整体护理干预在剖腹产患者中的应用研究

Research on application of holistic nursing intervention in patients with caesarean section

目的探讨整体护理干预在剖腹产患者中的临床应用价值。方法选择我院2017年2月～2018年2月间进行剖腹产手术的产妇106例,采用随机分组的方式将患者分为对照组和观察组,每组53例。对照组术中实施常规产科手术室护理;观察组在对照组基础上给予整体护理干预。比较两组干预后低体温不良事件发生情况、术后肛门排气时间、下床活动时间、住院时间以及对围产期护理的满意度。结果观察组术后肛门排气时间、下床活动时间及住院时间等均短于对照组,术后48h VAS评分低于对照组(P <0.05);观察组产妇术后并发症及不良反应总发生率为5.66%;明显低于对照组26.42%,组间比较差异有统计学意义(P <0.05);观察组新生儿Apgar评分正常率90.57%,明显高于对照组75.47%,组间比较差异有统计学意义(P <0.05)。观察组围产期护理满意度为92.5%,明显高于对照组79.2%,组间比较差异有统计学意义(P <0.05)。结论整体护理干预可明显改善产妇术中低体温现象,降低并发症发生率,明显缩短剖宫产产妇肛门排气时间、下床活动时间以及住院时间,患者对整体护理的满意度高。

Objective To explore the clinical applicative value of holistie nursing intervention in patients undergoing caesarean section. Methods One hundred and six parturient women undergoing cesarean section in our hospital from February 2017 to February 2018 were selected.They were divided into the control group and the observation group by random grouping,with 53 eases in each group.The control group received routine obstetric operation room nursing while the observation group received holistie nursing intervention at basis of the control group. After intervention,occurrence of hypothermia events,postoperative anus exhaust time,leaving bed time,hospitalization stay and satisfaction with perinatal nursing of two groups were compared. Results Postoperative anus exhaust time,leaving bed time,and hospitalization stay in the observation group were all shorter than those of the control group.VAS score of 48 hours after operation in the observation group was lower than that of the control group （P 〈 0.05）.Total incidence rate of postoperative complications and adverse reactions in the observation group was 5.66%,significantly lower than that of the control group 26.42%.The difference was statistically significant （P 〈 0.05）.The normal rate of Apgar score of neonates in the observation group was 90.57%,obviously higher than that of the control group 75.47%.There was statistical difference between two groups （P 〈 0.05）.The satisfaction degree of perinatal nursing in the observation group was 92.5%,which was significantly higher than that in the control group 79.2%.The difference between two groups was statistically significant （ P 〈 0.05）. Conclusion Holistie nursing intervention can obviously improve intraoperative hypothermia of parturient women,reduce the incidence rate of complications,shorten anus exhaust time,leaving bed time and hospitalization stay.Patients are highly satisfied with holistie nursing.