快速康复护理在剖宫产术产妇中的应用效果分析

Analysis of Application Effect of Rapid Rehabilitation Nursing in Parturient Undergoing Cesarean Section

目的探讨快速康复护理在剖宫产术产妇中的应用效果。方法选取我院2021年5~8月行剖宫产术的140例产妇作为研究对象。随机将其分为对照组和观察组,其中对照组70例,观察组为70例,对照组剖宫产围手术期实施常规护理,观察组剖宫产围手术期实施快速康复护理,分析两组产妇的临床相关指标和护理满意度,对比两组患者的泌乳始动时间、术后泌乳量评分以及术后母乳喂养成功率。结果与观察组产妇首次下床时间(6.93±0.21)h和首次排气时间(20.01±0.83)h短于对照组产妇的(22.71±0.32)h、(34.63±2.32)h(均P<0.05);观察组产妇术后6、12、24 h的3个节点VAS疼痛评分分别为(2.19±0.29)分、(1.34±0.17)分、(0.67±0.09)分,均显著低于对照组的(2.87±0.37)分、(2.37±0.26)分、(1.55±0.21)(P<0.05);观察组产妇护理满意度评分为(98.96±0.37)分,显著高于对照组护理满意度评分(95.27±0.48)(P<0.05)观察组产妇泌乳始动时间为(21.80±2.32)h,短于对照组的(24.10±2.11)h,观察组产妇术后24 h泌乳量评分为(1.52±0.29)分,高于对照组的(1.83±0.31)分,观察组产妇术后48 h泌乳量评分为(2.04±0.18)分,高于对照组的(1.64±0.22)分(P<0.05);观察组母乳喂养成功率为90.00%,明显高于对照组的71.43%(P<0.05)。结论快速康复护理应用于剖宫产围手术期护理,可以有效缩短产妇首次下床活动时间和首次排气时间,同时减轻患者术后的疼痛和提高患者对护理的满意度。

Objective To explore the effect of rapid rehabilitation nursing in parturients undergoing cesarean section.Methods 140 pregnant women who underwent cesarean section in our hospital from May to August in 2021 were selected as the research objects.They were randomly divided into control group and observation group,including 70 cases in control group and 70 cases in observation group routine nursing was implemented during the perioperative period of cesarean section in the control group,and rapid rehabilitation nursing was implemented during the perioperative period of cesarean section in the observation group.The clinical related indicators and nursing satisfaction of the two groups were analyzed,and the lactation initiation time,postoperative lactation score and the success rate of postoperative breastfeeding were compared between the two groups.Results The first times of getting out of bed(6.93±0.21)hours and first times of row(20.01±0.83)hours in the observation group were shorter than those in the control group(22.71±0.32)hours and(34.63±2.32)hours(all P<0.05).The VAS pain scores of the observation group at 6,12,24-hour after the operation were(2.19±0.29),(1.34±0.17)and(0.67±0.09)respectively,which were significantly lower than those of the control group(2.87±0.37),(2.37±0.26)and(1.55±0.21)(P<0.05).The nursing satisfaction score of the observation group was(98.96±0.37),which was significantly higher than that of the control group(95.27±0.48)(P<0.05).The lactation initiation time of the observation group was(21.80±2.32)hours,which was shorter than that of the control group(24.10±2.11)hours.The 24 hours lactation score of the observation group was(1.52±0.29),which was higher than that of the control group(1.83±0.31).The 48 hours lactation score of the observation group was(2.04±0.18),the score was higher than that of the control group(1.64±0.22)(P<0.05).The success rate of breastfeeding in the observation group was 90.00%,which was significantly higher than 71.43% in the control group(P<0.05).Conclusion Rapid rehabilitation nursing should be focused on the perioperative nursing of cesarean section,which can effectively shorten the time of maternal getting out of bed and row,reduce the postoperative pain and improve the satisfaction of patients with nursing.