产后恢复与塑形PostpartumRecoveryandBodyShaping服务评估Servic

产后恢复与塑形PostpartumRecoveryandBodyShaping服务评估Serviceevaluation产妇基本情况评估及产后问题评估(Evaluationofbasicsituationofpuerperaandpostpartumproblems)目录（Contents）产妇产后恢复效果评估(Evaluationofpuerpera’spostpartumrecoveryeffect)目录（Contents）产妇产后服务满意度评估(Evaluationofpuerpera’ssatisfactionwithpostpartumservices)目录（Contents）案例分析：服务评估（Casestudy:Serviceevaluation）

案例Casestudy产妇，李女士，28岁。从事教师职业，孕2产1,第一胎于2019年孕16周流产，现自然分娩后50天。体格检查:T37.6C，P90次/min,R20次/min,BP120/85mmHg。身高163cm,体重65kg,腰围86cm。衣服穿XL码，喜食辛辣食品，不爱运动。(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：服务评估（Casestudy:Serviceevaluation）

腹部触诊扪不到子宫底，B超探查子宫接近非孕时大小。妇检阴道黏膜皱襞出现，外阴无水肿，会阴伤口愈合较好，无红肿、疼痛。产妇自诉有憋不住尿的情况，尤其轻微咳嗽会感觉有尿液漏出，盆底肌肌电检测得分为60分。月经未复潮。母乳喂养，检查双侧乳房软扁，乳汁分泌不足。触诊腹部较松弛，腹直肌分离3指。(Thefundusofuteruswasnotpalpableonabdomenandthesizeoftheuteruswasclosetothenon-pregnantsizeonultrasound.Thevaginalmucosalfoldsappearedongynecologicalexamination,novulvaredema,andtheperinealwoundhealedwellwithoutredness,swellingandpain.Thepuerperacomplainedthatshecouldnotholdurine,especiallywhenshecoughedslightly,andshefelturineleakage,pelvicfloormuscleelectromyographytestscoreof60points.Menstruationdidnotrestore.Shewasbreastfeeding,andherbreastsweresoftandflatbilaterallywithinsufficientmilkproduction.Theabdomenwaslooseonpalpationandtherectusabdominiswasseparatedby3fingers.)专科检查(OB/GYNexamination)案例分析：服务评估（Casestudy:Serviceevaluation）

了解产妇产后心理情绪:产妇产后在家坐月子，自诉晚上害怕听见孩子哭闹，内心觉得烦躁，老公平日工作繁忙，偶尔会帮忙照看孩子，更多的是婆婆照看。与婆婆在带孩子方式上有分歧。心情沮丧、焦虑。任务：为掌握该女士产后情况，请对其进行基本情况的评估。(Understandthepostpartumpsychologicalmoodofthepuerpera:thepuerperaissittingthemonthathomeafterchildbirth,andshecomplainsthatsheisafraidtohearherbabycryingatnight,andshefeelsagitateddeepdown.Herhusbandisbusyandonlyhelpstotakecareofthebabyoccasionally,andhermother-in-lawtakescareofthebabymoreoften.Shehasdisagreementwithmother-in-lawoverparentingstyle.Sheisdepressedandanxious.Task:Inordertounderstandthepostpartumconditionofthepuerpera,pleaseevaluateherbasicsituation.)产妇基本情况评估及产后问题评估（Evaluationofbasicsituationofpuerperaandpostpartumproblems）

任务实施前评估(Assessmentbeforetaskimplementation)环境条件：干净、整洁、安全、舒适。(Environmentalconditions:clean,tidy,safe,temperature24-26℃,humidity50-60%,softmusiccanbeplayed.)物品准备：产妇健康评估单、笔、记录本、消毒毛巾。(Supplypreparation:evaluationform,sterilizedsmalltowel,marker,recordsheet,handsanitizer,etc.)产妇准备：精神状态良好，配合度高。(Maternalpreparation:Relaxedphysicallyandmentallyandabletocooperate.)评估者准备：着装整齐，洗手。(Operators:dressneatlyandwashhands.)产妇基本情况评估及产后问题评估（Evaluationofbasicsituationofpuerperaandpostpartumproblems）

任务实施评估(Taskevaluationimplementation)产妇，李女士，28岁，从事教师职业。T37.6C，P90次/min,R20次/min,BP120/85mmHg。身高163cm,体重65kg,腰围86cm。(Puerpera,Ms.Li,28yearsold.Workingasateacher.Temperature37.6C,Pulse90beats/min,Respiration20resp/min,BloodPressure120/85mmHg.height163cm,weight65kg,waistcircumference86cm.）基本信息情况(Basicinformation(Throughinformationcollectionandinspection,etc.))评估：产妇体温高于正常范围，有发热情况。(Evaluation:Maternalbodytemperaturewashigherthannormalandtherewasfever.)产妇基本情况评估及产后问题评估（Evaluationofbasicsituationofpuerperaandpostpartumproblems）

任务实施评估(Taskevaluationimplementation)02孕产史(Pregnancyandchildbirthhistory)孕2产1，第一胎于2019年妊娠16周流产，现自然分娩后50天。(pregnancy2andchildbirth1.Thefirstfetuswasmiscarriedat16weeksofgestationin2019,andisnow50daysafternaturaldelivery.）评估：产妇有流产史。(Evaluation:thepuerperahasahistoryofmiscarriage.)产妇基本情况评估及产后问题评估（Evaluationofbasicsituationofpuerperaandpostpartumproblems）

任务实施评估(Taskevaluationimplementation)腹部触诊扪不到子宫底，B超探查子宫接近非孕时大小。妇检阴道黏膜皱襞出现，外阴无水肿。产妇自诉有憋不住尿的情况，尤其轻微咳嗽会感觉有尿液露出，盆底肌肌电检测得分为60分。(Thefundusofuterusisnotpalpableonabdomenandtheuterusisclosetonon-pregnantsizeonultrasound.Vaginalmucosalfoldswerepresentongynecologicalexaminationandtherewasnovulvaredema.Thepuerperacomplainedofinabilitytoholdurine,especiallywhencoughingslightly,shefelturineleakage,andscored60pointsonpelvicfloormuscleelectromyography.)生殖系统(Reproductivesystem)评估：子宫、阴道、外阴恢复情况良好，但盆底肌出现松弛情况。(Evaluation:Theuterus,vaginaandvulvarecoveredwell,butthepelvicfloormuscleswereloose.)产妇基本情况评估及产后问题评估（Evaluationofbasicsituationofpuerperaandpostpartumproblems）

任务实施评估(Taskevaluationimplementation)04月经情况(Menstruation)月经未复潮。(menstruationdoesnotreturn.）评估：该产妇产后50天，月经未复潮，哺乳产妇月经复潮-般需要4~6个月，属正常现象。(Evaluation:itisnormalthatthepuerperahasnotresumemenstruation50daysafterdelivery,anditusuallytakes4~6monthsforbreastfeedingpuerperatoresumemenstruation.)产妇基本情况评估及产后问题评估（Evaluationofbasicsituationofpuerperaandpostpartumproblems）

任务实施评估(Taskevaluationimplementation)乳房情况(Breastcondition)(Breastfeeding,bilateralbreastsoftandflat,insufficientmilkproduction.)母乳喂养，检查双侧乳房软扁，乳汁分泌不足。评估：产妇营养不良、乳汁不足。(Evaluation:Maternalmalnutrition,insufficientmilk.)会阴部情况(Perineumcondition)(Perinealwoundhealingwell,noredness,swellingandpain.)会阴伤口愈合较好，无红肿、疼痛。评估：会阴恢复情况良好。(Evaluation:Perineumrecoverswell.)产妇基本情况评估及产后问题评估（Evaluationofbasicsituationofpuerperaandpostpartumproblems）

任务实施评估(Taskevaluationimplementation)07腹部情况(Abdominalcondition)触诊腹部较松弛，腹直肌分离3指。(Looseabdomenonpalpation,andtherectusabdominismusclewasseparatedby3fingers.Evaluation:looseabdominalwallmuscle.）评估：腹壁肌松弛。(Evaluation:looseabdominalwallmuscle.)产妇基本情况评估及产后问题评估（Evaluationofbasicsituationofpuerperaandpostpartumproblems）

任务实施评估(Taskevaluationimplementation)心理状况(Psychologicalcondition)产妇产后在家坐月子，自诉晚上害怕听见孩子哭闹，内心觉得烦躁，老公平日工作繁忙，偶尔会帮忙照看孩子，更多的是婆婆照看。与婆婆在带孩子方式上有分歧。心情沮丧、焦虑。(thepuerperaissittingthemonthathomeafterchildbirth,andshecomplainsthatsheisafraidtohearherbabycryingatnight,andshefeelsagitateddeepdown.Herhusbandisbusyandonlyhelpstotakecareofthebabyoccasionally,andhermother-in-lawtakescareofthebabymoreoften.Shehasdisagreementwithmother-in-lawoverparentingstyle.Sheisdepressedandanxious.)评估：产后产后情绪消极，家庭矛盾加之母亲角色适应不良，可能出现产后抑郁。(Evaluation:Postpartumdepressionmayoccurduetonegativepostpartumemotions,familyconflictsandmaladjustmentofthemother'srole.)产妇基本情况评估及产后问题评估（Evaluationofbasicsituationofpuerperaandpostpartumproblems）

任务实施后整理(Organizationaftertaskimplementation)030201评估信息整理、汇总（Organizeandsummarizeevaluationinformation.)洗手记录（Washhandsandrecord.)整理用物（Organizesupplies.)产妇产后恢复效果评估（Evaluationofpuerpera’spostpartumrecoveryeffect）

通过一段时间的产后恢复调理，本次李女士体格检查结果是：T36.8℃，P84次/min，R20次/min，BP110/80mmHg。身高163cm,体重58kg,腰围76cm,全母乳喂养，乳量足，双乳充盈，无发热、胀痛等问题，两乳头无凹陷，无皲裂。月经未复潮。盆底肌肌电检测得分为82分，腹直肌分离1.5指。衣服穿L码，戒辛辣，每天有进行1小时的产瑜伽锻炼，心态平和、情绪稳定。李女士的预期目标是：体重55kg,腰围78cm，全母乳喂养，盆底肌肌电检测得分80分及以上，腹直肌分离2指以内。(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.)产妇产后恢复效果评估（Evaluationofpuerpera’spostpartumrecoveryeffect）

任务(Task):为了更好地帮助李女士进行产后恢复调理服务，请对李女士的产后恢复效果进行评估。(InordertobetterhelpMs.Liwithpostpartumrecoveryandconditioningservices,pleaseevaluatethepostpartumrecoveryeffectofMs.Li.)产妇产后恢复效果评估（Evaluationofpuerpera’spostpartumrecoveryeffect）

任务实施前评估(Assessmentbeforetaskimplementation)01030204环境条件：干净、整洁、安全、舒适。(Environmentalconditions:clean,tidy,safe,andcomfortable.)物品准备：产妇健康评估单。(Supplypreparation:puerpera’shealthevaluationform.)产妇准备：精神状态良好，配合度高。(Maternalpreparation:ingoodspiritsandhighlycoordinated.)评估者准备：着装整齐，洗手。(Operators:dressneatlyandwashhands.)体重从调理前65kg到调理后58kg.减重7kg.目标达成70%(Weightlossfrom65kgbeforeconditioningto58kgafterconditioning.7kgweightloss.70%ofthegoalwasachieved.)腰围从调理前86cm到调理后76cm减少10cm。目标达成125%。(Waistcircumferencedecreasedby10cmfrom86cmbeforeconditioningto76cmafterconditioning.125%ofthetargetwasachieved.)衣服从调理前XL码到调理后L码(ClotheschangefromXLsizebeforeconditioningtoLsizeafterconditioning.)任务实施评估(Taskevaluationimplementation)1、身体外观和功能(Physicalappearanceandfunction)体重控制产妇产后恢复效果评估（Evaluationofpuerpera’spostpartumrecoveryeffect）

任务实施评估(Taskevaluationimplementation)1、身体外观和功能(Physicalappearanceandfunction)评价：产妇身体体型方面有很大改善，说明调理效果良好以上，可以继续按原调理方案进行调理。

（Evaluation:Thereisagreatimprovementinmaternalbodyshape,indicatingthattheconditioningeffectismorethangood,sowecancontinuetheconditioningaccordingtotheoriginalconditioningplan.)产妇产后恢复效果评估（Evaluationofpuerpera’spostpartumrecoveryeffect）

任务实施评估(Taskevaluationimplementation)2、特殊症状与体征(Specialsymptomsandsigns)1腹直肌分离从调理前3指到调理后1.5指。目标已达成。(Rectusabdominisseperationwasfrom3fingersbeforeconditioningto1.5fingersafterconditioning.Thegoalwasachieved.)2盆底肌肌电检测得分从调理前60分到调理后82分。目标已达成。(Thepelvicfloorelectromyographyscorerangedfrom60pointsbeforeconditioningto82pointsafterconditioning.Thegoalwasachieved.)3调理前自觉乳汁不足到调理后乳计充足，全母乳喂养。目标已达成。(Self-awarenessofinsufficientmilkbeforeconditioningtosufficientbreastmilkafterconditioningandexclusivebreastfeeding.Thegoalwasachieved.)产妇产后恢复效果评估（Evaluationofpuerpera’spostpartumrecoveryeffect）

任务实施评估(Taskevaluationimplementation)评价：产妇在腹直肌、盆底肌、母乳喂养方面的调理效果优秀，可以继续按原调理方案进行调理。（Evaluation:Thepuerperahasexcellentconditioningeffectinrectusabdominismuscle,pelvicfloormuscleandbreastfeeding,andcancontinuewithconditioningaccordingtotheoriginalplan.)2、特殊症状与体征(Specialsymptomsandsigns)产妇产后恢复效果评估（Evaluationofpuerpera’spostpartumrecoveryeffect）

任务实施评估(Taskevaluationimplementation)3、健康宣教(Healtheducation)产妇调理前喜食辛辣食品，调理后戒辛辣。(Thepuerperalikestoeatspicyfoodbeforeconditioning,andabstainsfromspicyfoodafterconditioning.)产妇调理前不爱运动，调理后每天有进行1小时的产后瑜伽锻炼。(Thepuerperadidnotlikeexercisebeforeconditioning,butafterconditioning,shedid1hourofpostpartumyogaexerciseeveryday.)评价：产妇通过产后恢复师的健康宣教，已经将其运用于日常生活。(Evaluation:Thepuerperahasalreadyappliedittodailylifethroughthehealtheducationprovidedbythepostpartumrecoverytherapist.)产妇产后恢复效果评估（Evaluationofpuerpera’spostpartumrecoveryeffect）

任务实施评估(Taskevaluationimplementation)4、操作技能(Operationalskills)通过产妇对产后恢复师的服务质量满意度进行评估。(Evaluatetheservicequalitysatisfactionofpostpartumrecoverytherapistbypregnantwomen.)高级别产后恢复师通过直接观察来完成。高级别产后恢复师可将所观察的操作情况与调理计划中描述的行为相对比。(High-levelpostpartumrecoverytherapistcompleteitbydirectobservation.Thehigh-levelpostpartumrecoverytherapistcancomparetheobservedoperationwiththebehaviorsdescribedintheconditioningplan.)产妇产后恢复效果评估（Evaluationofpuerpera’spostpartumrecoveryeffect）

任务实施评估(Taskevaluationimplementation)4、操作技能(Operationalskills)评价：产妇对于产后恢复师的服务质量非常满意，同时高级别产后恢复师也评价其手法操作熟练，能高质量地实施产后恢复调理方案。(Evaluation:Thepuerperaisverysatisfiedwiththequalityofthepostpartumrecoverytherapist'sservice,andthehigh-levelpostpartumrecoverytherapistalsoevaluatestheirmanipulationasproficientandabletoimplementthepostpartumrecoveryconditioningprogramwithhighquality.)产妇产后恢复效果评估（Evaluationofpuerpera’spostpartumrecoveryeffect）

任务实施评估(Taskevaluationimplementation)5、心理及情感(Psychologyandemotion)产后产后消极情绪：内心觉得烦躁，心情沮丧、焦虑得到缓解现在心态平和、情绪稳定。(Postpartumnegativeemotion:feltirritableinside,frustratedandanxious,whichisrelievednowwithacalmandstablemood.)产妇产后恢复效果评估（Evaluationofpuerpera’spostpartumrecoveryeffect）

评价（Evaluation）：产妇通过产后恢复师的心理调适，已经将消极情绪消除。(Thepuerperahaseliminatedhernegativeemotionsthroughpsychologicaladjustmentofpostpartumrecoverytherapist.)任务实施评估(Taskevaluationimplementation)5、心理及情感(Psychologyandemotion)产妇产后恢复效果评估（Evaluationofpuerpera’spost