早产儿母亲应激反应对母乳喂养影响.docVIP

早产儿母亲应激反应对母乳喂养影响[摘要] 目的 通过对早产儿母亲进行心理疏导及耐心细致的解释工作，减少早产儿母亲应激反应对泌乳的影响，提高早产儿母乳喂养的成功率。方法 随机选取2010年1月至2011年2月在我院产科出生的早产儿148例，随机平均分成实验组和对照组，实验组母亲由主管医生与其进行沟通并进行相应的心理疏导，对照组采取常规告知病情及母乳喂养的知识，对两组患儿能满足母乳喂养计划需要量的例数进行统计学分析。结果 生后1-2日和3-4日两个年龄段，实验组与对照组满足母乳喂养计划需要量的例数差异不大，然而随着日龄的增加，实验组满足母乳喂养计划需要量的例数明显高于对照组，差异有统计学意义。结论 早产儿母亲应激反应是影响早产儿母乳喂养的重要影响因素，对早产儿母亲的应激因素进行积极干预，可以促进母乳喂养成功率。 [关键词] 早产儿; 应激反应; 母乳喂养 [中图分类号] R722[文献标识码] A[文章编号] 1005-0515（2011）-04-007-02 [Abstract] Objective Through psychological counseling and patiently and carefully explained to mothers of premature, reduce the impact of stress for premature mothers on lactation and improve the success rate of breastfeeding in premature.Methods 148 cases premature were randomly selected，who were born in our hospital from January ,2010 to February ,2011. These premature were randomly divided into experimental group and control group. In the experimental group the doctor in charge of these premature should communicate and make the appropriate psychological counseling to their mother. However, in the control group, we informed these mothers that their baby,s condition in accordance with the convention.Statistics and analysis the cases of the two group ,who were met breast-feeding program. Results In the two age groups of 1-2 days and 3-4 days after birth, the cases of meeting breast-feeding program was no difference. However, with the age increasing, the number of meeting breast-feeding program in the experimental group was significantly higher than the control group, and the differences was significantly. Conclusion Stress response of premature mothers is an important factor for breastfeeding.If we make a positive intervention for it, that we could improve the success rate of breastfeeding. 早产儿是新生儿患病率最高的一组人群，随着新生儿重症监护技术的开展，提高和加强早产儿母乳喂养，以改善早产儿的营养和生存质量，是当今不容忽视的问题。产后由于此类患儿须住监护室治疗，母婴分离，母亲无法完成“ 三早”以及母亲角色的转变，出现产后抑郁现象，情绪低落、绝望等，影响泌乳，导致母乳喂养失败，严重影响了早产儿的存活率和生存质量。因此，我们对早产儿母亲应激反应对母乳喂养的影响进行探讨，现将结果报告如下： 1 资料与方法 1.1 一般资料 随机选取2010年1月至2011