系统性护理干预对哺乳期急性乳腺炎初产妇负性情绪及并发症的影响  

Influence of systematic nursing intervention on negative emotions and complications for acute mammitis of primipara

作　　者：穆玉霞[1] 葛军[1] 贺秀芳[1] 

机构地区：[1]河北省石家庄市第四医院供应室,河北石家庄050011

出　　处：《中国医药导报》2016年第19期173-176,共4页China Medical Herald

摘　　要：目的探讨系统性护理干预对哺乳期急性乳腺炎初产妇负性情绪及并发症的影响。方法选择2014年12月～2015年12月石家庄市第四医院住院治疗的哺乳期急性乳腺炎初产妇100例，采用随机数字表法分为干预组和对照组，每组各50例。两组均进行排空乳汁、使用抗生素及手法按摩等常规治疗，干预组在常规治疗的基础上着重实施系统护理干预，经过2周的治疗及护理后，比较观察两组产妇的护理效果，比较两组产妇干预前后焦虑自评量表（SAS）评分、抑郁自评量表（SDS）评分的变化，分析两组并发症发生率情况。结果干预组的总有效率达98％，高于对照组（78％），差异有统计学意义（x^2=5．137，P〈0．05）。干预前两组SAS及SDS评分比较，差异均无统计学意义（t=0．234、0．323，均P〉0．05），干预后两组SAS评分及SDS评分均较干预前显著降低，且干预组干预后的SAS评分及SDS评分均显著低于对照组，差异均有统计学意义（t=3．364、3．321，均P〈0．05）。两组干预后的并发症发生率比较，差异有统计学意义（18％比42％，x^2=6．342，P〈0．05），干预组的并发症发生率显著低于对照组。结论对哺乳期急性乳腺炎初产妇在积极治疗的同时实施系统性护理干预，可以缓解其负性情绪，减少并发症的发生。提高患者的治疗效果。Objective To explore the influence of systematic nursing intervention on negative emotions and complications for acute mammitis of primipara. Methods From December 2014 to December 2015, 100 cases of lactation acute mammitis of primipara of hospitalized patients in the Fourth Hospital of Shijiazhuang City were selected, were randomly divided into intervention group and control group, 50 cases in each group. Patients of the two groups were threated with emptying the milk, the use of antibiotics and massage and other conventional treatment, the intervention group was im- plemented the system nursing intervention based on the conventional treatment. After 2 weeks of treatment and nursing, the nursing effect of the two groups were observed and compared, the changes of SAS, SDS score were compared before and after treatment and the incidence rate of complications was compared and analyzed in the two groups. Results The total effective rate of the intervention group reached 98%, the total effective rate of the control group was 78%. The difference of the two groups was significant （x^2 = 5.137, P 〈 0.05）. Before intervention, the SAS and SDS score was not significant between the intervention group and control group （t = 0.234, 0.323, all P 〉 0.05）; after intervention, the score of two groups decreased significantly than before intervention, the SAS and SDS scores of the intervention group after intervention were significantly lower than those of the control group, the differences were significant （t = 3.364, 3.321, all P 〈 0.05）. After intervention, the incidence rate of complications was compared between two groups, and the difference was statistically significant （18% vs 42%, X2= 6.342, P 〈 0.05）, the complication rate of the intervention group was significantly lower than that of the control group. Conclusion Active treatment combined with systemic nursing intervention can ease the negative emotions of primipara with acute mastitis in lactation period, and reduce the incidence of complication

关 键 词：急性乳腺炎 统性护理干预 负性情绪 并发症 

分 类 号：R473.6[医药卫生—护理学]