精细化联合镇痛有助于剖宫产产妇术后疼痛及康复训练

Fine Nursing Combined with Analgesia might Facilitate Postoperative Pain and Rehabilitation Training on Post-Caesarean Women

为了探讨精细化护理联合镇痛对剖宫产产妇术后疼痛及康复训练的影响,本研究选取128例剖宫产产妇为研究对象,随机分成对照组和观察组各64例。对照组给予常规护理,观察组给予术中精细化联合镇痛护理。对比两组产妇术后1 d、3 d和5 d的疼痛程度、术后肛门排气时间、拔除尿管后自行排尿时间、康复训练开始时间和护理满意率的差异。结果表明,观察组产妇术后1 d、3 d和5 d时的疼痛VAS评分均低于对照组,组间有显著的统计学差异(p<0.05)。观察组产妇术后肛门排气时间、拔除尿管后自行排尿时间、康复训练开始时间均短于对照组,组间有显著的统计学差异(p<0.05)。观察组护理出院时护理满意率高于对照组,组间有显著的统计学差异(p<0.05)。本研究初步表明,精细化护理联合镇痛有助于减轻剖宫产产妇术后疼痛程度,促进其早期进行康复训练,更有利于其术后恢复,同时有利于构建和谐的护患关系,具有很高的临床价值。

In this research, 128 cases of cesarean section were selected and randomly divided into 64 cases in the control group and the observation group in order to explore the effect of fine nursing combined with analgesia on postoperative pain and rehabilitation training after cesarean section. In this research, the control group was given routine nursing, and the observation group was given the fine combined analgesic care in the operation. The pain degree of 1 d, 3 d and 5 d after operation, postoperative anal exhaust time, self urination time after removal of catheter, time of rehabilitation training and satisfaction rate of nursing between two groups were compared. The results showed that the pain VAS scores of 1 d, 3 d and 5 d in the observation group were lower than those in the control group, and there was significant difference between the groups(p<0.05). The postoperative anal exhaust time,the time of self urination and the time of rehabilitation training in the observation group were shorter than those in the control group. There was a significant difference between the two groups(p<0.05). The satisfaction rate of nursing satisfaction in the observation group was higher than that of the control group, and there was significant difference between the groups(p<0.05). The preliminary conclusion of this study showed that refined nursing combined with analgesia can help to reduce the pain degree after cesarean section, promote early rehabilitation training, facilitate postoperative recovery, and build a harmonious relationship between nurse and patient.