产后药浴的护理效果观察

目的:通过早期对产妇进行中药泡浴的治疗护理,观察药浴对促进产妇产后恢复的效果.方法:将2011年1月～2012年4月妊娠39周以上、产后72h的产妇422例随机分为药浴组211例,对照组211例,对照组给予常规护理,药浴组给予中草药泡浴,观察两组护理效果.结果:药浴组产妇肌肉酸胀感明显减轻,恶露量、乳房充盈、乳汁分泌等指标明显优于对照组(P＜0.05).结论:产后早期药浴更有利于产妇生理和心理的恢复,提高产后生活质量.     

穴位配合乳房按摩在促进乳汁分泌中的应用效果探讨

选取2014年1月—2014年6月在我院分娩的产妇120例,随机分为观察组及对照组各60例,两组均常规进行母乳喂养指导,观察组再给予穴位配合乳房按摩,观察按摩效果。[结果]观察组产妇产后72h垂体泌乳素水平显著高于对照组,开始泌乳时间早于对照组(P0.05)。观察组产妇产后24h、48h及72h泌乳量评分均高于对照组,差异有统计学意义(P0.05)。[结论]穴位配合乳房按摩在促进乳汁分泌中的应用效果优于常规母乳喂养指导。     

产后治疗仪促进产妇乳汁分泌和子宫复旧的效果观察

选取2014年10月~2015年10月在我院分娩的2190例产妇。按产妇入院编号分为对照组和观察组各1095例。对照组实施常规产科产后护理干预及健康教育,观察组在对照组护理基础上加用产后康复治疗仪。对比两组产妇乳汁分泌、子宫复旧、睡眠质量、并发症及产后疼痛情况。结果观察组产妇产后24、72h的乳汁分泌优秀率分别为61.64%、89.04%,较对照组的39.73%、61.64%均明显提高,差异显著(P0.05);观察组产妇产后24、48h及72h的子宫复旧情况较对照组明显改善,差异显著(P0.05);观察组产妇产后48h疼痛轻于对照组,PSQI评分及并发症发生率均低于对照组,差异显著(P0.05)。给予产妇产后康复治疗仪干预,可有效促进子宫复旧及乳汁分泌,改善产妇睡眠质量,减少并发症发生,缓解局部疼痛,值得临床产科推广与应用。     

低频脉冲治疗仪理疗对剖宫产术后母乳喂养的影响

[目的]探讨低频脉冲治疗仪理疗对剖宫产术后母乳喂养的影响。[方法]将120例剖宫产分娩的产妇随机分为观察组和对照组各60例,对照组按爱婴医院的标准予术后常规护理,观察组在对照组的基础上于术后回房6h后应用低频脉冲治疗仪对产妇的乳房进行早刺激,每天1次,每次20min,直至泌乳量充足,观察并记录两组产妇产后泌乳始动时间、泌乳量、母乳喂养情况并进行比较。[结果]观察组产妇比对照组乳汁分泌早、泌乳量多、纯母乳喂养率高(P<0.05)。[结论]使用低频脉冲治疗仪催乳治疗可有效提高剖宫产产妇术后母乳喂养成功率。     

早期定时乳房护理干预对减轻产后乳房胀痛及促进泌乳的效果分析

目的探讨早期定时乳房护理干预对减轻产后乳房腹痛及促进泌乳的效果。方法将128例产妇随机分入对照组与观察组,每组各64例。对照组产妇接受常规护理,观察组产妇分娩后6h开始接受早期定时乳房护理。比较两组产后乳房胀痛程度、硬度及乳汁分泌情况的差别。结果观察组产后乳房胀痛分级0~Ⅰ级比例显著多于对照组,差别具有统计学意义(P<0.05);观察组乳房硬度Ⅰ°者比例显著高于对照组,差异有统计学意义(P<0.05);观察组产后24~72h乳汁分泌量显著多于对照组,差异有统计学意义(P<0.05)。结论早期定时乳房护理可减轻产妇产后乳房胀痛、促进乳汁分泌,满足婴儿哺乳需要。     

产后康复仪配合手法按摩对剖宫产术后子宫收缩和乳汁分泌的影响研究

分析产后康复仪配合手法按摩对剖宫产术后子宫收缩和乳汁分泌的影响。选取我院2016年7月~2017年7月收治的择期剖宫产产妇106例为研究对象,按就诊顺序分为观察组和对照组各53例,对照组产妇产后给予康复仪治疗,观察组产妇给予康复仪配合手法按摩治疗,比较两组产妇子宫收缩和乳汁分泌情况。结果观察组产后24h、48h以及72h每日泌乳量均明显多于对照组,差异显著(P0.05);观察组产后24h、48h以及72h阴道出血量均明显少于于对照组,子宫底高度均明显低于对照组,差异显著(P0.05)。剖宫产术后采用康复仪配合手法按摩治疗可促进乳汁分泌和子宫收缩,提高母乳喂养率,提升护理服务质量,值得临床推广。     

产妇产后72 h乳汁分泌缺乏影响因素分析及列线图模型构建

目的 探讨产妇产后72 h乳汁分泌缺乏的影响因素并构建列线图模型。方法 选取住院分娩的345例产妇作为研究对象,按照7∶3的比例分为建模组242例和验证组103例,并根据产后72 h乳汁分泌情况将建模组产妇分为乳汁分泌缺乏组69例和乳汁分泌正常组173例。收集产妇的临床资料,采用多因素Logistic回归模型分析产妇产后72 h乳汁分泌缺乏的影响因素;采用R3.6.3软件构建预测产妇产后72 h乳汁分泌缺乏的列线图模型;分别绘制受试者工作特征(ROC)曲线和校准曲线,评估列线图模型预测产妇产后72 h乳汁分泌缺乏的区分度和一致性。结果 建模组产妇年龄、孕次、分娩方式、乳头类型等与验证组比较,差异无统计学意义(P>0.05)。乳汁分泌缺乏组初产、剖宫产、分娩至开奶时间>1 h、婴儿24 h吮吸乳房次数≤6次、未进行乳房按摩产妇占比高于乳汁分泌正常组,差异有统计学意义(P<0.05);多因素Logistic回归模型分析结果显示,产次、分娩方式、分娩至开奶时间、婴儿24 h吮吸乳房次数均为产妇产后72 h乳汁分泌缺乏的影响因素(OR=3.488、2.381、2.442、2....     

产后穴位按摩治疗产妇缺乳的效果观察

目的观察产后穴位按摩对分娩后缺乳产妇乳汁分泌的影响。方法将自然分娩的缺乳产妇60例按分娩日单双数分为观察组和对照组各30例。观察组实施产后穴位按摩并结合常规护理,对照组实施常规护理,分别就乳汁分泌作效果评估,按3分制评定。结果观察组产妇乳汁分泌明显增加。结论产后穴位按摩可促进产妇乳汁分泌,有利于母乳喂养。     

中药贴敷神阙穴治疗产后宫缩痛的疗效观察

[目的]观察中药神阙穴贴敷治疗产后宫缩痛的疗效。[方法]将120例产妇随机分为观察组和对照组各60例,对照组给予传统护理,包括改变体位、局部热敷、按摩等,观察组在对照组的基础上于产后2h开始进行神阙穴中药贴敷治疗,采用疼痛视觉模拟评分法(VAS)评价宫缩痛程度,比较两组产妇产后24h、48h、72h宫缩痛程度。[结果]观察组产妇产后24h、48h、72h宫缩痛程度明显低于对照组(P0.05)。[结论]神阙穴中药贴敷能有效减轻产后宫缩痛。     

产后乳房穴位按摩对减轻乳房胀痛及刺激泌乳的临床效果观察

选取2014年3月~2015年5月于我院分娩的200例产妇。随机分为对照组和观察组各100例。对照组行常规产后母乳喂养指导;观察组在此基础上行乳房穴位按摩。记录比较两组产后3d乳房胀痛程度、开始泌乳时间及产后72h泌乳量。结果观察组产妇产后3d乳房胀痛程度较对照组相比,显著减轻(P0.01);观察组开始泌乳时间12.63±6.14h,显著早于对照组(P0.01);且观察组产后72h泌乳量明显多于对照组(P0.01)。产妇产后乳房穴位按摩可有效减轻乳房胀痛,还可促进乳汁提早分泌并及时排出,对母乳喂养更有利,且方法简单易行,值得推广。     

产妇产后饮食行为对产褥期疾病的影响

目的探讨产妇产后饮食行为对产褥期疾病的影响。方法选择2012年5月~2013年5月在本院分娩的838例产妇为调查研究对象,于产后6周采用膳食调查法及知识态度行为量表(knowledge attitude practice,KAP)对其进行产后营养状况及饮食行为调查。结果 838例产妇有128例(15.3%)发生产褥期疾病,其中发生1种疾病58例(45.3%),发生2种疾病42例(32.8%),发生3种及以上28例(21.9%)。产褥期疾病组产妇蛋白质、钙、铁、锌、VitA、Vit B1、VitB2、Vit C摄取量明显低于产褥期非疾病组产妇,两组比较,差异具有统计学意义(均P0.05)。产褥期疾病组产妇营养知识评分、态度评分、行为评分及KAP总分明显低于无产褥期疾病组产妇,两组比较,差异具有统计学意义(均P0.001)。结论产后产妇饮食行为与产褥期疾病有密切关系,产后应加强对产妇营养指导,提高产妇健康行为,以减少产褥期疾病的发生。     

产后访视对产后抑郁的干预效果

目的 探讨产后访视对产后抑郁症的干预效果。 方法 加强规范的产后访视,予以产妇产褥期健康宣教与指导。 结果 及时、规范的产后访视,能明显减少产后抑郁症的发生。 结论产后访视是降低产后抑郁症发病率的重要手段。     

产后延伸护理服务模式对产后缺乳产妇的护理分析

目的：探讨产后延伸护理服务模式对产后缺乳产妇的护理效果。方法：选择2018年12月至2019年12月在本院分娩的200例产妇为研究对象，按照抽签法将其分成观察组与对照组各100例，分别行产后延伸护理服务模式、常规产后护理服务模式，比较两组产后缺乳发生率、护理满意度。结果：观察组产后缺乳发生率明显低于对照组，护理满意度明显高于对照组，组间数据差异显著，P＜0.05。结论：对产后缺乳产妇实施产后延伸护理服务，可显著改善产后缺乳情况，提升护理满意度。     

Care of postpartum adolescents

An Adolescent Postpartum Care Plan is presented, based on the developmental knowledge that adolescence is a time of great physical, social, and cognitive change. Part of a larger plan developed for use by nurses who care for postpartum adolescents delivering through the Rochester Adolescent Maternity Program at the University of Rochester Medical Center, the care plan becomes a part of the patient's permanent record following delivery. To develop a relationship with the younger mother, it is important to remain nonjudgmental. This may mean that the nurse needs to move beyond her own feelings about teen pregnancy and to get to know the young woman individual. As many teenagers find it difficult to talk spontaneously, they need help from a sensitive nurse to express their feelings. In addition to questioning the young mother about her labor, delivery, and postpartum experiences, the nurse should learn about the young mother's life at home and the father of the baby. As the latter may be a particularly sensitive area, it should be approached with care. The nurse must assess the adolescent and her infant and observe the young mother interacting with her child. The intellectual and cognitive limitations of the adolescent must be considered if patient teaching is to be effective. A young mother who does not have the self control or attention span necessary to sit through an hour-long class on infant care may benefit from a hands-on, 1-to-1 teaching session with her nurse. Such teaching with a live infant is particularly effective with young mothers as is a small group class. To deliver both effective teaching and nursing care, it is essential to know how far the adolescent has progressed in her own development. The late adolescent often can be treated like an adult in terms of how she is expected to care for her infant and respond to patient teaching. The early and mid-adolescent may behave differently, calling for both different expectations and a different teaching style. A chart outlines the patient care plan, identifying the nursing diagnosis/patient problem, expected outcomes and goals, and nursing interventions. It is important that the nurse discuss contraceptive planning with the young mother as soon after delivery as possible. The best starting point is to question the teen as to what she knows about contraception and her experience with the various methods. It can be helpful to follow up birth control instruction with a simple handout that describes how to use a particular contraceptive method and explains the danger signals, the side effects, and where to call for help in case of any problems.     

Prediction of postpartum depression

This article briefly reviews definitions, etiology, and cultural aspects of postpartum depression. Studies attempting to predict postpartum depression are examined, and a summary of risk factors is given. The importance of educating all pregnant women about postpartum depression is stressed, and sample patient education information is presented.     

Measuring postpartum stress

AIMS: This paper reports a study whose purpose was to revalidate the Hung Postpartum Stress Scale by expanding and revising its contexts to reflect the social changes that have occurred in Taiwan over the last two decades. BACKGROUND: Existing measures of general stress, which have also been used to assess postpartum stress, fail to measure women's specific childbearing stressors during the postpartum period. The Hung Postpartum Stress Scale was initially developed 11 years ago by Hung and associates to measure stress in the early postpartum period as it occurred in the Taiwanese social milieu of the time. However, revalidation was needed because of rapid changes in the Taiwanese social system. METHODS: Employing a non-experimental, quantitative research design and a proportional stratified quota sampling of hospitals by birth rate, the revised instrument was completed by 861 postpartum women selected from clinics and hospitals in Taiwan. RESULTS: An exploratory common factor analysis indicated the structure validity of three dimensions of postpartum stress: concerns about maternity role attainment, concerns about negative body changes, and concerns about lack of social support. With regard to generalizability of the factors across delivery type, education level, and income status subgroups within the population, high coefficients of congruence were shown. Moreover, the internal consistency reliabilities for the total Hung Postpartum Stress Scale and its three dimensions across the full sample and within pertinent sub-samples showed that it is a reliable tool for measuring postpartum stress. CONCLUSIONS: A series of analyses supported the validity and reliability of the revised Hung Postpartum Stress Scale. Additional research is recommended using confirmatory factor analysis to determine the stability of the factor structure identified in the present study.