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作 者:屈敏娟 从静 QU Minjuan;CONG Jing(the Second Affiliated Hospital of Xi'an Medical University,Xi'an 710038,China)
机构地区:[1]西安医学院第二附属医院,陕西西安710038
出 处:《临床医学研究与实践》2024年第34期163-166,共4页Clinical Research and Practice
摘 要:目的探讨营养护理联合乳房穴位按摩对产妇产后乳房胀痛、泌乳效果及喂养质量的影响。方法选取2022年5月至2023年3月我院收治并已顺利分娩的100例产妇为研究对象,按照入院时间先后顺序将其分为对照组(50例,常规护理)及观察组(50例,常规护理+营养护理+乳房穴位按摩)。比较两组的干预效果。结果产后24、48、72 h,观察组的疼痛视觉模拟评分(VAS)评分低于对照组(P<0.05)。产后3 d,观察组的爱丁堡产后抑郁量表(EPDS)、焦虑自评量表(SAS)评分低于对照组(P<0.05)。观察组的泌乳总有效率高于对照组(P<0.05)。观察组的首次母乳喂养时间短于对照组,喂养不耐受总发生率低于对照组(P<0.05)。产后42 d,观察组新生儿的体重、头围大于对照组,身长长于对照组(P<0.05)。结论营养护理联合乳房穴位按摩可改善产妇的乳房胀痛情况及心理状态,提高泌乳效果及喂养质量,促进新生儿生长发育,值得应用与推广。Objective To explore the effects of nutrition nursing combined with breast acupoint massage on postpartum breast distending pain,lactation effect and feeding quality of parturients.Methods A total of 100 parturients who were admitted and successfully delivered in our hospital from May 2022 to March 2023 were selected as the research objects.According to the order of admission time,the parturients were divided into control group(50 cases,routine nursing)and observation group(50 cases,routine nursing+nutritional nursing+breast acupoint massage).The intervention effects of the two groups were compared.Results At 24,48 and 72 h after delivery,the Visual Analogue Scale(VAS)score of the observation group was lower than that of the control group(P<0.05).At 3 d after delivery,the scores of Edinburgh Postnatal Depression Scale(EPDS)and Self-Rating Anxiety Scale(SAS)in the observation group were lower than those in the control group(P<0.05).The total effective rate of lactation in the observation group was higher than that in the control group(P<0.05).The first breastfeeding time of the observation group was shorter than that of the control group,and the total incidence of feeding intolerance was lower than that of the control group(P<0.05).At 42 d after delivery,the body weight and head circumference of newborns in the observation group were greater than those in the control group,and the body length was longer than that in the control group(P<0.05).Conclusion Nutritional nursing combined with breast acupoint massage can improve the breast distending pain and psychological state of parturients,elevate the lactation effect and feeding quality,and promote the growth and development of newborns,which is worthy of application and promotion.
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