摘要
目的观察健康教育干预对初产妇剖宫产后焦虑、抑郁及母乳喂养依从性的影响。方法选择我院2014年2月—2015年6月收治的行剖宫产手术的初产妇128例为研究对象,随机分为干预组和对照组,每组各64例。对照组采取常规护理措施,干预组在对照组的基础上实施积极的健康教育干预措施,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)对产妇产后不良情绪进行评价,采用一般自我效能感量表评价产妇自信心,观察比较两组母乳喂养依从性。结果出院1个月后,与对照组比较,干预组SAS、SDS评分均明显降低,差异有统计学意义(P<0.05);干预组一般自我效能感量表评分明显高于对照组,差异有统计学意义(P<0.05);干预组母乳喂养依从率为93.75%,明显高于对照组的76.56%,差异有统计学意义(P<0.05)。结论健康教育干预措施应用于剖宫产初产妇,可以明显地改善产妇的焦虑、抑郁情绪,提高母乳喂养的依从性,值得在临床上推广应用。
OBJECTIVE To observe the influence of nursing intervention on primipara postpartum anxiety,depression and breastfeeding compliance.METHODS 128 cases of cesarean section in our hospital from February 2014 to June 2015 were randomly divided into intervention group and control group,64 cases in each group.The control group was treated with routine nursing measures,and the intervention group used nursing intervention on the base of the control group.Using self rating Depression Scale（SDS）,self rating Anxiety Scale（SAS） to evaluate the negative emotions of maternal postpartum.Used self efficacy scale to evaluate maternal confidence.The breast feeding compliance between the two groups were compared.RESULTS The SDS and SAS scores of the intervention group had significantly lower than that of the control group（P〈0.05）.The self-efficacy of the intervention group was significantly higher than the control group,the difference was statistically significant（P〈0.05）.The compliance of breast feeding of the intervention group was 93.75%,which was significantly higher than that of the control group（76.56%,P〈0.05）.CONCLUSION Nursing intervention applied in early cesarean section,can improve the maternal anxiety and depression,improve the compliance of breast feeding,which was worth promoting in clinical.
出处
《中国初级卫生保健》
2015年第12期67-68,共2页
Chinese Primary Health Care
关键词
健康教育干预
初产妇
剖宫产
母乳喂养
焦虑
抑郁
依从性
health intervention
early pregnant women
cesarean section
breast feeding
anxiety
depression
compliance
