综合康复护理在剖宫产产妇中的应用效果及对术后疼痛的影响分析

Application effect of comprehensive rehabilitation nursing in women undergoing cesarean section and its influence on postoperative pain

目的探讨综合康复护理在剖宫产产妇中的应用效果及对术后疼痛的影响。方法80例剖宫产产妇,采用双盲随机法分为实验组和对照组,每组40例。对照组给予常规护理,实验组在对照组基础上实施综合康复护理。比较两组护理前后疼痛评分,护理满意度,开始进食、排气、自主排尿、第一次泌乳、住院时间,产褥期并发症发生率。结果护理24、48、72 h后,实验组疼痛评分分别为(3.42±0.21)、(2.52±0.31)、(2.21±0.61)分,均低于对照组的(5.31±0.52)、(4.71±0.62)、(3.52±0.75)分,差异具有统计学意义(P<0.05)。实验组护理满意度100.00%高于对照组的80.00%,差异具有统计学意义(P<0.05)。护理后,实验组开始进食时间(12.31±1.02)h、排气时间(9.31±1.84)h、自主排尿时间(3.22±1.64)h、第一次泌乳时间(15.25±1.62)h、住院时间(3.21±1.11)d均短于对照组的(18.40±2.45)h、(14.45±2.45)h、(5.42±2.51)h、(20.40±2.14)h、(5.21±1.24)d,差异具有统计学意义(P<0.05)。实验组产褥期并发症发生率为2.50%(1/40),低于对照组的20.00%(8/40),差异具有统计学意义(P<0.05)。结论对剖宫产产妇实施综合康复护理,可减轻术后疼痛感,加速术后康复,术后并发症少,产妇满意度提高,值得临床积极采用。

Objective To discuss the application effect of comprehensive rehabilitation nursing in women undergoing cesarean section and its influence on postoperative pain.Methods A total of 80 women undergoing cesarean section were divided into experimental group and control group by double-blind random method,with 40 cases in each group.The control group received conventional nursing,and the experimental group received comprehensive rehabilitation nursing on the basis of the control group.Both groups were compared in terms of pain score before and after nursing,nursing satisfaction,first eating time,exhaust time,spontaneous urination time,first lactation time,hospital stay,and incidence of puerperium complications.Results After 24,48,and 72 h of nursing,the pain scores of the experimental group were(3.42±0.21),(2.52±0.31),and(2.21±0.61)points,which were lower than(5.31±0.52),(4.71±0.62),and(3.52±0.75)points of the control group,and the differences were all statistically significant(P<0.05).The nursing satisfaction 100.00%of the experimental group was higher than 80.00%of the control group,and the difference was statistically significant(P<0.05).After nursing,the first eating time(12.31±1.02)h,exhaust time(9.31±1.84)h,spontaneous urination time(3.22±1.64)h,first lactation time(15.25±1.62)h,hospitalization time(3.21±1.11)d in the experimental group were shorter than(18.40±2.45)h,(14.45±2.45)h,(5.42±2.51)h,(20.40±2.14)h,(5.21±1.24)d in the control group,and the differences were all statistically significant(P<0.05).The incidence of puerperium complications in the experimental group was 2.50%(1/40),which was lower than 20.00%(8/40)in the control group,and the difference was statistically significant(P<0.05).Conclusion The implementation of comprehensive rehabilitation nursing for women undergoing cesarean section can reduce postoperative pain,accelerate postoperative recovery,reduce postoperative complications,and improve maternal satisfaction,which is worthy of active clinical adoption.