摘要
目的探讨系统护理干预对剖宫产产妇负性情绪、早期泌乳及术后并发症的临床效果。方法选取2010年10月到2012年6月期间的产妇120例，按照随机数字法将其分为观察组和对照组各60例，对照组产妇给予常规护理措施，观察组产妇在一般常规护理的基础上，给予一系列的护理干预措施，包括饮食、心理、健康、行为等方面的干预措施，干预7d后采用焦虑自评量表（SAS）和抑郁自评量表（SDS）对两组产妇术后进行心理状况评价，并记录48h内两组产妇开始泌乳的比例，观察术后产妇并发症的发生情况。结果干预前两组患者SAS、SDS评分比较，差异无统计学意义（P〉0．05）；干预后观察组患者SAS、SDS评分分别（43．70±3．97），（42．90±4．22）分，均低于对照组的（55．40±3．68），（54．70±4．11）分，差异均有统计学意义（t分别为11．24，10．33；P〈0．05）。48h内观察组产妇开始泌乳泌和乳量充足的分别占93．9％和76．7％，显著高于对照组的68．3％和56．7％，差异均有统计学意义（X。分别为10．77，9．72；P〈0．05）。观察组产妇术后出血、尿潴留、腹胀、便秘以及下肢深静脉栓塞等并发症的发生率为6．7％，显著低于对照组的28．3％，差异有统计学意义（X2：9．86，P〈0．05）。结论系统护理干预能够显著改善产妇剖宫产术后焦虑、抑郁等负性情绪，能够促进产妇早期泌乳，减少术后并发症的发生。
Objective To investigate the clinical effect of systematic nursing intervention on negative emotions, early lactation and postoperative complications after cesarean section. Methods A total of 120 cases of women after cesarean section from October 2010 to June 2012 were chosen and randomly divided into the observation group and the control group, each with 60 cases. The control group received conventional nursing measures, while the observation group was given nursing intervention including aspects＇of diet, psychology, health and behavior. SAS and SDS were used to evaluate their metal status 7 days after intervention, lactation rate was recorded within 48 hours, and postoperative complication was observed in both groups. Results There was no statistically significant difference on SAS and SDS between two groups before intervention （ P 〉 0. 05 ）. After intervention, the score of SAS and SDS was respectively （43.70 ± 3.97 ）, （42. 90 ± 4. 22 ） in the observation group, lower than （55.40 ± 3.68 ）, （ 54. 70±4. 11 ） in the control group, and the differences were statistically significant （t = 11.24,10. 33, respectively;P 〈 0. 05 ）. The rate of lactation and enough milk was 93.9% and 76. 7% in the observation group in 48 hours, higher than 68.3% and 56. 7% in the control group, and the differences were statistically significant （x2 = 10. 77,9. 72, respectively; P 〈 0.05 ）. The incidence of complications such as postoperative bleeding, uroschesis, abdominal distention, constipation and deep venous thrombosis was 6.7% in the observation group, lower than 28.3% in the control group, and the difference was statistically significant （ X2 = 9. 86, P 〈 0. 05 ）. Conclusions Systematic nursing intervention can significantly improve patients＇ postoperative anxiety, depression and other negative emotions after cesarean section, as well as promote maternal early lactation and reduce the incidence of postoperative complications.
出处
《中华现代护理杂志》
2013年第33期4112-4114,共3页
Chinese Journal of Modern Nursing
关键词
剖宫产术
泌乳
手术后并发症
焦虑
抑郁
系统护理干预
Cesarean section
Lactation
Postoperative complication
Anxiety
Depression
Systematic nursing intervention
