早期护理干预在产褥期妇女康复中的应用

目的：采取早期护理干预，减少产后并发症发生，促进产后康复。方法：选取2012年4月1日至12月31日在本院住院自然分娩的健康初产妇200例，按照随机原则设立实验组和对照组。对照组在产褥早期（分娩当天至产后5d），接受产科常规护理和产褥期保健知识健康教育；实验组在对照组的基础上，产后l～5d进行早期护理干预，主要包括：产后中药足疗、产后康复综合治疗仪的使用、产后体形恢复训练。在产后第4d调查乳汁分泌、子宫底高度、子宫复旧、恶露排出、食欲等情况。随访至产后42d，记录并发症情况。结果：实验组和对照组相比，产妇产褥期乳汁分泌多，食欲明显增加，子宫复旧、恶露排出快（P〈0．05）。产后并发症的发生率明显降低（P〈0．05）。结论：早期护理干预可以促进产褥期妇女康复，能减少产后并发症的发生。

The effect of early nursing intervention on the recovery of puerperal women

Objective： to explore the effect of early nursing intervention to reduce postpartum complications and promote postpartum recovery. Methods： From April 1 to December 31, 2012, 200 healthy natural childbirth parturient women were enrolled in our hospital and randomly assigned into experimental group and control group. The control group in the early puerperium （from birth day to 5 days postpartum） received routine obstetric care and puerperium health education. While on the basis of the interventions for control group, the experimental group also received postpartum foot therapy with traditional Chinese medicine, postpartum rehabilitation therapeutic apparatus therapy, and postpartum body shaping training. On the 4th day after childbirth respectively, a questionnaire survey and health examination were conducted with observation of milk secretion, uterine height, involution of uterus, discharge of lochia, appetite, et al. The occurrence rate of postpartum complications was investigated from birth day to 5 days postpartum. Resuks： compared with puerperal women in control group, those in experimental group had better maternal postpartum milk secretion, mental status, appetite increase, involution of uterus, and lochia discharge （P〈0.05）. The occurrence rate of postpartum complications decreased significantly （P〈0.05）. COnclusion： Early nursing intervention was correlated with puerperal women＇s recovery. It can reduce the occurrence rate of postpartum complications and promote postpartum recovery.