产褥期护理对产妇精神状态及母乳喂养的影响

Research on the impact of puerperal nursing care on maternal mental status and breastfeeding.

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(2)
作者
作者单位

陕西省咸阳市三原县医院产科 ;
陕西省渭南市妇幼保健院产科 ;
西安交通大学第 一附属医院妇产科 ;

摘要
目的 探究产褥期护理对产妇精神状态及母乳喂养结果的影响。方法 在我院选取2000例接受治疗的产妇作为本次研究对象,按照随机数字表法,将其随机分为对照组与试验组,对照组给予常规护理,试验组患者在常规护理的基础上给予心理疏导,使其了解母乳喂养的主要优势以及喂养时的注意事项等,对比分析两组研究对象的母乳喂养状态以及母乳喂养心理状态评分及母乳自信心评价量表的评分情况。结果 试验组研究对象中母乳喂养率(92.90%)与对照组母乳喂养率(68.70%)相比明显较高,差异有统计学意义(χ2=187.194,P =0.0000)。试验组研究对象母乳喂养自信心评分(138.56±15.3)分与对照组研究对象母乳喂养自信心评分(128.12±14.2)分相比明显较高,差异有统计学意义(t =15.82,P <0.05)。试验组研究对象的HAMA评分(4.3±0.9)分和HAMD评分(5.3±1.4)分均明显低于对照组研究对象的HAMA评分(5.7±1.1)分和HAMD评分(9.5±1.6)分,差异有统计学意义(P <0.05)。结论 对产褥期产妇在常规护理的基础上实施心理疏导护理,有利于增加产妇母乳喂养自信心,有效改善产妇心理状态,提高母乳喂养率。
Abstract
Objective Toexploretheimpactofpuerperalnursingcareonmaternalmentalstatusandbreastfeed- To explore the impact of puerperal nursing care on maternal mental status and breastfeed-ing. Methods Totally2000puerperalwomenwhoreceivedtreatmentinourhospitalwereequallyandrandomlydivided Totally 2000 puerperal women who received treatment in our hospital were equally and randomly dividedinto the control group and the experimental group. Puerperal women in the control group received conventional nursingcare and those in the experimental group received psychological counseling besides to understand the main advantages ofbreast feeding and precautions when feeding. Then breast feeding status,breastfeedingnegativementalstatescoresand ,breastfeedingnegativementalstatescoresand breast feeding negative mental state scores andconfidence rating scale scores between the two groups were compared. Results Breastfeedingrateintheexperimental Breastfeeding rate in the experimentalgroup(92.90%)wasobviouslyhigherthanthat of thecontrol group(68.70%),thedifferencewasstatisticallysig- (92.90%)wasobviouslyhigherthanthat of thecontrol group(68.70%),thedifferencewasstatisticallysig- 92.90%)wasobviouslyhigherthanthat of thecontrol group(68.70%),thedifferencewasstatisticallysig- %)wasobviouslyhigherthanthat of thecontrol group(68.70%),thedifferencewasstatisticallysig- was obviously higher than that of the control group(68.70%),thedifferencewasstatisticallysig- (68.70%),thedifferencewasstatisticallysig- 68.70%),thedifferencewasstatisticallysig- %),thedifferencewasstatisticallysig- the difference was statistically sig-nificant(χ (χ2=187.194, 187.194,P= 0.0000). Breastfeedingconfidencescoreintheexperimental group(138±15.3)points ). Breastfeedingconfidencescoreintheexperimental group(138±15.3)points . Breastfeeding confidence score in the experimental group(138±15.3)points (138±15.3)points 138±15.3)points )points pointswas obviously higher than that of the control group(128.12±14.2)points,thedifferencewasstatisticallysignificant (128.12±14.2)points,thedifferencewasstatisticallysignificant 128.12±14.2)points,thedifferencewasstatisticallysignificant )points,thedifferencewasstatisticallysignificant points,thedifferencewasstatisticallysignificant ,thedifferencewasstatisticallysignificant the difference was statistically significant(t =15.82,P <0.05). HAMAscore(4.3±0.9)pointsandHAMDscore(5.3±1.4)pointsintheexperimental group ). HAMAscore(4.3±0.9)pointsandHAMDscore(5.3±1.4)pointsintheexperimental group . HAMA score(4.3±0.9)pointsandHAMDscore(5.3±1.4)pointsintheexperimental group (4.3±0.9)pointsandHAMDscore(5.3±1.4)pointsintheexperimental group 4.3±0.9)pointsandHAMDscore(5.3±1.4)pointsintheexperimental group )pointsandHAMDscore(5.3±1.4)pointsintheexperimental group points and HAMD score(5.3±1.4)pointsintheexperimental group (5.3±1.4)pointsintheexperimental group 5.3±1.4)pointsintheexperimental group )pointsintheexperimental group points in the experimental groupwere significantly better than control group [HAMAscore(5.7±1.1)points,HAMDscore(9.5±1.6)points],the [HAMAscore(5.7±1.1)points,HAMDscore(9.5±1.6)points],the HAMA score(5.7±1.1)points,HAMDscore(9.5±1.6)points],the (5.7±1.1)points,HAMDscore(9.5±1.6)points],the 5.7±1.1)points,HAMDscore(9.5±1.6)points],the )points,HAMDscore(9.5±1.6)points],the points,HAMDscore(9.5±1.6)points],the ,HAMDscore(9.5±1.6)points],the HAMD score(9.5±1.6)points],the (9.5±1.6)points],the 9.5±1.6)points],the )points],the points],the ],the thedifferences have significance(P <0.05). ). Conclusion Psychological counselingcarebesidestheconventional nursing Psychological counseling care besides the conventional nursingcare can increase mothers’ confidence in breastfeeding,improvematernal mental stateandincreasenumberof breast- ,improvematernal mental stateandincreasenumberof breast- improve maternal mental state and increase number of breast-feeding mothers.Thus,it’sworthyofpopularizationandapplication. ,it’sworthyofpopularizationandapplication. it’s worthy of popularization and application.
关键词
产褥期护理;产妇;精神状态;母乳喂养
KeyWord
Puerperal nursing care;Maternal;Mentalstate;Breastfeeding
基金项目
页码 337-340
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张亚萍,张 黎*,周麦玲,党 玮,李雪兰. 产褥期护理对产妇精神状态及母乳喂养的影响 [J]. 国际精神病学杂志. 2016; 43; (2). 337 - 340.

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