目的 观察身心一体化护理干预对足月分娩孕妇角色转换、母乳喂养的影响。方法 将86例足月分娩孕妇随机分为对 照组(43例)和观察组，对照组给予常规护理，观察组给予身心一体化护理，观察两组孕妇产后4d内泌乳量大小，并 对产后42d母乳喂养率进行比较，同时对比两组孕妇护理前后焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分。 结果 产后第1d、第2d，两组孕妇泌乳量比较无统计学意义(P>0.05)，但产后第3d、第4d，观察组孕妇较对照组孕 妇泌乳量明显升高，差异有统计学意义(P<0.05)；观察组纯母乳喂养率为74.42%，明显高于对照组55.81%，差异有 统计学意义(P<0.05)；护理后，观察组较对照组，SAS评分和SDS评分均明显降低，差异有统计学意义(P<0.05)。结 论 身心一体化护理干预可促进足月分娩孕妇向母亲角色转化，提高孕妇泌乳量及母乳喂养率，值得临床推广。

Objective To observe the effect of integrated mental and physical nursing intervention on role transition and breastfeeding in full-term delivery women. Methods 86 cases of full-term delivery women were randomly divided into control group (43 cases) and observation group (43 cases). The control group was given routine nursing, and the observation group was given integrated mental and physical nursing. The milk yield in 4d and breastfeeding rate 42d after delivery in the two groups were observed and compared, and at the same time the scores of self rating anxiety scale (SAS) and self rating depression scale (SDS) before and after nursing were compared. Results There was no significant difference in milk yield between the two groups 1d and 2d after delivery (P>0.05). 3d and 4d after delivery, the milk yield in the observation group was obviously higher than that in the control group, and their difference was statistically significant(P<0.05), the exclusive breastfeeding rate in the observation group was 74.42% which was obviously higher than that in the control group 55.81%, and the difference was statistically significant (P<0.05), after nursing, the SAS and SDS scores in the observation group were significantly lower than those in the control group, and their differences were statistically significant (P<0.05). Conclusion Integrated physical and mental nursing intervention can not only promote the role transition of full-term delivery women to mothers, but also improve the milk yield amount and breast-feeding rate. Thus it is worthy of clinical promotion.