线上产后康复促进项目活动方案的设计及实施  

Design and implementation of an online postpartum rehabilitation promotion programme

作　　者：曾招艳[1] 谢颖[2] 曾颂[1] 卢美秀[1] 廖艳娟[1] 张晓云 Zeng Zhaoyan;Xie Ying;Zeng Song;Lu Meixiu;Liao Yanjuan;Zhang Xiaoyun(Obstetric Department,Affiliated Hospital of Guilin Medical University,Guilin 541001,China)

机构地区：[1]桂林医学院附属医院产科,广西桂林541001 [2]桂林医学院护理学院

出　　处：《护理学杂志》2024年第18期102-106,共5页Journal of Nursing Science

基　　金：广西壮族自治区中医药管理局自筹科研课题(GXZYC20220289)。

摘　　要：目的探讨线上产后康复促进项目活动方案对产妇产后母乳喂养、形体恢复的效果。方法以便利抽样法抽取符合纳入及排除标准的产妇70例,将产妇随机分为产康组与对照组各35例。对照组实施常规产褥期护理及随访,产康组按照线上产后康复促进项目活动方案实施护理干预。产后6个月比较两组纯母乳喂养率、婴儿体格发育情况、产妇盆底肌肌力及形体恢复情况。结果产后6个月,纯母乳喂养率对照组为42.86%,产康组为88.57%,两组差异有统计学意义(P<0.05)。产康组产妇臀围、腰围显著小于对照组,而盆底肌肌力评分显著高于对照组(均P<0.05)。两组婴儿身长及体质量差异无统计学意义(均P>0.05)。结论对产妇实施线上产后康复促进项目,可提升产妇纯母乳喂养率,促进产后形体恢复、改善盆底肌肌力。Objective To explore the implementation effect of an online postpartum rehabilitation promotion programme on breastfeeding and physical recovery of postpartum women.Methods A total of 70 postpartum women met the inclusion and exclusion criteria were conveniently selected and randomized into a control group and a postpartum rehabilitation group,with 35 cases in each group.The control group received routine puerperium care and follow-up,while the postpartum rehabilitation group received nursing intervention according to the online postpartum rehabilitation promotion programme.The exclusive breastfeeding rate,physical development of the infants,pelvic floor muscle strength and body recovery of the postpartum women were compared between the two groups at six months postpartum.Results After 6 months postpartum,the exclusive breastfeeding rate of the control group was 42.86%,while it was 88.57%in the postpartum rehabilitation group,and the difference between the two groups was statistically significant(P<0.05).The hip and waist circumference of the postpartum women in the postpartum rehabilitation group were significantly smaller than those in the control group,while the pelvic floor muscle strength was significantly higher than that in the control group(all P<0.05).There weren′t statistically significant differences in infants′length and weight between the two groups(both P>0.05).Conclusion Implementing the online postpartum rehabilitation promotion programme for postpartum women can effectively increase the exclusive breastfeeding rate,promote postpartum physical recovery,and improve pelvic floor muscle strength.

关 键 词：初产妇 产后康复 盆底肌力 盆底肌训练 母乳喂养 腰围 臀围 线上干预 

分 类 号：R473.71[医药卫生—护理学] R473.2[医药卫生—临床医学]