中医情志护理对自然分娩初产妇的产后宫缩疼痛与焦虑情绪的影响研究

Study on the Effect of TCM Emotional Nursing on Postpartum Contractions Pain and Anxiety of First Parturients in Natural Delivery

目的探讨中医情志护理对自然分娩初产妇的产后宫缩疼痛与焦虑情绪的影响。方法本研究以我院于2018年12月至2020年12月收治的200例阴道分娩初产妇产作为研究对象,将其随机分为100例试验组和100例对照组。对照组通过常规护理治疗,对产妇进行心理、用药、产后、饮食护理。试验组以对照组为基准,增加中医情志护理。观察并比较两组患者的护理满意度、产后宫缩痛、SAS评分等方面的情况。护理满意度包括很满意、满意、不满意3个等级。护理满意度=(很满意患者例数+满意患者例数)/100×100%。通过VAS,即视觉模拟评分法预估试验组和对照组产妇的产后宫缩痛程度,以10分制计,重度疼痛是7~10分;重度疼痛是4~6分;轻度疼痛是1~3分;无痛是0分。通过SAS,即焦虑自评量表预估试验组和对照组的焦虑情绪。结果试验组共95例患者对护理满意,护理满意度为95.00%;对照组共70例患者对护理满意,护理满意度为70.00%。试验组患者护理满意度明显比对照组高(P<0.05)。试验组初产妇的产后宫缩痛程度低于对照组初产妇,且差异有统计学意义(P<0.05)。试验组和对照组的SAS评分水平比较差异均无统计学意义(P>0.05);护理后,试验组和对照组的SAS评分水平均较护理前降低,且试验组低于对照组(P<0.05)。结论中医情志护理对阴道分娩初产妇产后宫缩痛及焦虑情绪的影响,具有一定临床价值,值得在临床上加以广泛推广以及应用。

Objective To explore the effect of TCM emotional nursing on postpartum contraction pain and anxiety of primiparas during natural delivery.Methods In this study,200 cases of vaginal delivery primipara were admitted to our hospital from December 2018 to December 2020 as the research object,and they were randomly divided into 100 cases in the experimental group and 100 cases in the control group.The control group was treated with routine nursing care and provided psychological,medication,postpartum and diet care to the parturients.The experimental group took the control group as the benchmark and added TCM emotional nursing.Observe and compare the nursing satisfaction,postpartum contractions and SAS scores of the two groups of patients.Nursing satisfaction includes three levels:very satisfied,satisfied,and dissatisfied.Nursing satisfaction=(number of very satisfied patients+number of satisfied patients)/100×100%.The degree of postpartum uterine contractions in the experimental group and the control group is estimated by VAS,the visual analogue scoring method.On a 10-point scale,severe pain is 7-10 points;severe pain is 4-6 points;mild pain is 1-3 points;no pain is 0 points.The anxiety of the experimental group and the control group was estimated by SAS,the anxiety self-rating scale.Results A total of 95 patients in the experimental group were satisfied with the nursing,and the nursing satisfaction was 95.00%;a total of 70 patients in the control group were satisfied with the nursing,and the nursing satisfaction was 70.00%.The nursing satisfaction of patients in the experimental group was significantly higher than that in the control group(P<0.05).The degree of postpartum contractions of primiparas in the experimental group was lower than that of the control primiparas,and the difference was statistically significant(P<0.05).There was no statistically significant difference between the SAS score levels of the experimental group and the control group(P>0.05);after nursing,the SAS scores of the experimental group and the control group were lower than before the nursing,and the experimental group was lower than the control group(P<0.05).Conclusion The influence of TCM emotional nursing on postpartum uterine contractions and anxiety of primipara during vaginal delivery has certain clinical value and is worthy of being widely promoted and applied in clinical practice.