Application Value of Staged Continuous Health Education in Cesarean Section Nursing

Objective: To explore the application value of staged continuous health education in cesarean section nursing. Methods: 90 cases of cesarean section in our hospital from August 2019 to July 2020 were randomly divided into two groups, 45 cases in each group. The control group was given routine nursing, while the observation group was given periodic continuous health education based on routine nursing. The breastfeeding, 24-hour anal exhaust rate, anxiety and depression after nursing were analysed and scored. Results: compared with the control group, the success rate of breastfeeding, 24-hour anal exhaust rate, comfort, and sense of security of the observation group were significantly improved (P < 0.05), and the anxiety score and depression score were significantly reduced (P < 0.05). Conclusion: The staged continuous health education can not only improve the psychological state of the puerpera, but also improve the success rate of breast-feeding and promote the recovery of the puerpera as soon as possible.


Introduction
With the change of birth policy, there are more and more elderly mothers in China, and some of them suffer from serious diseases during pregnancy, such as gestational diabetes. In addition, some pregnant women worry about vaginal delivery and have a strong fear, so some pregnant women choose cesarean section for delivery, so cesarean section has also been widely used. In the nursing of cesarean section, it is very necessary to provide effective health education to help mothers develop good behaviour habits, to ensure the health of mother and baby, and to improve the breastfeeding rate [1,2]. 90 cases of cesarean section puerperae who delivered in our hospital from August 2019 to July 2020 were selected to analyze the application value of staged continuous health education in cesarean section nursing. to July 2020 after getting the informed consent were selected, the random number table method was used as the grouping method and divided into a control group and a study group, with 40 cases in each group. Study group: 22-39 years old, the average age was (32.74 ± 3.91) years; the gestational age was 38-41 weeks, the average was (37.52 ±2.62) weeks. Control group：22-38 years old, the average age was (32.67± 3.78) years; the gestational age was 38-40 weeks, the average was (37.54 ± 2.65) weeks. There was no significant difference in average age and gestational weeks, between the two groups (P>0.05), the baseline material in two groups were comparable.

A.
Inclusion criteria: i.
No breastfeeding contraindications, such as AIDS, active tuberculosis, etc. ii.
The postpartum breastfeeding time, exhaust time, ambulation time, SAS and SDS scores of the two groups were compared, the score of the observation group was significantly better than that of the control group (P < 0.05) in Table 1.

Discussion
In clinical practice, cesarean section is an effective way to solve the problem of abnormal delivery. Cesarean section can ensure the safety of mother and fetus, so it is widely used in clinical practice.
At present, many parturients undergoing cesarean section are primiparas. They do not know enough about cesarean section and worry about the abnormal health of the fetus. All these factors are easy to cause anxiety, depression, and other negative emotions, which have a great impact on the smooth operation [2,3].
Phased continuous health education is to provide different nursing measures at different stages according to the specific situation of patients, to make each stage penetrate each other and ensure the integrity and continuity of synaptic therapy [4,5]. The health education of cesarean section can not only improve the awareness of cesarean section, but also improve and master the nursing knowledge of newborn [5,6]. In this study, four stages of health education were provided to puerpera, including introduction of hospitalization environment, notification of preoperative methods and preventive measures, postoperative rehabilitation guidance, discharge instructions and breast-feeding knowledge [7]. The results showed that the success rate of breastfeeding, the improvement of anxiety and depression in the observation group were better than those in the control group (P< 0.05).
To sum up, giving cesarean section maternal phased continuous health education, not only can improve the psychological situation of the maternal, but also can improve the success rate of breastfeeding, anal exhaust rate, postpartum out of bed activity time, improve comfort and maternal safety, which is worthy of promotion and application.