五行音乐疗法联合穴位推拿对双胎妊娠剖宫产术后快速康复的影响

Effect of five element music therapy combined with acupoint massage on rapid rehabilitation after cesarean section of twin pregnancy

目的探讨五行音乐疗法联合穴位推拿对双胎妊娠剖宫产术后快速康复的影响。方法选取2019年7月至2020年6月赣州市妇幼保健院的60例剖宫产双胎产妇作为研究对象,按照单双数法将其分为对照组(单数,30例)与研究组(双数,30例)。对照组术后采用常规护理方法,研究组术后在对照组的基础上采用五行音乐疗法联合穴位推拿方法。比较两组的刀口疼痛情况、睡眠质量、情绪状态、泌乳分泌情况、住院时间、下床活动时间。结果研究组产后第1天乳汁分泌量多于对照组,差异有统计学意义(P<0.05)。护理前,两组患者的焦虑自评量表(SAS)与抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05);护理后,两组患者的SDS评分及SAS评分低于护理前,且研究组患者的SDS评分及SAS评分低于对照组,差异有统计学意义(P<0.05)。护理前,两组患者的视觉模拟评分法(VAS)评分比较,差异无统计学意义(P>0.05);护理后,两组患者的VAS评分低于护理前,且研究组患者的VAS评分低于对照组,差异有统计学意义(P<0.05)。护理前,两组患者的匹兹堡睡眠质量指数量表(PSQI)各项评分比较,差异无统计学意义(P>0.05);护理后,两组患者的PSQI各项评分均低于护理前,且研究组患者的PSQI评分低于对照组,差异有统计学意义(P<0.05)。研究组患者的住院时间、术后下床活动时间短于对照组,差异有统计学意义(P<0.05)。结论在双胎妊娠剖宫产产妇术后干预中,行五行音乐疗法+穴位推拿可改善产妇不良情绪,提升睡眠质量,缓解刀口疼痛,促进乳汁分泌,加快身体恢复。

Objective To investigate the effect of five elements music therapy combined with acupoint massage on the rapid recovery of twin pregnancy after cesarean section.Methods A total of 60 women with twin births during cesarean section in Ganzhou Maternal and Child Health Hospital from July 2019 to June 2020 were selected as the research objects.According to the odd-even number method,they were divided into the control group(singular,30 cases)and the study group(even,30 cases).The control group was treated with routine nursing after surgery,and the study group was treated with five elements music therapy combined with acupoint massage on the basis of the control group after surgery.Knife pain,sleep quality,emotional state,lactation,length of stay in hospital and time of getting out of bed were compared between the two groups.Results The lactation of the study group was higher than that of the control group on postpartum day 1,and the difference was statistically significant(P<0.05).Before nursing,there were no significant differences between the scores of the self-rating anxiety scale(SAS)and the self-rating depression scale(SDS)between the two groups(P>0.05).The scores of SDS and SAS in the two groups after nursing were lower than those before nursing,and the scores of SDS and SAS in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).Before nursing,there was no significant difference in visual analogue scale(VAS)score between the two groups(P>0.05).After nursing,the VAS scores of the two groups were lower than those before nursing,and the VAS score of the study group was lower than that of the control group,and the differences were statistically significant(P<0.05).Before nursing,there were no significant differences in scores of Pittsburgh sleep quality index(PSQI)between the two groups(P>0.05).After nursing,the scores of PSQI in the two groups were lower than those before nursing,and the scores of PSQI in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).The hospitalization time and the time of getting out of bed after operation in the study group were shorter than those in the control group, and the differences were statistically significant (P<0.05). Conclusion The five elements music therapy plus acupoint massage can improve the maternal bad mood, improve the sleep quality, relieve the knife edge pain, promote the milk secretion and speed up the recovery of the body.