剖宫产产妇围手术期无陪护护理的效果

Effect of perioperative nursing without caregiver modes on cesarean section patients

目的探讨优质护理服务下剖宫产产妇围手术期的无陪护护理管理。方法选择2009年12月至2010年5月剖宫产产妇291例为对照组，实施责任制护理，日常生活护理由家属完成；2010年6月至2010年12月产妇292例为干预组，实施优质护理服务，日常生活护理由医院护工完成，采用焦虑自评量表（SAS）和抑郁自评量表（SDS）在术前1d及术后第6天分别对产妇进行调查，比较两组产妇焦虑、抑郁状况及满意度。结果两组术前SAS、SDS评分比较，差异均无统计学意义（P〉0．05）；术后干预组SAS、SDS评分分别为（34．34±1．63），（34．51±1．82）分，均低于对照组的（42．60±1．43），（42．95±1．39）分，差异均有统计学意义（t分别为25．22，25．25；P〈0．05）；干预组患者满意度98．29％，高于对照组的91．75％，差异有统计学意义（x2=13．17，P〈0．05）。结论无陪护护理可缓解剖宫产产妇术后焦虑、抑郁情绪，并可提高患者满意度。

Objective To explore the effect of perioperative nursing without caregiver on cesarean section patients under the excellent nursing service. Methods 291 cesarean section patients in hospital spanning from December 2009 to May 2010 were chosen as the control group and were given primary nursing. Their daily life care was given by the patients＇ relatives. 292 cesarean section patients in hospital spanning from June 2010 to December 2010 were chosen as the intervention group and were given excellent nursing service. Their daily life care was given by hospital escort. Self-rating anxiety scale （SAS） and self-rating depression scale （SDS） were filled before and after the cesarean. The anxiety and depression scores as well as satisfaction rate were compared between the two groups. Results The SAS and SDS scores before cesarean section were of no significant differences between the two groups （P 〉0.05）. The SAS and SDS scores after cesarean section of the intervention group were （34.34±1.63） and （34.51 ±1.82） points, lower than （42.60±1.43） and （42.95±1.39） points of the control group. There were significant differences between the two groups （ t = 25.22, 25.25, respectively; P 〈 0.05 ）. The patient satisfaction of the intervention group （98.29%） was higher than that of the control group （91.75%）. The difference was statistically significant （X2 =13. 17,P〈0.05）. Conclusions Perioperative nursing without caregiver can alleviate the anxiety and depression of the cesarean section patients and enhance their satisfaction.