强化护理干预在缓解剖宫产术后肠胀气中的效果

Effect of Intensive Nursing Intervention on Relieving Meteorism After Cesarean Section

目的探讨强化护理干预在缓解剖宫产术后肠胀气的效果。方法选取2019年3月-2021年3月我院行剖宫产产妇72例作为研究对象,按照随机数字表法分为RC组和IC组,每组36例。RC组给予常规护理干预,IC组给予强化护理干预,比较两组干预前后心理状况、术后胃肠功能恢复时间、不同阶段疼痛评分、肠胀气发生率、健康知识知晓率及对围产期护理的总体评价。结果两组干预后HAMA、HAMD评分低于干预前,且IC组低于RC组(P<0.05);IC组首次排气、首次排便、肠鸣音恢复时间短于RC组,术后6、12、24 h VAS评分低于RC组(P<0.05);IC组术后肠胀气发生率为2.78%,低于RC组的16.67%(P<0.05);IC组预防肠胀气知识、剖宫产术知识、早期康复活动知识、合理饮食知识、自我护理知识的知晓率高于RC组(P<0.05);IC组总体评价高于RC组(P<0.05)。结论强化护理干预可缓解行剖宫产术产妇不良情绪,减轻产后疼痛感受,促进胃肠功能恢复,预防术后肠胀气,也能够提高产妇健康常识知晓率,增进护患关系。

Objective To explore the effect of intensive nursing intervention on relieving meteorism after cesarean section.Methods A total of 72 parturients who underwent cesarean section in our hospital from March 2019 to March 2021 were selected as the study subjects and divided into RC group and IC group according to the random number table method,with 36 cases in each group.The RC group was given routine nursing intervention,and the IC group was given intensive nursing intervention.The psychological status before and after intervention,postoperative gastrointestinal function recovery time,pain scores at different stages,incidence of meteorism,awareness rate of health knowledge and overall evaluation of perinatal nursing were compared between the two groups.Results The HAMA and HAMD scores of the two groups after intervention were lower than those before intervention,and the IC group was lower than the RC group(P<0.05).The recovery time of first exhaust,first defecation and bowel sounds in IC group was shorter than that in RC group,and the VAS scores at 6,12 and 24 h after operation were lower than those in RC group(P<0.05).The incidence of postoperative meteorism in the IC group was 2.78%,which was lower than 16.67%in the RC group(P<0.05).The awareness rates of intestinal flatulence prevention knowledge,cesarean section knowledge,early rehabilitation activity knowledge,reasonable diet knowledge and self-care knowledge in IC group were higher than those in RC group(P<0.05).The overall evaluation of IC group was higher than that of RC group(P<0.05).Conclusion Intensive nursing intervention can alleviate the bad mood of parturients undergoing cesarean section,reduce postpartum pain,promote the recovery of gastrointestinal function,prevent postoperative meteorism,improve the awareness rate of maternal health knowledge,and enhance the relationship between nurses and patients.