产褥期护理联合康复护理对剖宫产术后患者机体功能恢复及乳汁分泌的影响  

Effect of puerperal nursing combined with rehabilitation nursing on recovery of body function and milk secretion in patients underwent cesarean section

作　　者：马帅 Ma Shuai(Panjin Liaoyou Gem Flower Hospital,Panjin Liaoning 124010,China)

机构地区：[1]盘锦辽油宝石花医院,辽宁盘锦124010

出　　处：《保健医学研究与实践》2022年第12期158-161,共4页Health Medicine Research and Practice

摘　　要：目的 探讨产褥期护理联合康复护理对剖宫产术后患者机体功能恢复及乳汁分泌的影响,以期为临床治疗提供参考。方法 本研究选取2020年10月—2021年10月在盘锦辽油宝石花医院择期行剖宫产术分娩的80例患者作为研究对象。采用随机数字表法将患者分为研究组和对照组,每组40例。对照组患者采用常规护理。观察组患者采用产褥期护理联合康复护理干预。比较2组患者自制乳汁分泌量量表及视觉模拟疼痛(VAS)评分。比较2组患者汉密尔顿焦虑量表(HAMA)及汉密尔顿抑郁量表(HAMD)评分。比较2组患者术后DVT及其他并发症发生情况。结果 研究组患者自制乳汁分泌量量表评分高于对照组,而VAS评分低于对照组,差异具有统计学意义(P<0.05)。护理前,2组患者HAMA、HAMD评分比较,差异无统计学意义(P>0.05)。护理后,2组患者HAMA、HAMD评分均低于护理前,且研究组低于对照组,差异均有统计学意义(P<0.05)。研究组患者DVT发生率及其他并发症发生率均低于对照组,差异均有统计学意义(P<0.05)。结论 对剖宫产术后患者实施产褥期护理联合康复护理的干预效果确切,可促进患者乳汁分泌,减少乳房胀痛感,改善不良情绪,降低DVT等并发症发生率,具有较高的临床应用价值。Objective To investigate the effect of puerperal nursing combined with rehabilitation nursing on the recovery of body function and milk secretion in patients underwent cesarean section,so as to provide a reference for clinical treatment.Methods Eighty patients who underwent elective cesarean delivery in Panjin Liaoyou Gem Flower Hospital from October 2020 to October 2021 were selected as the study participants.The patients were assigned to the study group and control group by random number table,with 40 cases in each group.Patients in the control group received routine care.Patients in the observation group received puerperal nursing combined with rehabilitation nursing intervention.Selfk-made milk secretion scale and visual analogue scale(VAS) score were compared between the two groups.The Hamilton Anxiety Rating Scale(HAMA) and Hamilton Depression Rating Scale(HAMD) scores were compared between the two groups.Postoperative deep vein thrombosis(DVT) and other complications were compared between the two groups.Results The score of the self-made milk secretion scale in the study group was higher than that in the control group,while the VAS score was lower than that in the control group,with statistically significant differences(P<0.05).Before nursing,there was no significant difference in HAMA and HAMD scores between the two groups(P>0.05).After nursing,the HAMA and HAMD scores of the two groups were significantly lower than those before nursing,and the study group was lower than the control group(P<0.05).The incidence rate of DVT and other complications in the study group was significantly lower than that in the control group(P<0.05).Conclusion Puerperal nursing in combination with rehabilitation nursing is effective in promoting milk secretion,reducing breast distension and pain,improving adverse emotions,and reducing the incidence of DVT and other complications in treating patients after cesarean section.These benefits hold promise for a wider application of this procedure clinically.

关 键 词：剖宫产 产褥期护理 康复护理 下肢深静脉血栓 乳汁分泌量 

分 类 号：R473.5[医药卫生—护理学]