中医情志护理对缓解初产妇自然产后宫缩痛护理观察

Observation of TCM Mental Nursing for Primipara Uterine Pain after Natural Childbirth

目的:通过观察中医情志护理干预临床初产妇自然产,评价对产后宫缩痛的影响。方法:将我院于2014年12月—2015年12月入院并最终以自然分娩方式结束分娩的的初产妇(共72例),利用完全随机法,将上述病例随机分为对照组和观察组,每组各36例,其中对照组采用常规产后基本护理方案及临床治疗干预,观察组在对照组干预基础上通过建立个性化中医情志护理干预系统给予临床中医情志护理干预。通过比较及分析两组初产妇产后宫缩痛发生程度,比较中医情志护理对自然产产后孕妇宫缩痛的影响。结果:通过两组在干预前比较宫缩痛,结果显示两组组间宫缩痛程度,P>0.05,无显著性差异,说明组间具有可比性;而通过干预后第1、2天比较两组组间宫缩痛程度,P<0.05,具有显著性差异,而干预后第3天比较P>0.05,无显著性差异。结论:在初产妇自然产分娩的产妇中通过建立个性化中医情志护理,能够有效缓解产后早期的宫缩痛,从而提高初产妇产后的康复。中医情志护理可有效缓解初产妇产后宫缩痛,值得临床护理工作借鉴。

Objective：To observe the clinical TCM emotional nursed primipara childbirth,evaluation of effects on uterine contraction pain. Methods：In our hospital from December 2014 to December 2015 in hospital and eventually to the natural childbirth way to end delivery of primipara（72 cases）,used completely randomized method,the patients were randomly divided into control group and observation group,36 cases in each group,the control group received routine postpartum nursed program basic and clinical treatment intervention. The observation group on the basis of personalized intervention of the control group through the establishment of TCM mental nursed intervention system were treated by clinical TCM emotional nursed intervention. Through the comparison and analysis of two groups of primipara uterine contraction pain severity,to compare TCM emotional nursed on nature of postpartum postpartum contraction pain. Results：By comparing the two groups before intervention of uterine contraction pain,results showed that two groups of uterine contraction pain degree,P〉0.05. No significant difference between the groups showed two groups were comparable;and first,2 days after intervention between the two groups of uterine pain degree,P〈0.05,with a significant difference,and the intervention of third days compared with P〉0.05,no significant difference. Conclusion：Through the establishment of individualized TCM mental nursed for primipara undergoing spontaneous delivery of maternal,can effectively alleviate the early postpartum contraction pain. In order to improve primipara postpartum rehabilitation. TCM mental nursed can effectively relieve primipara uterine contraction pain,it is worthy of clinical nursed experience.