按摩子宫穴配合心理护理对产后宫缩痛的效果

The Effect of Uterine Acupoint Massage Combined with Psychological Nursing on Postpartum Uterine Contraction Pain

目的:分析对产后宫缩痛产妇实施按摩子宫穴配合心理护理的效果。方法:选取东莞市滨海湾中心医院2019年5月至2020年8月期间产后宫缩痛产妇200例,将其按照数字奇偶法分为对照组与观察组,各100例。对照组实施心理护理,观察组实施按摩子宫穴配合心理护理,对照分析两组临床效果。结果:产后24 h、48 h观察组产妇的疼痛强度数字评分法(NRS)评分均低于对照组,差异具有统计学意义(P<0.05);干预后观察组产妇的躯体化评分、强迫评分、人际关系评分、忧郁评分、焦虑评分、敌对评分、恐怖评分、偏执评分、精神病性评分均低于对照组,差异具有统计学意义(P<0.05);护理干预后观察组产妇爱丁堡产后抑郁量表(EPDS)评分为(20.45±3.63)分,低于对照组的(25.82±4.16)分,差异具有统计学意义(P<0.05)。结论:对于产后宫缩痛产妇来说,按摩子宫穴配合心理护理的效果确切,可以有效缓解宫缩疼痛,使产妇心理状态得到改善,产后抑郁减轻。

Objective Analyze the effect of uterine acupoint massage combined with psychological nursing on postpartum uterine contraction pain.Methods From May 2019 to August 2020,200 cases of postpartum uterine contraction pain in Dongguan Binhaiwan Central Hospital were selected,and they were divided into a control group and an observation group according to the digital parity method,with 100 cases in each group.The control group received psychological care,and the observation group received massage of uterine points combined with psychological care.The clinical effects of the two groups were compared and analyzed.Results The scores of numerical rating scale(NRS)in the observation group at 24 h and 48 h postpartum were lower than those in the control group(P<0.05).After the intervention,the somatization score,compulsive score,interpersonal relationship score,depression score,anxiety score,hostility score,phobia score,paranoia score and psychosis score of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05);After nursing intervention,the score of edinburgh postnatal depression scale(EPDS)in the observation group was(20.45±3.63),which was lower than that in the control group(25.82±4.16)(P<0.05).Conclusion For parturients with postpartum uterine contraction pain,the effect of uterine acupoint massage combined with psychological nursing is accurate,which can effectively alleviate the uterine contraction pain,improve the psychological state of parturients and reduce postpartum depression.