摘要
Abstract
Objective To explore the impact of case management standardized nursing combined with individualized breast management on postpartum recovery and lactation condition in parturients undergoing cesarean section.Methods A total of 78 parturients undergoing cesarean section who were admitted to Yuncheng Hospital of Traditional Chinese Medicine from June 2021 to August 2023 were selected as the study objects and divided into two groups using the random number table method,with 39 cases in each group.The control group received routine postpartum nursing,while the observation group received case management standardized nursing combined with individualized breast management.The postpartum recovery condition,lactation condition,and incidence of pelvic floor muscle dysfunction disease were compared between the two groups.Results The observation group had shorter first exhaust time([25.32±3.21]hours),first getting out of bed activity time([35.40±4.82]hours),first defecation time([44.16±4.85]hours),and incision healing time([6.24±1.54]days)compared with the control group([27.64±3.45]hours,[38.42±5.23]hours,[47.15±5.63]hours,and[7.45±1.72]days)(P<0.05).The start lactation time([48.51±8.22]hours)and sufficient lactation time([35.39±2.24]hours)in the observation group were shorter than those in the control group([53.72±8.75]hours and[46.21±2.72]hours),the milk production at 48 hours postpartum([160.86±9.45]ml)and the success rate of breastfeeding at 48 hours postpartum(94.87%)were higher than those in the control group([138.28±8.51]ml and[79.49%])(P<0.05).The incidence of stress urinary incontinence(2.56%)and pelvic floor organ prolapse(0%)in the observation group were lower than those in the control group(20.51%and 15.38%)(P<0.05).Conclusion The application of case management standardized nursing combined with individualized breast management in parturients undergoing cesarean section can promote postpartum recovery,improve lactation condition,and reduce the incidence of pelvic floor muscle dysfunction disease.关键词
个案管理标准化护理/个体化乳房管理/剖宫产/产后恢复/泌乳情况Key words
Case management standardized nursing/Individualized breast management/Cesarean section/Postpartum recovery/Lactation condition分类
医药卫生
