产褥期新模式保健对产褥期妇女健康状况的影响  

Effect of puerperal healthcare using novel model on health status in puerperal women

作　　者：冷嫦娥 欧琳霞 柴思锋 鞠爱萍[1] 岳玉焕[1] LENG Chang-e;OU Lin-xia;CHAI Si-feng;JU Ai-ping;YUE Yu-huan(Department of Obstetrics,Huadu District Maternal and Child Health Hospital&Huzhong Obstetrics Hospital,Guangzhou 510800,China)

机构地区：[1]广东省广州市花都区妇幼保健院(胡忠产科医院)产科,广州市510800

出　　处：《广西医学》2020年第8期995-998,共4页Guangxi Medical Journal

基　　金：广东省广州市花都区医疗卫生一般科研专项(18-HDWS-001)。

摘　　要：目的探讨产褥期新模式保健对产褥期妇女健康状况的影响。方法 3 000例孕妇,产前给予产褥期新模式保健的健康教育,产后42~60 d进行血常规、尿常规、白带常规、子宫附件B超等检查,并进行问卷调查,了解产妇产褥期的饮食、行为、母乳喂养情况、产褥期常见症状和疾病发生情况,以及抑郁和焦虑等心理健康状态。结果 3 000例产妇中,有92.97%产妇洗头,94.83%产妇洗澡,91.10%产妇吃蔬菜,85.20%吃水果,3 000例产妇都会维持刷牙、清洗外阴、晒太阳、开窗通风等日常良好习惯。38.93%产妇存在轻度焦虑,19.23%产妇存在中度焦虑,40.00%产妇存在轻度抑郁,14.63%产妇存在中度抑郁;91.50%产妇出汗异常,75.50%产妇出现异常口渴,75.20%产妇出现产后身痛,47.40%产妇出现便秘,84.43%产妇出现恶露不绝,26.30%产妇出现产褥期失眠,18.13%产妇出现产褥期感冒,14.78%产妇出现乳腺炎等。结论在知晓产褥期保健知识并按产褥期新模式保健"坐月子"后,产褥期妇女的心理健康状况仍然不容乐观,其身体健康状况也欠佳,需要进一步研究和完善产褥期保健模式。Objective To investigate the effect of puerperal healthcare using novel model on health status in puerperal women. Methods A total of 3000 pregnant women were given health education on novel-model puerperal healthcare before delivery, and received blood routine test, urine routine test, leucorrhea routine test, uterine appendix B ultrasound and other examinations 42 to 60 days after delivery, and a questionnaire survey was conducted to understand maternal diet, behaviors, breastfeeding conditions, common symptoms and illnesses during puerperium, as well as mental health states such as depression and anxiety. Results Of the 3000 puerperae, 92.97% washed their hair in puerperium, 94.83% took a bath, 91.10% ate vegetables, and 85.20% ate fruits, and almost all of the 3000 puerperae had good daily habits such as brushing teeth regularly, cleaning vulva, basking in the sun, and opening window for ventilation. About 38.94% of the puerperae had mild anxiety, 19.23% had moderate anxiety, 40.00% had mild depression, 14.63% had moderate depression;91.50%,75.50%, 75.20%,47.40%,84.43%,26.30%, 18.13% and 14.78% of the puerperae experienced abnormal sweating, abnormal thirst, postpartum physical pain, constipation, incessant lochia, puerperal insomnia, puerperal common cold, and mastitis, respectively. Conclusion In the context of being awareness of knowledge about puerperal healthcare and taking care of confinement in line with the novel-model puerperal healthcare, the psychological status of puerperal women is not optimistic yet, and their physical state is poor. Further study and improvement of the puerperal healthcare model is needed.

关 键 词：产褥期保健 产褥期 坐月子 健康状况 调查研究 广州 

分 类 号：R714.6[医药卫生—妇产科学]