Effect of systematic nursing intervention on negative emotions, early lactation and postoperative complications after cesarean section

Abstract

Objective To investigate the clinical effect of systematic nursing intervention on negative emotions, early lactation and postoperative complications after cesarean section. Methods A total of 120 cases of women after cesarean section from October 2010 to June 2012 were chosen and randomly divided into the observation group and the control group, each with 60 cases. The control group received conventional nursing measures, while the observation group was given nursing intervention including aspects＇of diet, psychology, health and behavior. SAS and SDS were used to evaluate their metal status 7 days after intervention, lactation rate was recorded within 48 hours, and postoperative complication was observed in both groups. Results There was no statistically significant difference on SAS and SDS between two groups before intervention （ P 〉 0. 05 ）. After intervention, the score of SAS and SDS was respectively （43.70 ± 3.97 ）, （42. 90 ± 4. 22 ） in the observation group, lower than （55.40 ± 3.68 ）, （ 54. 70±4. 11 ） in the control group, and the differences were statistically significant （t = 11.24,10. 33, respectively;P 〈 0. 05 ）. The rate of lactation and enough milk was 93.9% and 76. 7% in the observation group in 48 hours, higher than 68.3% and 56. 7% in the control group, and the differences were statistically significant （x2 = 10. 77,9. 72, respectively; P 〈 0.05 ）. The incidence of complications such as postoperative bleeding, uroschesis, abdominal distention, constipation and deep venous thrombosis was 6.7% in the observation group, lower than 28.3% in the control group, and the difference was statistically significant （ X2 = 9. 86, P 〈 0. 05 ）. Conclusions Systematic nursing intervention can significantly improve patients＇ postoperative anxiety, depression and other negative emotions after cesarean section, as well as promote maternal early lactation and reduce the incidence of postoperative complications. Key words: Cesarean section;  Lactation;  Postoperative complication;  Anxiety;  Depression;  Systematic nursing intervention