產(chǎn)后恢復(fù)與塑形PostpartumRecoveryandBodyShaping服務(wù)評(píng)估Servic

產(chǎn)后恢復(fù)與塑形PostpartumRecoveryandBodyShaping服務(wù)評(píng)估Serviceevaluation產(chǎn)婦基本情況評(píng)估及產(chǎn)后問(wèn)題評(píng)估(Evaluationofbasicsituationofpuerperaandpostpartumproblems)目錄（Contents）產(chǎn)婦產(chǎn)后恢復(fù)效果評(píng)估(Evaluationofpuerpera’spostpartumrecoveryeffect)目錄（Contents）產(chǎn)婦產(chǎn)后服務(wù)滿意度評(píng)估(Evaluationofpuerpera’ssatisfactionwithpostpartumservices)目錄（Contents）案例分析：服務(wù)評(píng)估（Casestudy:Serviceevaluation）

案例Casestudy產(chǎn)婦，李女士，28歲。從事教師職業(yè)，孕2產(chǎn)1,第一胎于2019年孕16周流產(chǎn)，現(xiàn)自然分娩后50天。體格檢查:T37.6C，P90次/min,R20次/min,BP120/85mmHg。身高163cm,體重65kg,腰圍86cm。衣服穿XL碼，喜食辛辣食品，不愛運(yùn)動(dòng)。(puerpera,Ms.Li,28yearsold.Workingasateacher,with2pregnanciesand1child,herfirstchildwasmiscarriedat16weeksofpregnancyin2019,andsheisnow50daysafternaturaldelivery.Physicalexamination:Temperature37.6C,Pulse90beats/min,Respiration20resp/min,BloodPressure120/85mmHg.height163cm,weight65kg,waistcircumference86cm.ClothessizeXL,likesspicyfood,doesnotlikeexercise.)案例分析：服務(wù)評(píng)估（Casestudy:Serviceevaluation）

腹部觸診捫不到子宮底，B超探查子宮接近非孕時(shí)大小。婦檢陰道黏膜皺襞出現(xiàn)，外陰無(wú)水腫，會(huì)陰傷口愈合較好，無(wú)紅腫、疼痛。產(chǎn)婦自訴有憋不住尿的情況，尤其輕微咳嗽會(huì)感覺有尿液漏出，盆底肌肌電檢測(cè)得分為60分。月經(jīng)未復(fù)潮。母乳喂養(yǎng)，檢查雙側(cè)乳房軟扁，乳汁分泌不足。觸診腹部較松弛，腹直肌分離3指。(Thefundusofuteruswasnotpalpableonabdomenandthesizeoftheuteruswasclosetothenon-pregnantsizeonultrasound.Thevaginalmucosalfoldsappearedongynecologicalexamination,novulvaredema,andtheperinealwoundhealedwellwithoutredness,swellingandpain.Thepuerperacomplainedthatshecouldnotholdurine,especiallywhenshecoughedslightly,andshefelturineleakage,pelvicfloormuscleelectromyographytestscoreof60points.Menstruationdidnotrestore.Shewasbreastfeeding,andherbreastsweresoftandflatbilaterallywithinsufficientmilkproduction.Theabdomenwaslooseonpalpationandtherectusabdominiswasseparatedby3fingers.)?？茩z查(OB/GYNexamination)案例分析：服務(wù)評(píng)估（Casestudy:Serviceevaluation）

了解產(chǎn)婦產(chǎn)后心理情緒:產(chǎn)婦產(chǎn)后在家坐月子，自訴晚上害怕聽見孩子哭鬧，內(nèi)心覺得煩躁，老公平日工作繁忙，偶爾會(huì)幫忙照看孩子，更多的是婆婆照看。與婆婆在帶孩子方式上有分歧。心情沮喪、焦慮。任務(wù)：為掌握該女士產(chǎn)后情況，請(qǐng)對(duì)其進(jìn)行基本情況的評(píng)估。(Understandthepostpartumpsychologicalmoodofthepuerpera:thepuerperaissittingthemonthathomeafterchildbirth,andshecomplainsthatsheisafraidtohearherbabycryingatnight,andshefeelsagitateddeepdown.Herhusbandisbusyandonlyhelpstotakecareofthebabyoccasionally,andhermother-in-lawtakescareofthebabymoreoften.Shehasdisagreementwithmother-in-lawoverparentingstyle.Sheisdepressedandanxious.Task:Inordertounderstandthepostpartumconditionofthepuerpera,pleaseevaluateherbasicsituation.)產(chǎn)婦基本情況評(píng)估及產(chǎn)后問(wèn)題評(píng)估（Evaluationofbasicsituationofpuerperaandpostpartumproblems）

任務(wù)實(shí)施前評(píng)估(Assessmentbeforetaskimplementation)環(huán)境條件：干凈、整潔、安全、舒適。(Environmentalconditions:clean,tidy,safe,temperature24-26℃,humidity50-60%,softmusiccanbeplayed.)物品準(zhǔn)備：產(chǎn)婦健康評(píng)估單、筆、記錄本、消毒毛巾。(Supplypreparation:evaluationform,sterilizedsmalltowel,marker,recordsheet,handsanitizer,etc.)產(chǎn)婦準(zhǔn)備：精神狀態(tài)良好，配合度高。(Maternalpreparation:Relaxedphysicallyandmentallyandabletocooperate.)評(píng)估者準(zhǔn)備：著裝整齊，洗手。(Operators:dressneatlyandwashhands.)產(chǎn)婦基本情況評(píng)估及產(chǎn)后問(wèn)題評(píng)估（Evaluationofbasicsituationofpuerperaandpostpartumproblems）

任務(wù)實(shí)施評(píng)估(Taskevaluationimplementation)產(chǎn)婦，李女士，28歲，從事教師職業(yè)。T37.6C，P90次/min,R20次/min,BP120/85mmHg。身高163cm,體重65kg,腰圍86cm。(Puerpera,Ms.Li,28yearsold.Workingasateacher.Temperature37.6C,Pulse90beats/min,Respiration20resp/min,BloodPressure120/85mmHg.height163cm,weight65kg,waistcircumference86cm.）基本信息情況(Basicinformation(Throughinformationcollectionandinspection,etc.))評(píng)估：產(chǎn)婦體溫高于正常范圍，有發(fā)熱情況。(Evaluation:Maternalbodytemperaturewashigherthannormalandtherewasfever.)產(chǎn)婦基本情況評(píng)估及產(chǎn)后問(wèn)題評(píng)估（Evaluationofbasicsituationofpuerperaandpostpartumproblems）

任務(wù)實(shí)施評(píng)估(Taskevaluationimplementation)02孕產(chǎn)史(Pregnancyandchildbirthhistory)孕2產(chǎn)1，第一胎于2019年妊娠16周流產(chǎn)，現(xiàn)自然分娩后50天。(pregnancy2andchildbirth1.Thefirstfetuswasmiscarriedat16weeksofgestationin2019,andisnow50daysafternaturaldelivery.）評(píng)估：產(chǎn)婦有流產(chǎn)史。(Evaluation:thepuerperahasahistoryofmiscarriage.)產(chǎn)婦基本情況評(píng)估及產(chǎn)后問(wèn)題評(píng)估（Evaluationofbasicsituationofpuerperaandpostpartumproblems）

任務(wù)實(shí)施評(píng)估(Taskevaluationimplementation)腹部觸診捫不到子宮底，B超探查子宮接近非孕時(shí)大小。婦檢陰道黏膜皺襞出現(xiàn)，外陰無(wú)水腫。產(chǎn)婦自訴有憋不住尿的情況，尤其輕微咳嗽會(huì)感覺有尿液露出，盆底肌肌電檢測(cè)得分為60分。(Thefundusofuterusisnotpalpableonabdomenandtheuterusisclosetonon-pregnantsizeonultrasound.Vaginalmucosalfoldswerepresentongynecologicalexaminationandtherewasnovulvaredema.Thepuerperacomplainedofinabilitytoholdurine,especiallywhencoughingslightly,shefelturineleakage,andscored60pointsonpelvicfloormuscleelectromyography.)生殖系統(tǒng)(Reproductivesystem)評(píng)估：子宮、陰道、外陰恢復(fù)情況良好，但盆底肌出現(xiàn)松弛情況。(Evaluation:Theuterus,vaginaandvulvarecoveredwell,butthepelvicfloormuscleswereloose.)產(chǎn)婦基本情況評(píng)估及產(chǎn)后問(wèn)題評(píng)估（Evaluationofbasicsituationofpuerperaandpostpartumproblems）

任務(wù)實(shí)施評(píng)估(Taskevaluationimplementation)04月經(jīng)情況(Menstruation)月經(jīng)未復(fù)潮。(menstruationdoesnotreturn.）評(píng)估：該產(chǎn)婦產(chǎn)后50天，月經(jīng)未復(fù)潮，哺乳產(chǎn)婦月經(jīng)復(fù)潮-般需要4~6個(gè)月，屬正常現(xiàn)象。(Evaluation:itisnormalthatthepuerperahasnotresumemenstruation50daysafterdelivery,anditusuallytakes4~6monthsforbreastfeedingpuerperatoresumemenstruation.)產(chǎn)婦基本情況評(píng)估及產(chǎn)后問(wèn)題評(píng)估（Evaluationofbasicsituationofpuerperaandpostpartumproblems）

任務(wù)實(shí)施評(píng)估(Taskevaluationimplementation)乳房情況(Breastcondition)(Breastfeeding,bilateralbreastsoftandflat,insufficientmilkproduction.)母乳喂養(yǎng)，檢查雙側(cè)乳房軟扁，乳汁分泌不足。評(píng)估：產(chǎn)婦營(yíng)養(yǎng)不良、乳汁不足。(Evaluation:Maternalmalnutrition,insufficientmilk.)會(huì)陰部情況(Perineumcondition)(Perinealwoundhealingwell,noredness,swellingandpain.)會(huì)陰傷口愈合較好，無(wú)紅腫、疼痛。評(píng)估：會(huì)陰恢復(fù)情況良好。(Evaluation:Perineumrecoverswell.)產(chǎn)婦基本情況評(píng)估及產(chǎn)后問(wèn)題評(píng)估（Evaluationofbasicsituationofpuerperaandpostpartumproblems）

任務(wù)實(shí)施評(píng)估(Taskevaluationimplementation)07腹部情況(Abdominalcondition)觸診腹部較松弛，腹直肌分離3指。(Looseabdomenonpalpation,andtherectusabdominismusclewasseparatedby3fingers.Evaluation:looseabdominalwallmuscle.）評(píng)估：腹壁肌松弛。(Evaluation:looseabdominalwallmuscle.)產(chǎn)婦基本情況評(píng)估及產(chǎn)后問(wèn)題評(píng)估（Evaluationofbasicsituationofpuerperaandpostpartumproblems）

任務(wù)實(shí)施評(píng)估(Taskevaluationimplementation)心理狀況(Psychologicalcondition)產(chǎn)婦產(chǎn)后在家坐月子，自訴晚上害怕聽見孩子哭鬧，內(nèi)心覺得煩躁，老公平日工作繁忙，偶爾會(huì)幫忙照看孩子，更多的是婆婆照看。與婆婆在帶孩子方式上有分歧。心情沮喪、焦慮。(thepuerperaissittingthemonthathomeafterchildbirth,andshecomplainsthatsheisafraidtohearherbabycryingatnight,andshefeelsagitateddeepdown.Herhusbandisbusyandonlyhelpstotakecareofthebabyoccasionally,andhermother-in-lawtakescareofthebabymoreoften.Shehasdisagreementwithmother-in-lawoverparentingstyle.Sheisdepressedandanxious.)評(píng)估：產(chǎn)后產(chǎn)后情緒消極，家庭矛盾加之母親角色適應(yīng)不良，可能出現(xiàn)產(chǎn)后抑郁。(Evaluation:Postpartumdepressionmayoccurduetonegativepostpartumemotions,familyconflictsandmaladjustmentofthemother'srole.)產(chǎn)婦基本情況評(píng)估及產(chǎn)后問(wèn)題評(píng)估（Evaluationofbasicsituationofpuerperaandpostpartumproblems）

任務(wù)實(shí)施后整理(Organizationaftertaskimplementation)030201評(píng)估信息整理、匯總（Organizeandsummarizeevaluationinformation.)洗手記錄（Washhandsandrecord.)整理用物（Organizesupplies.)產(chǎn)婦產(chǎn)后恢復(fù)效果評(píng)估（Evaluationofpuerpera’spostpartumrecoveryeffect）

通過(guò)一段時(shí)間的產(chǎn)后恢復(fù)調(diào)理，本次李女士體格檢查結(jié)果是：T36.8℃，P84次/min，R20次/min，BP110/80mmHg。身高163cm,體重58kg,腰圍76cm,全母乳喂養(yǎng)，乳量足，雙乳充盈，無(wú)發(fā)熱、脹痛等問(wèn)題，兩乳頭無(wú)凹陷，無(wú)皸裂。月經(jīng)未復(fù)潮。盆底肌肌電檢測(cè)得分為82分，腹直肌分離1.5指。衣服穿L碼，戒辛辣，每天有進(jìn)行1小時(shí)的產(chǎn)瑜伽鍛煉，心態(tài)平和、情緒穩(wěn)定。李女士的預(yù)期目標(biāo)是：體重55kg,腰圍78cm，全母乳喂養(yǎng)，盆底肌肌電檢測(cè)得分80分及以上，腹直肌分離2指以內(nèi)。(Throughaperiodofpostpartumrecoveryandconditioning,theresultsofMs.Li'sphysicalexaminationwere:Temperature36.8C,Pulse84beats/min,Respiration20resp/min,BloodPressure110/80mmHg.height163cm,weight58kg,waist76cm,breastfeedingexclusively,sufficientmilksupply,fullbreasts,nofever,swellingandpain,noinvertedorcrackednipples.Menstruationhasnotreturned.Thepelvicfloormuscleelectromyographyscorewas82andtherectusabdominismuscleseparationwas1.5fingers.ShewearssizeLclothes,abstainsfromspicyfood,domaternityyogaexercisefor1houreveryday,andiscalmandemotionallystable.Ms.Li'sexpectedgoalsare:weight55kg,waistcircumference78cm,exclusivebreastfeeding,pelvicfloormuscleelectromyographyscoreof80andabove,rectusabdominisseparationwithin2fingers.)產(chǎn)婦產(chǎn)后恢復(fù)效果評(píng)估（Evaluationofpuerpera’spostpartumrecoveryeffect）

任務(wù)(Task):為了更好地幫助李女士進(jìn)行產(chǎn)后恢復(fù)調(diào)理服務(wù)，請(qǐng)對(duì)李女士的產(chǎn)后恢復(fù)效果進(jìn)行評(píng)估。(InordertobetterhelpMs.Liwithpostpartumrecoveryandconditioningservices,pleaseevaluatethepostpartumrecoveryeffectofMs.Li.)產(chǎn)婦產(chǎn)后恢復(fù)效果評(píng)估（Evaluationofpuerpera’spostpartumrecoveryeffect）

任務(wù)實(shí)施前評(píng)估(Assessmentbeforetaskimplementation)01030204環(huán)境條件：干凈、整潔、安全、舒適。(Environmentalconditions:clean,tidy,safe,andcomfortable.)物品準(zhǔn)備：產(chǎn)婦健康評(píng)估單。(Supplypreparation:puerpera’shealthevaluationform.)產(chǎn)婦準(zhǔn)備：精神狀態(tài)良好，配合度高。(Maternalpreparation:ingoodspiritsandhighlycoordinated.)評(píng)估者準(zhǔn)備：著裝整齊，洗手。(Operators:dressneatlyandwashhands.)體重從調(diào)理前65kg到調(diào)理后58kg.減重7kg.目標(biāo)達(dá)成70%(Weightlossfrom65kgbeforeconditioningto58kgafterconditioning.7kgweightloss.70%ofthegoalwasachieved.)腰圍從調(diào)理前86cm到調(diào)理后76cm減少10cm。目標(biāo)達(dá)成125%。(Waistcircumferencedecreasedby10cmfrom86cmbeforeconditioningto76cmafterconditioning.125%ofthetargetwasachieved.)衣服從調(diào)理前XL碼到調(diào)理后L碼(ClotheschangefromXLsizebeforeconditioningtoLsizeafterconditioning.)任務(wù)實(shí)施評(píng)估(Taskevaluationimplementation)1、身體外觀和功能(Physicalappearanceandfunction)體重控制產(chǎn)婦產(chǎn)后恢復(fù)效果評(píng)估（Evaluationofpuerpera’spostpartumrecoveryeffect）

任務(wù)實(shí)施評(píng)估(Taskevaluationimplementation)1、身體外觀和功能(Physicalappearanceandfunction)評(píng)價(jià)：產(chǎn)婦身體體型方面有很大改善，說(shuō)明調(diào)理效果良好以上，可以繼續(xù)按原調(diào)理方案進(jìn)行調(diào)理。

（Evaluation:Thereisagreatimprovementinmaternalbodyshape,indicatingthattheconditioningeffectismorethangood,sowecancontinuetheconditioningaccordingtotheoriginalconditioningplan.)產(chǎn)婦產(chǎn)后恢復(fù)效果評(píng)估（Evaluationofpuerpera’spostpartumrecoveryeffect）

任務(wù)實(shí)施評(píng)估(Taskevaluationimplementation)2、特殊癥狀與體征(Specialsymptomsandsigns)1腹直肌分離從調(diào)理前3指到調(diào)理后1.5指。目標(biāo)已達(dá)成。(Rectusabdominisseperationwasfrom3fingersbeforeconditioningto1.5fingersafterconditioning.Thegoalwasachieved.)2盆底肌肌電檢測(cè)得分從調(diào)理前60分到調(diào)理后82分。目標(biāo)已達(dá)成。(Thepelvicfloorelectromyographyscorerangedfrom60pointsbeforeconditioningto82pointsafterconditioning.Thegoalwasachieved.)3調(diào)理前自覺乳汁不足到調(diào)理后乳計(jì)充足，全母乳喂養(yǎng)。目標(biāo)已達(dá)成。(Self-awarenessofinsufficientmilkbeforeconditioningtosufficientbreastmilkafterconditioningandexclusivebreastfeeding.Thegoalwasachieved.)產(chǎn)婦產(chǎn)后恢復(fù)效果評(píng)估（Evaluationofpuerpera’spostpartumrecoveryeffect）

任務(wù)實(shí)施評(píng)估(Taskevaluationimplementation)評(píng)價(jià)：產(chǎn)婦在腹直肌、盆底肌、母乳喂養(yǎng)方面的調(diào)理效果優(yōu)秀，可以繼續(xù)按原調(diào)理方案進(jìn)行調(diào)理。（Evaluation:Thepuerperahasexcellentconditioningeffectinrectusabdominismuscle,pelvicfloormuscleandbreastfeeding,andcancontinuewithconditioningaccordingtotheoriginalplan.)2、特殊癥狀與體征(Specialsymptomsandsigns)產(chǎn)婦產(chǎn)后恢復(fù)效果評(píng)估（Evaluationofpuerpera’spostpartumrecoveryeffect）

任務(wù)實(shí)施評(píng)估(Taskevaluationimplementation)3、健康宣教(Healtheducation)產(chǎn)婦調(diào)理前喜食辛辣食品，調(diào)理后戒辛辣。(Thepuerperalikestoeatspicyfoodbeforeconditioning,andabstainsfromspicyfoodafterconditioning.)產(chǎn)婦調(diào)理前不愛運(yùn)動(dòng)，調(diào)理后每天有進(jìn)行1小時(shí)的產(chǎn)后瑜伽鍛煉。(Thepuerperadidnotlikeexercisebeforeconditioning,butafterconditioning,shedid1hourofpostpartumyogaexerciseeveryday.)評(píng)價(jià)：產(chǎn)婦通過(guò)產(chǎn)后恢復(fù)師的健康宣教，已經(jīng)將其運(yùn)用于日常生活。(Evaluation:Thepuerperahasalreadyappliedittodailylifethroughthehealtheducationprovidedbythepostpartumrecoverytherapist.)產(chǎn)婦產(chǎn)后恢復(fù)效果評(píng)估（Evaluationofpuerpera’spostpartumrecoveryeffect）

任務(wù)實(shí)施評(píng)估(Taskevaluationimplementation)4、操作技能(Operationalskills)通過(guò)產(chǎn)婦對(duì)產(chǎn)后恢復(fù)師的服務(wù)質(zhì)量滿意度進(jìn)行評(píng)估。(Evaluatetheservicequalitysatisfactionofpostpartumrecoverytherapistbypregnantwomen.)高級(jí)別產(chǎn)后恢復(fù)師通過(guò)直接觀察來(lái)完成。高級(jí)別產(chǎn)后恢復(fù)師可將所觀察的操作情況與調(diào)理計(jì)劃中描述的行為相對(duì)比。(High-levelpostpartumrecoverytherapistcompleteitbydirectobservation.Thehigh-levelpostpartumrecoverytherapistcancomparetheobservedoperationwiththebehaviorsdescribedintheconditioningplan.)產(chǎn)婦產(chǎn)后恢復(fù)效果評(píng)估（Evaluationofpuerpera’spostpartumrecoveryeffect）

任務(wù)實(shí)施評(píng)估(Taskevaluationimplementation)4、操作技能(Operationalskills)評(píng)價(jià)：產(chǎn)婦對(duì)于產(chǎn)后恢復(fù)師的服務(wù)質(zhì)量非常滿意，同時(shí)高級(jí)別產(chǎn)后恢復(fù)師也評(píng)價(jià)其手法操作熟練，能高質(zhì)量地實(shí)施產(chǎn)后恢復(fù)調(diào)理方案。(Evaluation:Thepuerperaisverysatisfiedwiththequalityofthepostpartumrecoverytherapist'sservice,andthehigh-levelpostpartumrecoverytherapistalsoevaluatestheirmanipulationasproficientandabletoimplementthepostpartumrecoveryconditioningprogramwithhighquality.)產(chǎn)婦產(chǎn)后恢復(fù)效果評(píng)估（Evaluationofpuerpera’spostpartumrecoveryeffect）

任務(wù)實(shí)施評(píng)估(Taskevaluationimplementation)5、心理及情感(Psychologyandemotion)產(chǎn)后產(chǎn)后消極情緒：內(nèi)心覺得煩躁，心情沮喪、焦慮得到緩解現(xiàn)在心態(tài)平和、情緒穩(wěn)定。(Postpartumnegativeemotion:feltirritableinside,frustratedandanxious,whichisrelievednowwithacalmandstablemood.)產(chǎn)婦產(chǎn)后恢復(fù)效果評(píng)估（Evaluationofpuerpera’spostpartumrecoveryeffect）

評(píng)價(jià)（Evaluation）：產(chǎn)婦通過(guò)產(chǎn)后恢復(fù)師的心理調(diào)適，已經(jīng)將消極情緒消除。(Thepuerperahaseliminatedhernegativeemotionsthroughpsychologicaladjustmentofpostpartumrecoverytherapist.)任務(wù)實(shí)施評(píng)估(Taskevaluationimplementation)5、心理及情感(Psychologyandemotion)產(chǎn)婦產(chǎn)后恢復(fù)效果評(píng)估（Evaluationofpuerpera’spost