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产后健康宣教在提高初产妇自我护理能力及促进产后康复中的作用(1)
http://www.100md.com 2018年8月5日 《中外医学研究》 2018年第22期
     【摘要】 目的:探讨产后健康宣教在提高初产妇自我护理能力及促进产后康复中的作用。方法:选择2015年7月-2016年9月至笔者所在医院产科进行分娩的初产妇45例作为研究对象,通过摸球法分为试验组21例,对照组24例,对照组运用常规护理,试验组在其基础上进行产后健康宣教。比较两组患者产后的自我护理能力及康复情况。结果:试验组患者产后自我护理能力优良率85.71%,高于对照组(41.67%),差异有统计学意义(P<0.05)。试验组患者住院天数(3.56±1.76)d、泌乳始动时间(16.74±2.73)h、血性恶露持续时间(2.59±0.29)d、子宫进入盆腔时间(7.59±1.42)d、SAS评分(44.91±2.91)分、SDS評分(47.92±3.02)分,优于对照组的(6.92±3.19)d、(24.01±3.72)h、(3.19±0.38)d、(10.29±1.62)d、(53.92±3.98)分、(55.81±4.09)分,组间差异均有统计学意义(P<0.05)。结论:对初产妇进行产后健康宣教有利于其提高自我护理能力,改善负性情绪,促进康复效果。

    【关键词】 健康宣教; 自我护理能力; 康复; 初产妇

    doi:10.14033/j.cnki.cfmr.2018.22.079 文献标识码 B 文章编号 1674-6805(2018)22-0-03

    The Role of Postnatal Health Education in Improving Maternal Self-care Ability and Promoting Postpartum Rehabilitation in primipara/WEI Tingting,HUANG Keyan,KONG Haiyan.//Chinese and Foreign Medical Research,2018,16(22):-160

    【Abstract】 Objective:To explore the role of postpartum health education in improving the self-care ability of postpartum women and promoting postpartum rehabilitation.Method:Forty-five cases of first-time mothers were selected as subjects from July 2015 to September 2016 in obstetrics department of our hospital.They were divided into experimental group(21 cases) and control group(24 cases).The control group was treated with routine nursing.The experimental group carried out postpartum health education on its basis.Post-natal self-care ability and rehabilitation were compared between the two groups of patients.Result:The rate of good postpartum self care ability was 85.71% in the experimental group,which was higher than that in the control group(41.67%),the difference was statistically significant(P<0.05).The length of hospital stay (3.56±1.76)days,lactation initiation time (16.74±2.73)h,blood lochia duration (2.59±0.29)d,pelvic cavity time (7.59±1.42)d,SAS score (44.91±2.91)points and SDS scores (47.92±3.02)points,were better than the control group of (6.92±3.19)d,(24.01±3.72)h,(3.19±0.38)d,(10.29±1.62)d,(53.92±3.98)points,(55.81±4.09)points,and there were statistically significant differences between the two groups(P<0.05).Conclusion:Postpartum women’s health education is beneficial to their ability to improve self-care,improve negative emotions,and promote rehabilitation.

    【Key words】 Health education; Self-care ability; Rehabilitation; Primipara

    First-author’s address:Maternal and Child Health Hospital in Luohu District of Shenzhen,Shenzhen 518001,China

    分娩作为一种应激事件,产妇在生理和心理上发生了一系列变化,特别是初产妇,由于缺少分娩经验,难免产生焦虑、抑郁情绪,而产后发生变化的器官若无法得到有效的护理,极易出现乳腺炎、子宫复旧不良等产后并发症,影响患者的生命安全[1-2]。据报道,对初产妇进行产后健康宣教有利于提高康复效果,促进患者的保健意识和自我护理能力的提高[3]。现将产后健康教育运用于至笔者所在医院的初产妇中,报告如下。, 百拇医药(魏婷婷 黄科燕 孔海燕)
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