母婴分离产妇心理情绪对泌乳素及后期母乳喂养率的影响  

Influence of emotion of puerperal women separated from their newborns on prolactin and breast feeding rate in late stage

作　　者：李智敏[1] 何丽[1] 张丽婷[1] 

机构地区：[1]南方医科大学附属小榄医院妇产科,中山528415

出　　处：《右江医学》2014年第5期528-530,共3页Chinese Youjiang Medical Journal

基　　金：广东省中山市医学科研基金(编号:J2011121)

摘　　要：目的研究母婴分离产妇心理情绪对产妇泌乳素(PRL)及后期母乳喂养率的影响,探讨有针对性的早期干预措施。方法选择192例母婴分离的产妇作为观察组,另选取同期住院分娩的176例母婴同室的产妇为对照组。采用症状自评量表SCL-90对产妇进行心理情绪评分,同时检测PRL水平,观察并比较产后乳汁分泌情况及后期母乳喂养率。结果与母婴同室的产妇相比,母婴分离产妇的SCL-90心理情绪评分明显升高(P<0.01);伴随负面心理情绪的出现,母婴分离产妇PRL水平降低、泌乳始动时间延长、乳汁量减少、后期母乳喂养率降低,差异均有统计学意义(P<0.01)。结论母婴分离产妇应激引起的负面心理情绪影响产妇PRL水平,关注母婴分离产妇的心理变化,适时采取积极的护理干预措施,对保证和促进母婴健康有推动作用。Objective To study the influence of emotion of puerperal women separated from their newborns on prolactin （PRL） and breast-feeding rate, so as to explore specific early interventions.Methods 192 puerperal women separated from their newborns were selected as the observation group, and 176 rooming-in puerpera were selected as the control group.SCL-90 was used to score the emotion of puerperal women in both groups. Moreover, their prolactin levels were detected, and lactation and breast-feeding rate were observed.Results Compared with those of the control group, SCL-90 scores of the observation group significantly increased（P〈0. 01）.With the emergence of negative emotions,PRL levels in the observation group deereased, the starting time of lactation prolonged, amount of milk and late breast feeding rate decreased, so the differences were statistically significant （P〈0. 01 ）.Conclusion Negative emotions of puerperal women caused by maternal separation can influence PRL level.Paying attention to the emotion change of puerperal women separated from newborns and taking active nursing interventions timely can promote and insure the health of both mothers and infants who separate from each other.

关 键 词：母婴分离产妇 心理情绪评分 泌乳素 母乳喂养率 

分 类 号：R473.71[医药卫生—护理学]