舒适护理在剖宫产产妇中的应用

Application of comfortable nursing in patients with cesarean section

目的探讨舒适护理对剖宫产产妇在分娩期生理、心理的影响。方法选取2014年6月~2016年6月在我院行剖宫产的160例初产妇作为研究对象,随机分为观察组80例及对照组80例。观察组采用常规护理加舒适护理模式,对照组采用常规护理模式。评价产妇焦虑、术后恢复情况、术后疼痛、护理满意度。结果干预前两组产妇焦虑自评量表(SAS)评分无统计学差异(P>0.05)。干预后对照组SAS评分高于观察组,有统计学差异(P<0.05)。观察组在术后下床活动时间、首次肛门排气时间、术后第3天泌乳量充足方面均优于对照组,差异有统计学意义(P<0.05)。观察组术后疼痛VAS评分低于对照组,观察组护理满意度评分高于对照组,差异均有统计学意义(P<0.05)。结论通过舒适护理,可以减少产妇焦虑情绪,减轻术后疼痛,促进产后更快恢复,改善泌乳情况,提高护理满意度。

Objective To explore the comfortable nursing on the physiological and psychological influences in women with cesarean section during childbirth.Methods From June 2014 to June 2016,160 primiparae performed with cesarean section in our hospital were selected as research objects and evenly divided into observation group and control group in random.In the observation group,regular nursing plus comfortable nursing was adopted,while in the control group,only regular nursing was used.The anxiety,postoperative recovery,postoperative pain,and nursing satisfaction were evaluated. Results There was no significant difference in SAS scores between the two groups before treatment （P〉0.05）.After invervention,the SAS score in the control group was higher than that in the observation group （P〈0.05）.In the observation group, time to be off bed after surgery,first anal exhaust time,and lactation yield in the third day after surgery were all superior to those in the control group with statistical differences （P〈0.05）.The VAS score of postoperative pain was lower and score of nursing satisfaction was higher in the observation group,which were both displayed statistical differences （P〈0.05）. Conclusion Comfortable nursing can reduce maternal anxiety,alleviate postoperative pain,promote quick postpartum recovery,and improve lactation as well as nursing satisfaction.