目的探讨心理护理对提高剖宫产术后母乳喂养率的影响。方法研究时间以2018年1-12月为准,选择在河南省镇平县人民医院生产的470名剖宫产产妇为研究对象。根据入院顺序分组,前235例为对照组,以常规剖宫产护理,后235例为研究组,在常规剖宫产护理上增加心理护理。对比两组产后48 h、产后1个月纯母乳喂养率,护理前后两组产妇焦虑自评量表(Self-Rating Anxiety Scale,SAS)评分情况。结果研究组产后48 h、产后1个月纯母乳喂养率明显高于对照组,差异有统计学意义(P <0.05)。护理前,两组产妇SAS评分差异无统计学意义(P> 0.05),护理后较护理前均有降低,但研究组更理想,差异有统计学意义(P <0.05)。结论心理护理的实施有助于帮助剖宫产产妇建立母乳喂养的信心,提高产后母乳喂养率,缓解其焦虑情绪,值得推广。

Objective To explore the influence of psychological nursing on the improvement of breast-feeding rate after cesarean section. Methods The clinical data of 470 women undergoing cesarean section in our hospital during Jan. to Dec. in 2018 were reviewed. According to the order of admission,the first 235 cases were taken as the control group,the routine cesarean section nursing was used for the control group,and the latter 235 cases were taken as the study group,the psychological nursing was added to the routine nursing for the study group. The rates of exclusive breastfeeding at 48 h and 1 month after birth in the two groups were compared,and the Self-Rating Anxiety Scale scores of the two groups before and after nursing were compared. Results The rate of exclusive breastfeeding in the study group was significantly higher than that of the control group at 48 h and 1 month after birth( P < 0. 05).Before nursing,there was no difference in the SAS score between the two groups( P > 0. 05). The score after nursing was lower than that before nursing,but the decrease in the study group was more obvious,and the difference was statistically significant between the two groups( P < 0. 05). Conclusion The implementation of psychological nursing can help the women undergoing cesarean section to establish the confidence of breastfeeding,improve the rate of postpartum breastfeeding,and relieve their anxiety,which is worth promoting.