认知行为疗法联合思维导图式健康教育对剖宫术后产后恢复的作用效果分析  

Effect Analysis of Cognitive Behavioral Therapy Combined with Mind Mapping Health Education on Postpartum Recovery After Hysterotomy

作　　者：孙海静 Sun Hai-jing(Department of Obstetrics,Chengwu County People's Hospital,Heze 274200,Shandong Province,China)

机构地区：[1]山东省成武县人民医院产科,山东菏泽274200

出　　处：《中国社区医师》2023年第10期106-108,共3页Chinese Community Doctors

摘　　要：目的:研究认知行为疗法(CBT)联合思维导图式健康教育对剖宫产术后产后恢复的作用效果。方法:选取2020年2月—2022年4月于山东省成武县人民医院进行剖宫术的85例产妇作为研究对象,以随机数字表法分为观察组与对照组。对照组开展思维导图式健康教育,观察组在对照组基础上联合CBT干预,比较两组术后康复情况、泌乳功能指标水平、心理状况、生活质量评分。结果:观察组产后排气时间、肠鸣音恢复时间、首次排便时间均短于对照组,差异有统计学意义(P=0.000)。观察组产后首次泌乳时间短于对照组,产后1 d、2 d泌乳量多于对照组,差异有统计学意义(P=0.000)。干预前,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05);干预后,观察组SAS、SDS评分低于对照组,差异有统计学意义(P=0.000)。干预前,两组生活质量评分比较,差异无统计学意义(P=0.591);干预后,两组生活质量评分均高于干预前,且观察组高于对照组,差异有统计学意义(P=0.000)。结论:CBT联合思维导图式健康教育可发挥促进行剖宫术患者产后恢复的作用,且能改善产妇泌乳功能,缓解焦虑、抑郁情绪,提高生活质量。Objective:To study the effect of cognitive behavioral therapy(CBT)combined with mind mapping health education on postpartum recovery after hysterotomy.Methods:A total of 85 parturients who received hysterotomy in Chengwu County People's Hospital of Shandong Province from February 2020 to April 2022 were selected as the study subjects.According to random number table method,they were divided into observation group and control group.The control group received mental mapping health education,and the observation group received CBT intervention on the basis of control group.The postoperative recovery,lactation function index level,psychological condition,and quality of life score were compared between the two groups.Results:The postpartum exhaust time,bowel sound recovery time and first defecation time in the observation group were shorter than those in the control group,and the difference was statistically significant(P=0.000).The postpartum first lactation time in the observation group was shorter than that in the control group,and the milk yield at postpartum 1 d and 2 d in the observation group were higher than those in the control group,and the difference was statistically significant(P=0.000).Before intervention,there was no significant difference in Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)scores between the two groups(P>0.05).After intervention,the SAS and SDS scores in the observation group were lower than those in the control group,and the difference was statistically significant(P=0.000).Before intervention,there was no significant difference in quality of life scores between the two groups(P=0.591).After intervention,the quality of life scores in the two groups were higher than those before intervention,and the observation group was higher than the control group,and the difference was statistically significant(P=0.000).Conclusion:CBT combined with mind mapping health education can promote postpartum recovery after hysterotomy,improve lactation function,relieve anxiety and depressi

关 键 词：剖宫术 产后恢复 认知行为 思维导图 健康教育 

分 类 号：R473.71[医药卫生—护理学]