剖宫产产妇应用音乐放松想象训练结合保暖贴干预的护理效果探究

Study on Nursing Effects of Music Relaxation and Imaginary Training Combined with Warm Paste Intervention on Puerperae with Cesarean Section

目的:探究剖宫产产妇术后应用音乐放松想象训练结合保暖贴干预的护理效果。方法:选取择期进行剖宫产的96例产妇为研究对象,按随机数表分为试验组和对照组,各48例。对照组产妇给予术后常规护理,试验组在对照组基础上进行音乐放松想象训练结合保暖贴护理。比较术后6 h、3 d,两组产妇疼痛程度[视觉模拟评分(VAS)]、自我效能感[一般自我效能感量表(GSES)]、负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分变化,比较术后3 d,两组产妇寒战发生情况(DeWitte分级法)及首次下床时间、首次排气时间、首次开奶时间。结果:术后6 h,试验组VAS、SAS和SDS评分明显低于对照组,GSES评分明显高于对照组(P<0.05)。术后3 d,两组VAS、SAS和SDS评分较术后6 h时均显著降低,且试验组明显低于同一时间对照组(P<0.05);GSES评分较术后6 h显著升高,且试验组明显高于同一时间对照组(P<0.05)。术后3 d,试验组寒战发生率明显低于对照组,首次下床时间、首次排气时间、首次开奶时间明显早于对照组(P<0.05)。结论:应用音乐放松想象训练结合保暖贴干预能有效缓解剖宫产产妇术后疼痛感,增强自我效能感,改善负面情绪,并减少寒战发生风险,对促进术后恢复有利。

Objective:To explore the nursing effects of postoperative application of music relaxation and imaginary training combined with warm paste intervention on puerperae with cesarean section.Method:A total of 96 puerperae who underwent elective cesarean section were selected as subjects.According to the random number table method,they were divided into the experimental group and the control group,with 48 cases in each group.The control group was given routine nursing after surgery while the experimental group was given guidance of music relaxation and imaginary training and warm paste nursing on the basis of the control group.The maternal pain level[visual analogue scale(VAS)],self-efficacy[general self-efficacy scale(GSES)]and negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]scores were compared between the two groups at 6 h and 3 d after surgery.The occurrence of maternal shivering(DeWitte classification),first time out of bed,first exhaust time and first milk opening time were compared at 3 d after surgery.Result:At 6 h after surgery,the scores of VAS,SAS and SDS in the experimental group were significantly lower than those in the control group while the GSES score was significantly higher than that in control group(P<0.05).At 3 d after surgery,the scores of VAS,SAS and SDS in the two groups were significantly lower than those at 6 h after surgery,and the scores in the experimental group were significantly lower than those in the control group at the same time(P<0.05).The GSES scores at 3 d after surgery in the two groups were significantly higher than those at 6 h after surgery,and the score in the experimental group was significantly higher than that in the control group at the same time(P<0.05).At 3 d after surgery,the incidence of shivering in the experimental group was significantly lower than that in the control group,and the first time out of bed,first exhaust time and first milk opening time were significantly earlier than those in the control group(P<0.05).Conclusion:Music relaxation and imaginary training combined with warm paste intervention can relieve the postoperative pain,enhance self-efficacy,improve negative emotions,and reduce the risk of shivering of puerperae with cesarean section,and it is beneficial to promote postoperative recovery.