叙事护理联合早期盆底肌康复护理对产妇泌乳及子宫脱垂预防效果的影响  

Effect of Narrative Nursing Combined with Early Pelvic Floor Muscle Rehabilitation Nursingon Maternal Lactation and Uterine Prolapse Prevention

作　　者：郑丹萍 ZHENG Dan-ping(Obstetrics and Gynecology Department of Yanshan County People's Hospital,Yanshan 334500,Jiangxi,China)

机构地区：[1]铅山县人民医院妇产科,江西铅山334500

出　　处：《医学信息》2024年第17期169-172,共4页Journal of Medical Information

摘　　要：目的研究叙事护理联合早期盆底肌康复护理对产妇泌乳及子宫脱垂风险的影响。方法选取2020年1月-2022年10月铅山县人民医院顺利分娩的60例产妇,按照随机数字表法分为对照组(30例)与观察组(30例)。两组均给予常规产后护理,在此基础上,对照组加用早期盆底肌康复护理,观察组则采用叙事护理联合早期盆底肌康复护理,比较两组泌乳及喂养情况、盆底肌力、产后疲乏量表(PFS)评分、爱丁堡产后抑郁量表(EPDS)评分、产后盆底功能性障碍(PFD)情况。结果观察组产后泌乳时间短于对照组,且母乳喂养率、MBFES评分高于对照组(P<0.05);观察组盆底肌力分级优于对照组(P<0.05);观察组PFS、EPDS评分低于对照组(P<0.05);观察组产后PFD发生率小于对照组(P<0.05)。结论叙事护理联合早期盆底肌康复护理可改善产妇的产后泌乳及母乳喂养情况,提升其盆底肌力,同时缓解产妇的产后疲乏及抑郁情绪,对子宫脱垂等PFD问题具有良好预防作用。Objective To study the effect of narrative nursing combined with early pelvic floor muscle rehabilitation nursing on maternal lactation and uterine prolapse risk.Methods From January 2020 to October 2022,60 parturients who delivered successfully in Yanshan County People's Hospital were selected and divided into control group(30 parturients)and observation group(30 parturients)according to the random number table method.Both groups were given routine postpartum nursing.On this basis,the control group was given early pelvic floor muscle rehabilitation nursing,while the observation group was given narrative nursing combined with early pelvic floor muscle rehabilitation nursing.The lactation and feeding conditions,pelvic floor muscle strength,postpartum fatigue scale(PFS)score,Edinburgh Postpartum Depression Scale(EPDS)score,postpartum pelvic floor dysfunction(PFD)were compared between the two groups.Results The postpartum lactation time of the observation group was shorter than that of the control group,and the breastfeeding rate and MBFES score were higher than those of the control group(P<0.05).The pelvic floor muscle strength grading of the observation group was better than that of the control group(P<0.05).The PFS and EPDS scores of the observation group were lower than those of the control group(P<0.05).The incidence of postpartum PFD in the observation group was lower than that in the control group(P<0.05).Conclusion Narrative nursing combined with early pelvic floor muscle rehabilitation nursing can improve postpartum lactation and breastfeeding,improve pelvic floor muscle strength,relieve postpartum fatigue and depression,and has a good preventive effect on PFD problems such as uterine prolapse.

关 键 词：叙事护理 早期盆底肌康复护理 子宫脱垂 

分 类 号：R473[医药卫生—护理学]