心理护理联合新生儿早吸吮对产后出血的影响

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摘要目的探讨心理护理联合新生儿早吸吮对阴道分娩初产妇产后出血的影响。方法选取2018年1月～2019年12月江西省新余市妇幼保健院收治的400例产妇，采用双色球分组法分为试验组与对照组，每组各200例。对照组给予常规助产护理、常规产后护理，试验组在对照组的基础上给予心理护理、新生儿早吸吮，比较两组的产妇结果。结果试验组的产程、胎盘娩出时间、泌乳始动时间短于对照组，差异均有统计学意义（P＜0.05）。试验组的产后2 h 出血量少于对照组，产后泌乳量多于对照组（P＜0.05）。两组干预前的负面情绪评分比较，差异无统计学意义（P＞0.05）；两组干预后的负面情绪评分低于干预前，且试验组干预后的负面情绪评分低于对照组，差异均有统计学意义（P＞0.05）。试验组的产后出血率、产后抑郁率、产后焦虑率低于对照组，差异均有统计学意义（P＜0.05）。结论阴道分娩产妇给基础护理干预的同时联合应用心理护理与新生儿早吸吮，可促进子宫收缩，可改善产妇的负面情绪，降低产妇的产后出血率与产后抑郁率。

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	胡艳

关键词 ：心理护理, 常规助产护理, 常规产后护理, 新生儿早吸吮, 产后出血, 负面情绪

Abstract：Objective To explore the effect of psychological nursing combined with early newborn suckling on postpartum hemorrhage of primipara during vaginal delivery.Methods A total of 400 parturients admitted to Xinyu Maternity and Child Health Hospital, Jiangxi Province from January 2018 to December 2019 were selected.They were divided into the experimental group and the control group by two-color ball throwing, 200 cases in each group.In the control group, routine nursing midwifery and postpartum nursing were used.On the basis of the control group, parturients in the experimental group were given psychological nursing and early suckling of the newborn.The outcomes of the two groups were compared.Results The labor time, placenta delivery time and lactation initiation time in the experimental group were shorter than those in the control group, with statistical differences (P＜0.05).The bleeding volume 2 hours after delivery in the experimental group was less than that of the control group, the postpartum lactation volume was more than that of the control group, with statistical differences (P＜0.05).There was no difference in the negative emotion scores of the two groups before intervention (P＞0.05).The negative emotion scores of the two groups after intervention were lower than those before intervention, the negative emotion scores of the experimental group after intervention were lower than those of the control group, with statistical differences (P＜0.05).The postpartum hemorrhage rate, postpartum depression rate, and postpartum anxiety rate of the experimental group were lower than those in the control group, with statistical differences (P＜0.05).Conclusion The basic nursing intervention for parturients from vaginal delivery combined with psychological nursing and early neonatal sucking can promote uterine contractions, improve the negative emotions of the parturients, and reduce the rate of postpartum hemorrhage and postpartum depression.

Key words： Psychological nursing Routine nursing midwifery Routine postpartum nursing Early newborn suckling Postpartum hemorrhage Negative emotions

基金资助:江西省新余市科技计划项目（20183090841）

引用本文:

胡艳. 心理护理联合新生儿早吸吮对产后出血的影响[J]. 中国当代医药, 2021, 28(8): 228-231.
HUYan. Effect of psychological nursing combined with early sucking of newborn on postpartum hemorrhage. 中国当代医药, 2021, 28(8): 228-231.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2021/V28/I8/228

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