个案管理标准化护理结合个体化乳房管理对剖宫产产妇产后恢复及泌乳情况的影响  

Impact of case management standardized nursing combined with individualized breast management on postpartum recovery and lactation condition in parturients undergoing cesarean section

作　　者：段纳纳 DUAN Nana(Department of Obstetrics and Gynecology,Yuncheng Hospital of Traditional Chinese Medicine,Shandong Province,Yuncheng 274700,China)

机构地区：[1]山东省郓城县中医医院妇产科,山东郓城274700

出　　处：《妇儿健康导刊》2025年第2期129-132,共4页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的探讨个案管理标准化护理结合个体化乳房管理对剖宫产产妇产后恢复及泌乳情况的影响。方法选取郓城县中医医院2021年6月至2023年8月收治的78例剖宫产产妇作为研究对象,采用随机数字表法分为两组,每组各39例。对照组实施常规产后护理,观察组实施个案管理标准化护理结合个体化乳房管理。比较两组产后恢复情况、泌乳情况、盆底肌功能障碍性疾病发生情况。结果观察组首次排气时间[(25.32±3.21)h]、首次下床活动时间[(35.40±4.82)h]、首次排便时间[(44.16±4.85)h]、切口愈合时间[(6.24±1.54)d]均短于对照组[(27.64±3.45)h、(38.42±5.23)h、(47.15±5.63)h、(7.45±1.72)d](P<0.05)。观察组开始泌乳时间[(48.51±8.22)h]、泌乳充足时间[(35.39±2.24)h]均短于对照组[(53.72±8.75)、(46.21±2.72)h],产后48 h泌乳量[(160.86±9.45)ml]、产后48 h母乳喂养成功率(94.87%)均高于对照组[(138.28±8.51)ml、(79.49%)](P<0.05)。观察组压力性尿失禁发生率(2.56%)、盆底器官脱垂发生率(0%)均低于对照组(20.51%、15.38%)(P<0.05)。结论个案管理标准化护理结合个体化乳房管理应用于剖宫产产妇,能够促进产妇产后康复,改善泌乳情况,减少盆底肌功能障碍性疾病的发生。Objective To explore the impact of case management standardized nursing combined with individualized breast management on postpartum recovery and lactation condition in parturients undergoing cesarean section.Methods A total of 78 parturients undergoing cesarean section who were admitted to Yuncheng Hospital of Traditional Chinese Medicine from June 2021 to August 2023 were selected as the study objects and divided into two groups using the random number table method,with 39 cases in each group.The control group received routine postpartum nursing,while the observation group received case management standardized nursing combined with individualized breast management.The postpartum recovery condition,lactation condition,and incidence of pelvic floor muscle dysfunction disease were compared between the two groups.Results The observation group had shorter first exhaust time([25.32±3.21]hours),first getting out of bed activity time([35.40±4.82]hours),first defecation time([44.16±4.85]hours),and incision healing time([6.24±1.54]days)compared with the control group([27.64±3.45]hours,[38.42±5.23]hours,[47.15±5.63]hours,and[7.45±1.72]days)(P<0.05).The start lactation time([48.51±8.22]hours)and sufficient lactation time([35.39±2.24]hours)in the observation group were shorter than those in the control group([53.72±8.75]hours and[46.21±2.72]hours),the milk production at 48 hours postpartum([160.86±9.45]ml)and the success rate of breastfeeding at 48 hours postpartum(94.87%)were higher than those in the control group([138.28±8.51]ml and[79.49%])(P<0.05).The incidence of stress urinary incontinence(2.56%)and pelvic floor organ prolapse(0%)in the observation group were lower than those in the control group(20.51%and 15.38%)(P<0.05).Conclusion The application of case management standardized nursing combined with individualized breast management in parturients undergoing cesarean section can promote postpartum recovery,improve lactation condition,and reduce the incidence of pelvic floor muscle dysfunction disease.

关 键 词：个案管理标准化护理 个体化乳房管理 剖宫产 产后恢复 泌乳情况 

分 类 号：R473.71[医药卫生—护理学]