快速康复护理模式在剖宫产术后护理中的应用价值及对产妇早期泌乳的作用评价(1)
[摘要] 目的 評价快速康复护理模式在剖宫产术后护理中的应用价值及对产妇早期泌乳的作用。 方法 选择本院2017年8月～2018年1月收治的104例剖宫产手术产妇进行分组研究，按照摸球法的分组方式分为两组，各52例，对照组行常规护理模式，试验组行快速康复护理模式，比较两组术后泌乳情况、母乳喂养情况、恢复情况。 结果 试验组泌乳始动时间<24 h者的比例均明显高于对照组，泌乳始动时间24～48 h者的比例低于对照组(P<0.05);两组泌乳始动时间>48 h者的比例相比，组间无差异(P>0.05);对照组母乳喂养率低于试验组，其人工喂养、混合喂养率、乳房胀痛发生率均高于试验组，两组具有显著性差异(P<0.05);试验组肛门首次排气时间、首次排便时间、下床活动时间、切口愈合时间与对照组比较明显缩短，组间差异明显(P<0.05)。 结论 剖宫产术后护理中应用快速康复护理模式有利于促进产妇早期泌乳，提高母乳喂养率，缩短康复时间，值得临床借鉴和大力普及。
[关键词] 剖宫产;快速康复护理模式;术后护理;早期泌乳
[中图分类号] R473.71 [文献标识码] B [文章编号] 1673-9701(2019)05-0138-03
[Abstract] Objective To evaluate the application value of rapid rehabilitation nursing mode in postoperative cesarean section nursing and its effect on early lactation. Methods A total of 104 cesarean section women who were admitted in our hospital from August 2017 to January 2018 were enrolled in this study. They were divided into two groups according to the method of grouping the ball， with 52 cases in each group. The control group received routine nursing mode. The experimental group underwent rapid rehabilitation nursing mode. The postoperative lactation， breastfeeding and recovery between two groups were compared. Results The proportion of lactation initiation time <24 h in the experimental group was significantly higher than that in the control group. The proportion of lactation initiation time 24-48h in the experimental group was lower than that of the control group(P<0.05). There was no difference between the groups in the start time of lactation was >48 h(P>0.05). The breastfeeding rate of the control group was lower than that of the experimental group， and the incidence of artificial feeding， mixed feeding rate and breast tenderness in the experimental group was higher than that of the experimental group. There was a significant difference between the two groups(P<0.05).The first time of the anus， the first defecation time， the time of getting out of bed， and the healing time of the incision was significantly shortened in the experimental group compared with that of the control group， and the difference between the groups was significant(P<0.05). Conclusion The application of rapid rehabilitation nursing mode in postoperative cesarean section nursing is beneficial to promote early lactation， increase breastfeeding rate and shorten recovery time. It is worthy of clinical reference and popularization.
[Key words] Cesarean section; Rapid rehabilitation nursing mode; Postoperative nursing; Early lactation, http://www.100md.com(聂洲霞 平永美 汪淑香)
[关键词] 剖宫产;快速康复护理模式;术后护理;早期泌乳
[中图分类号] R473.71 [文献标识码] B [文章编号] 1673-9701(2019)05-0138-03
[Abstract] Objective To evaluate the application value of rapid rehabilitation nursing mode in postoperative cesarean section nursing and its effect on early lactation. Methods A total of 104 cesarean section women who were admitted in our hospital from August 2017 to January 2018 were enrolled in this study. They were divided into two groups according to the method of grouping the ball， with 52 cases in each group. The control group received routine nursing mode. The experimental group underwent rapid rehabilitation nursing mode. The postoperative lactation， breastfeeding and recovery between two groups were compared. Results The proportion of lactation initiation time <24 h in the experimental group was significantly higher than that in the control group. The proportion of lactation initiation time 24-48h in the experimental group was lower than that of the control group(P<0.05). There was no difference between the groups in the start time of lactation was >48 h(P>0.05). The breastfeeding rate of the control group was lower than that of the experimental group， and the incidence of artificial feeding， mixed feeding rate and breast tenderness in the experimental group was higher than that of the experimental group. There was a significant difference between the two groups(P<0.05).The first time of the anus， the first defecation time， the time of getting out of bed， and the healing time of the incision was significantly shortened in the experimental group compared with that of the control group， and the difference between the groups was significant(P<0.05). Conclusion The application of rapid rehabilitation nursing mode in postoperative cesarean section nursing is beneficial to promote early lactation， increase breastfeeding rate and shorten recovery time. It is worthy of clinical reference and popularization.
[Key words] Cesarean section; Rapid rehabilitation nursing mode; Postoperative nursing; Early lactation, http://www.100md.com(聂洲霞 平永美 汪淑香)