围术期人性化护理干预对剖宫产产妇情绪的影响

Influence of perioperative humanized nursing intervention on mood in parturients with cesarean section

目的探讨人性化护理干预对缓解剖宫产围术期焦虑程度的临床效果。方法将294例择期剖宫产产妇分成干预组与对照组,每组147例。对照组给予围术期常规护理,干预组在对照组的基础上实施人性化护理干预,采用焦虑自评量表评估两组产妇不同时间(入院时、手术前、手术后)焦虑程度的变化,比较两组产妇不同时间(入院时、手术前、手术中)呼吸、心率、血压的变化,比较两组产妇手术时间、下床活动时间、肛门排气时间及住院时间,比较术后并发症发生率及护理满意度。结果观察组手术前、手术后焦虑自评量表评分均显著低于对照组,差异有统计学意义(P<0.05);观察组手术前、手术中呼吸、心率及血压波动幅度均显著低于对照组,差异有统计学意义(P<0.05);观察组手术时间、下床活动时间、肛门排气时间及住院时间均较对照组显著缩短,差异有统计学意义(P<0.05);观察组并发症发生率为8.84%,显著低于对照组的21.77%,差异有统计学意义(P<0.05),护理满意度为96.60%,显著高于对照组的88.44%,差异有统计学意义(P<0.05)。结论人性化护理干预可有效缓解剖宫产围术期焦虑程度,有助于稳定生理状态、缩短手术时间、促进康复、减少并发症,从而提高护理满意度,值得临床推广应用。

Objective To explore the clinical effect of humanistic nursing intervention in relieving anxiety de‐gree during perioperative period in cesarean scetion .Methods 294 parturients of elective cesarean section were ran‐domly divided into the intervention group and the control group ,147 cases in each group .The control group was given the perioperative routine nursing ,while on this basis the intervention group implemented the humanistic nursing in‐tervention .The self rating anxiety scale（SAS） was adopted to evaluate the changes of anxiety degree at different time （before admission ,before and after operation） in two groups .The changes of breathing ,heart rate ,blood pressure at different time （before admission ,before and after operation） were compared between the two groups .The operation time ,ambulation time ,anal exhaust time ,hospitalization time ,occurrence rate of postoperative complications and nursing satisfaction rate were compared between the two groups .Results The SAS scores before and after operation in the observation group were significantly lower than those in the control group ,the differences were statistically significant（P〈0 .05）;the breathing ,heart rate and blood pressure fluctuations before operation and during operation in the observation group were significantly lower than those in the control group ,the differences were statistically significant（P〈 0 .05）;the operation time ,ambulation time ,anal exhaust time and hospital stay in the observation group were significantly shorter than those in the controls ,the differences were statistically significant （P〈0 .05）;the occurrence rate of complications in the observation group was 8 .84% ,which was significantly lower than 21 .77%in the control group ,the difference was statistically significant （P〈 0 .05） ,the nursing satisfaction was 96 .60% , which was significantly higher than 88 .44% in the control group ,the difference was statistically significant （P〈0 .05） .Conclusion The humanistic nursing intervention can effectively relieve the anxiety degree during perioperative period in cesarean section ,conduces to stabilize the physiological state ,shortens the operation time ,promotes rehabili‐tation ,reduces the complications ,thus increases the nursing satisfaction and is worthy of clinical promotion and appli‐cation .