摘要
目的：调查妇女产后泌乳情况及下乡随访指导效果,为促进产妇泌乳提供重要依据。方法：选择2013年1月~2014年8月顺利分娩的100例社区产妇为研究对象,通过新生儿家庭访视记录表和产后访视记录表随访了解产妇年龄、产次、分娩方式、产后镇痛、喂养行为等情况,统计产后泌乳启动延迟发生率,单因素及多因素logistic回归分析产后泌乳启动延迟发生危险因素。此外,对随访产妇给予饮食指导、健康宣教、按摩指导等护理干预,比较干预前后乳量变化、母乳喂养相关知识掌握情况。结果：产后3 d调查显示,100例产妇中泌乳启动延迟28例（28.00%）,logistic多因素回归分析剖宫产、初产是产后泌乳启动延迟独立危险因素,而产后24 h、24~48 h母乳喂养次数〉2次为其保护因子;随访干预后产妇乳量较干预前明显改善（P〈0.05）;与干预前比较,干预后产妇对母乳喂养定义、母乳喂养好处、母乳喂养技巧、正确哺乳姿势、按摩技巧正确掌握率均明显提高（P〈0.05）。结论：初产、剖宫产为产后泌乳启动延迟危险因素,而产后48 h母乳喂养〉2次能有效减少泌乳启动延迟发生;给予健康宣教、按摩指导等随访干预能明显增多泌乳量,提高产妇母乳喂养相关知识。
Objective： To investigate the postpartum lactating situation of women and the effect of follow- up visit and guidance in the countryside,so as to provide an important basis for promoting the maternal lactation. Methods： Selected 100 cases of women from a community who gave birth to children from January 2013 to August 2014 were selected and taken as object of study,and through the visit and interview records and the postpartum visit and interview records of families with newborns,the maternal age,parity,delivery mode,postpartum analgesia,feeding behavior,and other conditions were understood,a statistics was made on the postpartum lactation start delay occurrence rate,and the hazards of postpartum lactation start delay occurrence were logically analyzed from single factor and multiple factors. In addition,nursing intervention like diet guide,health education,and message guide was offered to the visiting lying- in women,and then they were compared in milk yield change and breast feeding- related knowledge grasping situation before and after the intervention. Results： According to the investigation to those 3d after parturition,28（ 28. 00%） in 100 cases of lying- in women had postpartum lactation start delay,and it＇s discovered through multi- factor regression analysis that cesarean delivery and primiparity were independent hazard risks for postpartum lactation start delay,the breast feeding times 24 h and 24 ~ 48 h after parturition 2 was a protective factor; the visited lying- in women had a significant improvement in milk yield after intervention（ P〈0. 05）; and the lying- in women had a significant improvement grasping rate of breast feeding definition,breast feeding advantage,bread feeding skill,correct feeding gesture,and correct message skill（ P〈0. 05）. Conclusion： Cesarean delivery and primiparity were independent hazard risks for postpartum lactation start delay,and the breast feeding times 48 h after parturition 2 could effectively reduce the occurrence of postpartum lactation start delay; and through the follow- up intervention like health education and message guidance,the lactation yield could be significantly increased,and the breast feeding- related knowledge of lying- in women could be improved.
作者
苏秀颜
尤丽媚
苏颖仪
$U Xiu -yah YOU Li- mei SU Ying- yi(Shunde District Xingtan Community Health Service of Foshan ,Foshan 52832)
出处
《护理实践与研究》
2016年第24期130-132,共3页
Nursing Practice and Research
关键词
产后泌乳
相关因素
随访
Postpartum lactation
Related factors
Follow-up visit
