舒适护理缓解剖宫产术后应激反应及疼痛的效果

The Effect of Comfortable Nursing in Relieving Stress Reaction and Pain after Cesarean Section

目的探讨舒适护理缓解剖宫产术后应激反应及疼痛的临床效果。方法抽取2015年1月~2016年6月在许昌市妇幼保健院妇产科行剖宫产的116例产妇,随机分为两组,各58例。对照组行常规护理干预,观察组在常规护理基础上实施舒适护理干预。对比两组手术前后皮质醇(CORT)水平及术后不同时段疼痛(VAS)评分。结果观察组术后12h及术后24h的VAS评分均明显低于对照组,差异有统计学意义(P<0.05);两组产妇术前1h CORT水平比较,差异无统计学意义(P>0.05),术后24h,观察组CORT水平显著低于对照组,差异有统计学意义(P<0.05)。结论对剖宫产产妇实施舒适护理,有利于缓解产妇术后疼痛及应激反应,且护理满意度高。

Objective To explore the clinical effect of comfort nursing to relieve stress reaction and pain after cesarean section. Method 116 cases of patients with cesarean section in our hospital from January 2015 to June 2016 were collected and divided into control group and experimental group, with each group 58 cases. The patients in the control group received routine nursing, and the patients in the experimental group received comfortable nursing intervention based on routine nursing. The levels of cortisol（CORT） and postoperative pain（VAS） scores were compared between the two groups before and after the operation. Results The postoperative 12 h and postoperative 24 h VAS scores of the experimental group were significantly lower than those of the control group, the difference was statistically significant（P 〈 0.05）. CORT levels had no significant difference between the two groups at preoperative 1 h（P 〉 0.05）. After 24 h, the level of CORT in the experimental group was significantly lower than that in the control group, the difference was statistically significant（P 〈 0.05）. Conclusion The implementation of comfortable nursing for cesarean section was beneficial to relieve the postoperative pain and stress reaction, with a high nursing satisfaction.