基于症状管理理论的干预措施在剖宫产术后护理中的应用效果分析

Analysis of the Effect of Intervention Measures Based on SymptomManagement Theory in Post Cesarean Section Nursing

目的:探讨基于症状管理理论的干预措施在剖宫产术后护理中的应用效果。方法:选取2019年1月—2021年6月我院收治的66例剖宫产产妇为研究对象,按随机数字表法分为两组,各33例。对照组给予护理干预,观察组采取基于症状管理理论的干预措施。对比两组心理状态、术后疼痛、机体恢复情况及并发症发生率。结果:干预前两组心理状态比较,无统计学差异(P>0.05);干预后观察组焦虑自评量表(SAS)评分为(34.20±7.51)分、抑郁自评量表(SDS)评分为(36.72±6.97)分,低于对照组的(43.73±7.32)分、(47.56±7.51)分,有统计学差异(P<0.05);观察组术后视觉模拟评分法(VAS)评分为(1.49±0.38)分,低于对照组的(2.01±0.59)分;肛门排气时间为(24.79±3.07)h、下床活动时间为(25.44±4.01)h、住院时间(6.09±1.44)天,短于对照组的(29.40±3.22)h、(30.37±3.92)h、(8.74±1.38)天,并发症发生率3.03%,低于对照组的24.24%,有统计学差异(P<0.05)。结论:基于症状管理理论的干预措施用于剖宫产术后护理中效果良好,能缓解产妇术后疼痛,改善心理状态,减少并发症,促进术后康复。

Objective:To explore the effect of intervention measures based on symptom management theory in post cesarean section nursing.Methods:66 cases of cesarean section parturients admitted in our hospital from January 2019 to June 2021 were selected as the research objects,and were divided into two groups according to the random number table method,33 cases each.The control group was given nursing intervention,while the observation group was given intervention measures based on symptom management theory.The psychological status,postoperative pain,body recovery and complication rate of the two groups were compared.Results:Before intervention,there was no significant difference between the two groups(P>0.05);After intervention,the SAS score(34.20±7.51)and SDS score(36.72±6.97)in the observation group were lower than those in the control group(43.73±7.32)and(47.56±7.51),with statistical difference(P<0.05);The postoperative visual analogue scale(VAS)score of the observation group(1.49±0.38)was lower than that of the control group(2.01±0.59);The time of anus exhaust(24.79±3.07)h,the time of getting out of bed activity(25.44±4.01)h,and the time of hospitalization(6.09±1.44)d were shorter than those of the control group(29.40±3.22)h,(30.37±3.92)h,and(8.74±1.38)d.The incidence of complications was 3.03%,lower than that of the control group 24.24%,(P<0.05).Conclusion:The intervention measures based on symptom management theory have a good effect in the post cesarean section nursing,which can relieve the post operation pain of the parturients,improve their psychological state,reduce complications and promote their rehabilitation.