To study the effect of nursing intervention on anal exhaust and early lactation of parturients in cesarean section
研究护理干预对剖宫产产妇肛门排气以及早期泌乳的影响

摘要

目的 分析对剖宫产产妇实施护理干预对产妇术后肛门排气及早期泌乳的影响。方法 抽取 2022 年 4 月-2023 年 4 月期间在我院接受剖宫产手术的产妇 80 例，以随机信封法分组，一组产妇接受围术期常规护理， 为对照组（n=40），一组产妇在接受围术期常规护理的基础上接受产后针对性护理，为观察组（n=40），对比两 组产妇术后肛门排气时间、子宫复旧时间、产后 48h 泌乳量、纯母乳喂养率及对护理的满意度评分。结果 （1） 观察组产妇术后肛门排气时间以及子宫复旧用时均比对照组产妇短，且该组产妇产后 48h 泌乳量多于对照组（P ＜0.05）；（2）观察组产妇纯母乳喂养率比对照组产妇高（P＜0.05）；（3）观察组产妇对护理服务态度、护理 专业性以及护理工作人员沟通能力、护理舒适度的评分均比对照且产妇高（P＜0.05）。结论 对剖宫产产妇实施 针对性护理干预可有缩促进产妇术后肠道功能恢复，缩短肛门排气时间，并可缩短子宫复旧时间，提高泌乳量及 纯母乳喂养率，产妇对此护理模式满意度高，值得推广。

Abstract

Objective To analyze the effect of nursing intervention on anal exhaust and early lactation after cesarean section. Method A total of 80 parturients who received cesarean section in our hospital from 20224 to April 2023 were selected and divided by random envelope method. A group of parturients received perioperative routine nursing as the control group (n=40); a group of parturients received perioperative routine nursing on the basis of postpartum targeted nursing as the observation group (n=40). The time of anal exhaust, the time of uterine regeneration, the amount of milk produced 48 hours after delivery, the rate of exclusive breastfeeding and the satisfaction score of nursing were compared between the two groups.
Results (1) The time of anal exhaust and the time of uterine recovery after obstetric operation in the observation group were shorter than those in the control group, and the milk production in the group was higher at 48 hours after delivery than that in the control group (P<0.05). (2) The rate of exclusive breastfeeding in the observation group was higher than that in the control group (P<0.05); (3) The scores of nursing service attitude, nursing professionalism, nursing staff communication ability and nursing comfort in the observation group were higher than those in the control group (P<0.05).
Conclusion   The implementation of targeted nursing intervention for women with cesarean section can promote the recovery of intestinal function after obstetrics and gynecology, shorten the time of anal exhaust, shorten the time of uterine rehabilitation, improve milk production and exclusive breastfeeding rate. The satisfaction of women with this nursing mode is high, and it is worth promoting.