围生期无缝隙的个性化护理干预措施对健康产妇及新生儿的临床研究  

Effect of prenatal personalized nursing interventions on breastfeeding of newborns in healthy adult maternal

作　　者：王向华[1] 樊莉萍 Wang Xianghua;Fan Liping(Department of Obstetrics,Jinshan Branch of Shanghai Sixth People's Hospital,Shanghai 201599,China)

机构地区：[1]上海市第六人民医院金山分院产科,201599

出　　处：《中国实用护理杂志》2020年第9期674-678,共5页Chinese Journal of Practical Nursing

基　　金：上海市第六人民医院医疗集团科学研究课题。

摘　　要：目的探讨产前产后无缝隙的个性化护理干预模式对产妇及新生儿的母乳喂养的效果。方法选取2018年4—9月在上海市第六人民医院金山分院分娩的健康产妇300例为研究对象,按照随机数字表法分为观察组和对照组各150例。对照组给予常规护理,观察组给予围生期无缝隙个性化护理干预措施。分别对产妇(泌乳量的多少、产妇母乳喂养知识掌握情况、乳房胀痛和皲裂发生情况以及产后6个月内纯母乳喂养的发生情况)及新生儿(异常体温、睡前哭闹及黄疸例数)2个方面进行临床评价。结果观察组在术后第3天63.33%(95/150)的产妇泌乳量足,显著多于对照组的51.33%(77/150);观察组产妇对母乳喂养知识的掌握率为64.00%(96/150),明显高于对照组的54.67%(82/150);观察组产妇乳房胀痛和皲裂发生率为11.33%(17/150),明显低于对照组的28.67%(43/150);观察组在产后6个月内,每月纯母乳喂养率均高于对照组;观察组新生儿发生黄疸44例,明显少于对照组61例,差异有统计学意义(χ^2值为4.23~15.01,P<0.05)。结论通过对健康成年产妇实施这种无缝隙的个体化护理干预措施,能够提高产妇泌乳量,让产妇掌握母乳喂养相关知识,同时减少乳房胀痛和皲裂的发生,对提高纯母乳喂养率有积极的促进作用,对于新生儿也可以减少黄疸的发生。Objective To explore the effect of prenatal and postnatal seamless personalized nursing intervention mode on breastfeeding of pregnant women and newborns.Methods A total of 300 healthy mothers who were examined and delivered at Jinshan Branch of Shanghai Sixth People's Hospital from April 2018 to September 2018 were selected and randomly divided into observation group and control group.The control group was given routine care,and the observation group was given perinatal seamless nursing interventions.Clinical evaluations were performed on both maternal(how much lactation,maternal breastfeeding knowledge,swelling and cleft palate,and exclusive breastfeeding within 6 months after delivery)and neonatal aspects(abnormal temperature,crying before bedtime,and jaundice).Results In the observation group,63.33%(95/150)of maternal in the observation group were sufficient lactation which was significantly more than 51.33%(77/150)in the control group;the rate of knowledge of breastfeeding in the observation group was 64.00%(96/150),which was significantly higher than 54.67%(82/150)in the control group;the incidence of mammary tenderness and cleft palate in the observation group was 11.33%(17/150),which was significantly lower than 28.67%(43/150)in the control group;in the observation group within 6 months after delivery,the monthly exclusive breastfeeding rate was higher than in the control group;44 cases of neonatal jaundice in the observation group were significantly less than the control group with 61 cases,the difference was statistically significant(χ^2 values were 4.23-15.01,P<0.05).Conclusion By implementing this seamless individualized nursing intervention for healthy adult mothers,it is possible to increase maternal milk production and allow mothers to acquire knowledge about breastfeeding,while reducing the occurrence of breast tenderness and cleft palate,which has a positive effect on improving exclusive breastfeeding Promoting effect can also reduce the incidence of jaundice for newborns.

关 键 词：母乳喂养 健康教育 个体化护理 

分 类 号：R473[医药卫生—护理学]