社区干预在女性产后恢复中应用.docVIP

社区干预在女性产后恢复中应用 　　doi：10.3969/j.issn.1007-614x.2014.22.98 　　摘要目的：探讨社区干预在女性产后恢复中的应用效果。方法：收治产后恢复女性52例，随机分为对照组和治疗组各26例，对照组给予常规基础护理，在此基础上治疗组给予积极的心理护理、饮食干预与哺乳干预，干预周期1个月。结果：干预期间治疗组的产后贫血、子宫炎、腹泻、便秘发生率明显少于对照组，差异有统计学意义（P0.05）。治疗组的产后第10天与产后第1个月的泌乳量都明显多于对照组，差异有统计学意义（P0.05）。结论：社区干预在女性产后恢复中的应用能减少产后并发症的发生，提高泌乳量，从而改善预后。 　　关键词社区干预；产后恢复；泌乳；并发症 　　Application of community intervention in postpartum women recovery 　　Wang Yan 　　The Outpatient Department，Chinese Electric Power Research Institute 100192 　　AbstractObjective：To explore the apply effects of community intervention in postpartum women recovery.Methods：52 cases of women postpartum recovery in accordance with the principles were randomLy divided into the control group and the treatment group.The control group received routine primary care.On this basis，the treatment group were given positively psychological care， dietary intervention and nursing intervention.The cycle was a month.Results：The overall incidence of postpartum anemia，metritis， diarrhea，constipation of the treatment group during the intervention were significantly less than those of the control group，and the differences were statistically significant（P0.05）.The postnatal lactation for 10 day and one month of the treatment group were significantly more than that of the control group，and the differences were statistically significant（P0.05）.Conclusion：Community intervention in women postpartum recovery could reduce the incidence of postpartum complications and improve postnatal lactation，thereby improve prognosis. 　　Key wordsCommunity intervention；Postpartum recovery；Lactation；Complications 　　随着社会保健意识的增强，女性产后恢复得到了广泛的重视，女性的产后合理恢复能有效促进女性的康复，并且也有利于新生儿的生长发育与智力发育，还可以预防许多影响新生儿健康的疾病发生[1]。护理人员只有了解了产后女性的个性状况及影响因素才能采取针对性健康教育措施，激励女性进行有效的护理，减少护理障碍，加强和支持正确的自我护理行为[2-4]。而在护理干预中， 　　社区干预有自身很大的优势，加强其自身社会支持，改善预后[5]。本文为此具体探讨了社区干预在女性产后恢复中的应用方法与效果，现报告如下。 　　资料与方法 　　2011年8月-2013年12月收治产后恢复女性52例，纳入标准：顺利单胎分娩；年龄20～45岁；产妇无原发疾病，可实施母乳喂养；新生儿Apgar评分≥8分；女性知情同意；年龄22～44岁，平均（29.82±2.19）岁；初产妇42例