零缺陷护理对剖宫产手术产妇术后预后与焦虑情绪的影响

The Influence of Zero Defect Nursing on the Prognosis and Anxiety of the Parturient after Cesarean Section

目的:探讨零缺陷护理对剖宫产手术产妇术后预后与焦虑情绪的影响.方法:选取2019年1月-2020年1月本院收治的行剖宫产术的产妇130例为研究对象.依据随机数字表法将产妇分为观察组和对照组,每组65例.对照组采取常规护理,观察组采用零缺陷护理.比较两组干预前后焦虑评分、生理指标水平,以及术后的疼痛水平、术后恢复情况、止痛剂使用情况、并发症发生情况、产妇对护理满意度及主观感受.结果:干预后,观察组VAS-A评分明显降低,且显著低于对照组,差异均有统计学意义(P<0.05).干预后,观察组NRS评分显著低于对照组,差异有统计学意义(P<0.05).干预后,对照组血压均下降,观察组心率和血压均下降,且观察组心率和血压均低于对照组,差异均有统计学意义(P<0.05).干预后,观察组首次排气时间、首次下床活动时间、首次母乳喂养时间均短于对照组,母乳喂养次数多于对照组,差异均有统计学意义(P<0.05).干预后,观察组并发症发生率为4.6%,低于对照组的16.9%,差异有统计学意义(P<0.05).干预后,观察组护理满意度主观感受评分均高于对照组,差异均有统计学意义(P<0.05).结论:采用零缺陷护理干预可有效减轻剖宫产手术产妇术后的焦虑情绪,改善患者术后的预后情况,值得在临床上广泛推广.

Objective:To explore the effect of zero defect nursing on the prognosis and anxiety of parturient after cesarean section.Method:A total of 130 patients with cesarean section admitted to our hospital from January 2019 to January 2020 were selected as research objects.According to the random number table method,the patients were divided into observation group and control group,with 65 patients in each group.The control group adopts the routine nursing,the observation group adopts the zero defect nursing.The anxiety scores and physiological indicators before and after intervention,postoperative pain level,postoperative recovery,analgesic use,complications,maternal satisfaction and subjective feelings were compared between the two groups.Result:After intervention,the VAS-A score of the observation group was significantly reduced,and significantly lower than that of the control group,the differences were statistically significant(P<0.05).The NRS score of the observation group was significantly lower than that of the control group after intervention,the difference was statistically significant(P<0.05).After intervention,blood pressure in the control group decreased,heart rate and blood pressure in the observation group decreased,and both heart rate and blood pressure in the observation group were lower than those in the control group,with statistically significant differences(P<0.05).After intervention,the first exhaust time,the first time of getting out of bed and the first time of breastfeeding in the observation group were all shorter than those in the control group,and the number of times of breastfeeding was more than that in the control group,with statistically significant differences(P<0.05).After intervention,the incidence of complications in the observation group was 4.6%,which was lower than 16.9%in the control group,the difference was statistically significant(P<0.05).After intervention,the subjective feeling scores of nursing satisfaction in the observation group were all higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Zero defect nursing intervention can effectively reduce the anxiety of the parturient before the operation and improve the prognosis of the patients after the operation,it is worth popularizing in clinical practice.