CAJ | 학술논문

目的讨论应用预见性护理干预在初产妇产后乳房胀痛中的效果.方法选择2011年1月至2012年6月间,到本院产前检查门诊定期产检初产妇776例,其中451例为知情同意,选作观察组,另325例为知情不同意,选作对照组.对照组实施常规围产期护理,观察组在此基础上实施预见性护理干预.比较两组产后4天时间内的泌乳量和产后3天内乳房胀痛情况、硬结存在情况、泌乳通畅情况.结果两组产妇产后第1天泌乳量差异无统计学意义(P＞0.05),观察组产后第2天、第3天、第4天泌乳量均明显高于对照组(P＜0.05)；观察组产妇泌乳通畅率明显高于对照组(P＜0.05)；乳房胀痛、乳房存在硬结情况明显低于对照组(P＜0.05).结论预见性护理干预在减少初产妇产后乳房胀痛效果良好,并可提高母乳喂养的成功率,值得临床妇产科护理推广应用.
목적 토론응용예견성호리간예재초산부산후유방창통중적효과.방법 선택2011년1월지2012년6월간,도본원산전검사문진정기산검초산부776례,기중451례위지정동의,선작관찰조,령325례위지정불동의,선작대조조.대조조실시상규위산기호리,관찰조재차기출상실시예견성호리간예.비교량조산후4천시간내적비유량화산후3천내유방창통정황、경결존재정황、비유통창정황.결과 량조산부산후제1천비유량차이무통계학의의(P＞0.05),관찰조산후제2천、제3천、제4천비유량균명현고우대조조(P＜0.05)；관찰조산부비유통창솔명현고우대조조(P＜0.05)；유방창통、유방존재경결정황명현저우대조조(P＜0.05).결론 예견성호리간예재감소초산부산후유방창통효과량호,병가제고모유위양적성공솔,치득림상부산과호리추엄응용.
Objective To explore the effect of predictive nursing intervention on postpartum breast distending pain in primiparas.Methods A total of 776 primiparas who had received antenatal examination in our hospital during the period of January 2011 to June 2012 were chosen.451 primiparas were informed-consent and chosen in the observation group and 325 case were informed-disconsent and chosen in the control group.The control group received conventional peripartum nursing,while the study group received predictive nursing intervention in addition to routine peripartum nursing.The volume of milk secretions 4 days after childbirth and breast distending pain,existing of hardness and smooth secretion 3 days after childbirth were compared between the two groups.Results Secretions of milk 1 day after childbirth did not differ significantly between the two groups (P＞0.05).Secretions of milk 2,3,and 4 days after childbirth were obviously higher in the study group than in the control group (P＜0.05).The rate of smooth secretion was obviously higher in the study group than in the control group (P＜0.05).Breast distending pain and existing of hardness were markedly lower in the study than in the control group (P＜0.05).Conclusions Predictive nursing intervention a has better effect in relieving the postpartum breast distending pain in primiparas and can increase the successful rate of breast feeding.It is worth popularizing in gynaecological and obstetrical nursing.