CAJ | 학술논문

目的探讨舒适护理在剖宫产产妇母乳喂养中的应用效果.方法采用目的抽样法选择2011年8月至2012年4月同济大学附属上海市东方医院行剖宫产孕妇100例,按奇偶顺序将患者分为对照组及观察组,每组50例,对照组进行常规护理,观察组实施萧氏双C舒适护理模式,比较干预后两组产妇产后第2、3天泌乳量和纯母乳喂养情况.采用美国舒适护理专家Kolcaba研制的简化舒适状况量表进行舒适度评价,采用焦虑自评量表(SAS)评价产妇的焦虑状况.结果观察组产妇产后第2,3天、泌乳量和纯母乳喂养均高于对照组,差异有统计学意义(x2分别为6.034,11.256,3.071,5.586;P＜0.05)；观察组产妇舒适度的平均得分显著优于对照组[(90.26 ±2.85)比(72.56 ±5.62)],且SAS评分显著低于对照组[(44.56±4.86)比(59.12±6.54)],两组比较,差异有统计学意义(t分别为-2.969,-3.465,P＜0.01).结论舒适护理能显著提高剖官产产妇第2、3天泌乳量和母乳喂养成功率,能提高产妇的舒适度、降低产妇的焦虑状态,建议临床应用.
목적 탐토서괄호리재부궁산산부모유위양중적응용효과.방법 채용목적추양법선택2011년8월지2012년4월동제대학부속상해시동방의원행부궁산잉부100례,안기우순서장환자분위대조조급관찰조,매조50례,대조조진행상규호리,관찰조실시소씨쌍C서괄호리모식,비교간예후량조산부산후제2、3천비유량화순모유위양정황.채용미국서괄호리전가Kolcaba연제적간화서괄상황량표진행서괄도평개,채용초필자평량표(SAS)평개산부적초필상황.결과 관찰조산부산후제2,3천、비유량화순모유위양균고우대조조,차이유통계학의의(x2분별위6.034,11.256,3.071,5.586;P＜0.05)；관찰조산부서괄도적평균득분현저우우대조조[(90.26 ±2.85)비(72.56 ±5.62)],차SAS평분현저저우대조조[(44.56±4.86)비(59.12±6.54)],량조비교,차이유통계학의의(t분별위-2.969,-3.465,P＜0.01).결론 서괄호리능현저제고부관산산부제2、3천비유량화모유위양성공솔,능제고산부적서괄도、강저산부적초필상태,건의림상응용.
Objective To explore the application effect of comfortable care on C-section maternal during breast-feeding.Methods The lying-in mother from Dongfang Hospital affiliated to Tongji University between August 2011 and April 2012 were divided into observation group and control group,according to their admission date (single or double),with each group 50 people.The control group was given routine nursing care,while the observation group received Xiao' s Double-C comfortable nursing model.After intervention,mother' s milk secretion amount and pure breast-feeding situation on 2nd,3rd day after childbirth were observed and compared.And the American comfortable nursing expert Kolcaba' s simplified pleasant status scale was used to evaluate their degree of comfort,the sadness assessment scale (SAS) for evaluating the mother' s anxiety status.Results Observation group were significantly higher than that of control group in milk secretion amount (x2 =6.034,11.256,P =0.049,0.018) and pure breast-feeding on 2nd,3rd day after childbirth (x2 =3.071,5.586,P =0.038,0.009).And significant difference was found between observation group and control group in SAS score [(44.56 ± 4.86) vs (59.12 ± 6.54),t =-2.969,P =0.004],and pleasant status score (90.26 ±2.85 vs 72.56 ± 5.62,t =-3.465,P =0.001).Conclusions The application of comfortable care in C-section maternal breast-feeding can significantly improve the mother' s milk secretion amount and the success rate of pure breast-feeding situation on 2nd,3rd day after childbirth,improve their degree of comfort and reduce the mother's anxiety status.