠

【摘要】目的：探討在初产妇剖宫产术后母乳喂养中实施优质护理干预的干预效果。方法：选择86例初产妇剖宫产患者为研究对象，时间为2022年4月—2023年4月，将入组的产妇根据集中抽样法进行分组，各43例，对照组产妇给予常规护理，研究组产妇则联合开展优质护理干预，对比两组产妇母乳喂养自信心与自我效能感、产后泌乳及母乳喂养情况、乳房并发症发生率及护理满意度。结果：干预后两组产妇母乳喂养效能感评分较干预前明显升高，且研究组升高幅度较对照组更为明显（P<0.05）；研究组产妇产后3d泌乳量以及纯母乳喂养率较对照组更高，泌乳始动时间较对照组更短，组间相比差异明显（P<0.05）；研究组产妇乳房并发症总占比为4.65%，对照组产妇乳房并发症总占比为16.28%，组间相比差异明显（P<0.05）；研究组产妇护理总满意的占比为93.35%，对照组产妇护理总满意的占比为79.07%，组间相比差异明显（P<0.05）。结论：在初产妇剖宫产术后母乳喂养中实施优质护理干预有助于提高母乳喂养成功率，减少乳房并发症，产妇满意度高，值得临床大力推广。

【关键词】优质护理；剖宫产；初产妇；母乳喂养成功率

The implementation effect of high-quality nursing intervention in breastfeeding after cesarean section for primiparous women

DONG Weifang， LIU Mingxia

Fufeng County Peoples Hospital， Baoji， Shaanxi 722299， China

【Abstract】Objective： To explore the intervention effect of implementing high-quality nursing interventions in breastfeeding after cesarean section for primiparous women. Methods： 86 primiparous women with cesarean section were selected as the study subjects from April 2022 to April 2023. Divided the primiparous women into groups according to the centralized sampling method， with 43 cases in each group. The control group of primiparous women received routine nursing， while the study group of primiparous women received high-quality nursing on the basis of the control group. The breast feeding self-confidence and self-efficacy， postpartum lactation and breast feeding， the incidence of breast complications and nursing satisfaction were compared between the two groups. Results： After the intervention， the scores of breastfeeding efficacy in both groups were significantly higher than before the intervention， and the increase in the study group was more significant than that in the control group （P<0.05）. The postpartum milk production and pure breastfeeding rate of the study group were higher than those of the control group， and the initiation time of lactation was shorter than that of the control group. There were significant differences between the groups （P<0.05）. The total proportion of breast complications in the study group was 4.65%， while the total proportion of breast complications in the control group was 16.28%. There was a significant difference between the groups （P<0.05）. The proportion of total satisfaction with maternal care in the study group was 93.35%， while the proportion of total satisfaction with maternal care in the control group was 79.07%. There was a significant difference between the groups （P<0.05）. Conclusion： Implementing high-quality nursing interventions in breastfeeding after cesarean section for primiparous women can help improve the success rate of breastfeeding， reduce breast complications， and increase maternal satisfaction， which is worthy of clinical promotion.

【Key Words】High-quality nursing； Cesarean section； Primiparous women； The success rate of breastfeeding

剖宫产是解决产科难题首选的分娩方式，尽管可有效确保母婴安全，但手术的创伤性常会给产妇造成明显的心理及生理应激，不利于产后母乳喂养[1]。初产妇常缺乏分娩及母乳喂养经验，尤其是在剖宫产术后常因切口疼痛、不能良好适应母亲角色等而拒绝母乳喂养，因此在产后护理中除了常规病情康复护理外还需强化母乳喂养指导以增进产妇的自我效能感，提高母乳喂养率[2]。优质护理干预全面贯彻“以患者为中心”的服务理念，深化专业护理内涵，通过制定一系列全面、科学的护理措施为患者提供最佳的服务，在改善剖宫产术后产妇心理状态、提高母乳喂养率方面具有积极意义[3]。该研究对43例初产妇剖宫产患者行优质护理干预，取得了满意效果，现进行如下报道。