探讨精细化护理干预对剖宫产产妇康复效果的影响

Influence of meticulous nursing intervention on rehabilitation effect of cesarean section parturients

目的 探究精细化护理干预对于剖宫产产妇康复效果的影响。方法 160例接受剖宫产分娩的产妇,按照护理方式的不同分成对照组和实验组,各80例。对照组实施常规产科护理干预,实验组实施精细化护理干预。比较两组产妇手术相关指标;产后泌乳及并发症发生情况;产后24h视觉模拟评分法(VAS)评分。结果 实验组产妇手术时间、肛门排气时间、恶露排尽时间分别为(23.22±3.17)min、(13.11±1.40)h、(24.11±2.14)d,均短于对照组的(41.11±4.20)h、(22.20±2.06)h、(36.20±1.48)d,差异均具有统计学意义(P<0.05)。实验组产妇产后分泌乳汁及泌乳量充足所占比例分别为98.75%、87.50%,均高于对照组的81.25%、71.25%,并发症发生率6.25%低于对照组的16.25%,差异均具有统计学意义(P<0.05)。实验组产妇产后24hVAS评分为(3.44±0.36)分,低于对照组的(6.11+1.04)分,差异具有统计学意义(P<0.05)。结论 精细化护理干预更加全面和深入,能够显著改善产妇的剖宫产手术指标,减少手术并发症的发生,降低产妇的手术应激反应,进而减轻疼痛,具有一定推广价值。

Objective To investigate the influence of meticulous nursing intervention on cesarean rehabilitation effect of section parturients. Methods A total of 160 cesarean section parturients were divided by different nursing methods into control group and experimental group, with 80 cases in each group. The control group received conventional obstetric nursing intervention, while the experimental group received meticulous nursing intervention. Comparison was made on surgical related indicators, postpartum lactation, occurrence of complications and visual analogue scale (VAS) score at 24 h after delivery between the two groups. Results The experimental group had shorter operation time, anal exhaust time, lochia exhaustion time respectively as (23.22±3.17) h,(13.11±1.40) h and (24.11±2.14) d than (41.11±4.20) h,(22.20±2.06) h and (36.20±1.48) d in the control group, and their difference was statistically significant (P<0.05). The experimental group had higher proportion of postpartum milk secretion and adequate lactation respectively as 98.75% and 87.50% than 81.25% and 71.25% in the control group, and lower incidence of complications as 6.25% than 16.25% in the control group. Their difference was statistically significant (P<0.05). The experimental group had lower VAS score at 24 h after delivery as (3.44±0.36) points than (6.11+1.04) points in the control group, and the difference was statistically significant (P<0.05). Conclusion Meticulous nursing intervention is more comprehensive and in-depth, and it can significantly improve the indicators of cesarean section, reduce the occurrence of surgical complications, lower the surgical stress response of the puerpera, thus reducing pain. This method has a certain promotion value.