一体化临床路径护理对剖宫产术后胃肠功能的影响

Effect of integrated clinical pathway nursing on gastrointestinal function after cesarean section

目的探讨一体化临床路径护理对剖宫产术后产妇胃肠功能的影响。方法选取100例行剖宫产术分娩的产妇,根据随机数字表法分为观察组(采用一体化临床路径护理)与对照组(采用常规护理),每组50例。比较两组胃肠功能、疼痛评分、心理状态及并发症发生情况。结果观察组首次排气、排便、泌乳及肠鸣音恢复时间均短于对照组,差异有统计学意义(P<0.05)。观察组术后6 h、12 h、24 h、48 h的视觉模拟评分法(VAS)评分均低于对照组,差异有统计学意义(P<0.05)。护理前,两组焦虑自评量表(SAS)、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SAS评分、SDS评分均低于护理前,且观察组明显低于对照组,差异具有统计学意义(P<0.05)。观察组并发症发生率为10.00%,低于对照组的28.00%,差异有统计学意义(P<0.05)。结论一体化临床路径护理可缩短剖宫产术后产妇胃肠功能恢复时间,减轻产妇术后疼痛,改善其不良情绪,减少并发症发生率。

Objective To explore the effect of integrated clinical route nursing on gastrointestinal function after cesarean section.Methods 100 women who delivered by cesarean section were selected and divided into observation group(using integrated clinical pathway nursing)and control group(using routine nursing)according to random number table method,with 50 cases in each group.Gastrointestinal function,pain score,mental state and complications were compared between the two groups.Results The recovery time offirst exhaust,defecation,lactation and bowel sound in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).Visual analog scale(VAS)scores of the observation group at 6 h,12 h,24 h and 48 h after surgery were lower than those of the control group,and the difference was statistically significant(P<0.05).Before nursing,there was no significant difference in self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores between the two groups(P>0.05).After nursing,SAS score and SDS score of 2 groups were lower than before nursing,and observation group was significantly lower than control group,the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 10.00%,lower than that in the control group(28.00%),and the difference was statistically significant(P<0.05).Conclusion Integrated clinical pathway nursing can shorten the recovery time of gastrointestinal function after cesarean section,reduce the pain after the operation,improve the adverse mood,reduce the incidence of complications.