“三早”健康教育配合护士-家属联合支持辅助产后手法按摩在初产妇中的应用价值

doi:10.3760/cma.j.cn441417-20241120-12031

国际医药卫生导报 ›› 2025, Vol. 31 ›› Issue (12): 2088-2092.DOI: 10.3760/cma.j.cn441417-20241120-12031

“三早”健康教育配合护士-家属联合支持辅助产后手法按摩在初产妇中的应用价值

贾艺敏张茜王秋明

河南省人民医院产科河南省护理医学重点实验室郑州大学人民医院，郑州 450000

收稿日期:2024-11-20 出版日期:2025-06-15 发布日期:2025-06-17
通讯作者: 贾艺敏，Email：yiminjia1992@163.com
基金资助:
河南省医学科技攻关计划联合共建项目（LHGJ20200017）

Application value of "Three Early" health education combined with nurse-family joint support and postpartum manual massage in primiparous women

Jia Yimin, Zhang Qian, Wang Qiuming

Department of Obstetrics,Henan Provincial People's Hospital, Key Laboratory of Nursing Medicine of Henan Province, People's Hospital of Zhengzhou University; Zhengzhou 450000,China

Received:2024-11-20 Online:2025-06-15 Published:2025-06-17
Contact: Jia Yimin, Email:yiminjia1992@163.com
Supported by:
Joint Construction Project of Henan Medical Science and Technology Research and Development Program (LHGJ20200017)

摘要/Abstract

摘要：

目的　研究“三早”健康教育（TEHE）配合护士-家属联合支持（NFS）辅助产后手法按摩在初产妇中的应用价值。方法　回顾性分析河南省人民医院2021年1月至2023年12月收治的94例初产妇，按护理方法不同分为常规组和联合组，各47例。常规组：年龄19～32（26.65±2.86）岁；孕周（38.45±0.73）周；顺产和剖宫产分别为31例、16例。联合组：年龄19～32（26.75±2.91）岁；孕周（38.52±0.69）周；顺产和剖宫产分别为33例、14例。常规组采用常规产后护理，联合组采用TEHE配合NFS辅助产后手法按摩护理。两组均持续干预7 d。比较两组产妇产后泌乳量、乳房胀痛情况、焦虑、抑郁情绪［焦虑自评量表（SAS）、抑郁自评量表（SDS）］、母乳喂养成功率、母乳喂养自信心量表（BSES）。采用t检验和χ2检验进行统计学分析。结果　干预7 d后，联合组产妇产后泌乳量明显高于常规组（P=0.003）；联合组乳房胀痛发生率较常规组低［12.77%（6/47）比36.17%（17/47）］，差异有统计学意义（χ2=6.965，P=0.008）；联合组母乳喂养成功率较常规组高［80.85%（38/47）比57.45%（27/47）］（χ2=6.034，P=0.014）；联合组产后15 d、产后30 d BSES评分较常规组高［（84.96±5.63）分比（63.54±2.79）分，（128.36±6.78）分比（112.05±5.32）分］（均P<0.05）。结论　TEHE配合NFS辅助产后手法按摩应用于初产妇中效果显著，能缓解乳房胀痛，改善产妇不良情绪，增加产后泌乳量，提高母乳喂养技巧和自信心。

关键词: 初产妇, “三早”健康教育, 护士-家属联合支持, 手法按摩

Abstract:

Objective　To study application value of "Three Early" health education (TEHE) combined with nurse-family joint support(NFS) and postpartum manual massage in primiparous women. Methods　A retrospective analysis was performed on 94 primipara treated in Henan Provincial People's Hospital from January 2021 to December 2023. All subjects were divided into a conventional group (n=47) and a combined group (n=47) according to different nursing methods. The conventional group was 19 to 32 (26.65±2.86) years old; the gestational age was (38.45±0.73) weeks; ; there were 31 cases of natural delivery and 16 cases of cesarean section . The combined group was 19 to 32 (26.75±2.91) years old; the gestational age was (38.52±0.69) weeks;there were 33 cases of natural delivery and 14 cases of cesarean section. The conventional group received routine postpartum care, and the combined group received TEHE and NFS assisted postpartum massage care. The two groups were treated for 7 d. The postpartum milk yield, breast tenderness, anxiety and depression [Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS)], breastfeeding success rate and socres of Breastfeeding Self-confidence Scale (BSES) were compared between the two groups.T test, and χ² test were used for analysis. Results　After treatment,the postpartum milk yield of the combined group was significantly more than that of the conventional group (P=0.003);the incidence rate of breast tenderness of the combined group was lower than that of the conventional group [12.77% (6/47) vs. 36.17% (17/47)](χ²=6.965, P=0.008). The breastfeeding success rate of the intervention group was significantly higher than that of the control group [80.85% (38/47) vs 57.45% (27/47)](χ²=6.034,P=0.014).The BSES scores of the combined group were higher than those of the conventional group at 15 d and 30 d [(84.96±5.63) points vs. (63.54±2.79) points,(128.36±6.78) points vs. (112.05±5.32) points] (all P < 0.05). Conclusion　The application of TEHE with NFS assisted postpartum massage in primipara has significant effects, which can relieve breast tenderness, improve maternal bad mood, increase postpartum milk production, and improve breastfeeding skills and self-confidence.

Key words: Primiparous women, , "Three early" health education, , Nurse-family support, , manual massage

贾艺敏张茜王秋明.

“三早”健康教育配合护士-家属联合支持辅助产后手法按摩在初产妇中的应用价值 [J]. 国际医药卫生导报, 2025, 31(12): 2088-2092.

Jia Yimin, Zhang Qian, Wang Qiuming.

Application value of "Three Early" health education combined with nurse-family joint support and postpartum manual massage in primiparous women [J]. International Medicine and Health Guidance News, 2025, 31(12): 2088-2092.

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“三早”健康教育配合护士-家属联合支持辅助产后手法按摩在初产妇中的应用价值

Application value of "Three Early" health education combined with nurse-family joint support and postpartum manual massage in primiparous women

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