综合护理对母婴分离高危妊娠产妇产后角色适应能力及母乳喂养的影响  

Effect of comprehensive nursing on postpartum role adaptation ability and breastfeeding of pregnant women with high risk of maternal-infant separation

作　　者：杨长捷[1] 王亚静 张莉[3] 安培培 冯淑菊 李颖[3] YANG Chang-jie;WANG Ya-jing;ZHANG Li;AN Pei-pei;FENG Shu-ju;LI Ying(Department of International Medical,Beijing Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100730,China;Neonatal Intensive Care Unit,Beijing Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100730,China;Department of Obstetrics and Gynecology,Beijing Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医院,国际医疗部,北京100730 [2]中国医学科学院北京协和医院,新生儿重症监护病房,北京100730 [3]中国医学科学院北京协和医院,妇产科,北京100730

出　　处：《川北医学院学报》2025年第2期260-263,共4页Journal of North Sichuan Medical College

基　　金：北京协和医院护理科研项目(XHHLKY202208)。

摘　　要：目的:探讨综合护理对母婴分离高危妊娠产妇产后角色适应能力及母乳喂养的影响。方法:将74例母婴分离高危妊娠产妇根据护理方式不同分为对照组(n=37)与观察组(n=37)。对照组给予常规护理;观察组给予综合护理。对比两组产妇角色适应能力、初始泌乳时间、7 d内泌乳量、母乳喂养及乳房肿胀情况。结果:护理前,两组产妇角色适应能力各项评分比较,差异均无统计学意义(P>0.05);护理后,两组产妇角色适应能力各项评分均升高,且观察组角色适应能力评分均高于对照组(P<0.05);观察组初始泌乳时间更短,产后7 d内泌乳量充足占比高于对照组(P<0.05);观察组母乳喂养率高于对照组(P<0.05);两组产妇产后乳房肿胀疼痛程度比较,观察组I、II度占比高于对照组(P<0.05)。结论:综合护理在母婴分离高危妊娠产妇的产后护理中具有优势,能够更全面地满足产妇多方面需求,提高其角色适应能力,促进母乳喂养成功率,值得推广应用。Objective:To explore the impact of comprehensive nursing care on the postpartum role adaptability and breastfeeding status of women with high-risk pregnancy for mother-infant separation.Methods:74 high-risk pregnant women with mother infant separation were divided into two groups based on nursing methods.The control group(n=37)received routine care,while the observation group(n=37)received comprehensive care.The role adaptation ability,initial lactation time,7-day milk production,breastfeeding,and breast swelling were compared between the two groups.Results:Before nursing,there was no statistically significant difference in the scores of role adaptation ability between the two groups(P>0.05).After nursing,both groups showed an increase in various scores of role adaptation ability,the observation group was higher than the control group(P<0.05).The observation group had a shorter initial lactation time,and the number of cases with sufficient lactation within 7 days was higher than that of the control group(P<0.05).The observation group had a higher breastfeeding rate compared to the control group(P<0.05).Comparison of postpartum breast swelling and pain levels between two groups of mothers,with the observation group had a higher proportion of grade I and II compared to the control group(P>0.05).Conclusion:Comprehensive nursing has significant advantages in postpartum care for mothers with high-risk pregnancy.It can more comprehensively meet the multi-faceted needs of mothers,improve their role adaptability,and promote the success rate of breastfeeding.It is worthy of promotion and application.

关 键 词：综合护理 母婴分离高危妊娠产妇 产后角色适应能力 母乳喂养情况 

分 类 号：R473.71[医药卫生—护理学]