综合康复护理在初产妇产后康复中的应用效果

Application effects of comprehensive rehabilitation nursing in postpartum rehabilitation of primiparas

目的:观察综合康复护理在初产妇产后康复中的应用效果。方法:选取2018年7月至2020年7月该院收治的120例初产妇进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各60例。对照组采用常规护理,观察组在对照组基础上采用综合康复护理。比较两组泌乳始动时间、子宫入盆时间、并发症发生率、护理前后抑郁自评量表(SDS)评分和护理后生命质量[世界卫生组织生存质量测定量表简表(WHOQOL-BREF)]评分。结果:观察组泌乳始动时间和子宫入盆时间均早于对照组,差异有统计学意义(P<0.05);观察组急性乳腺炎、便秘、子宫复旧不良等并发症发生率均低于对照组,差异有统计学意义(P<0.05);护理后,两组SDS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);护理后,观察组生理领域、心理领域、独立性领域和环境领域等WHOQOLBREF评分均高于对照组,差异有统计学意义(P<0.05)。结论:综合康复护理可缩短初产妇产后泌乳始动时间和子宫入盆时间,降低并发症发生率和SDS评分,并提高产妇生命质量,效果优于常规护理。

Objective:To observe application effects of comprehensive rehabilitation nursing in postpartum rehabilitation of primiparas.Methods:A prospective study was conducted on 120 primiparas admitted to the hospital from July 2018 to July 2020.They were divided into control group and observation group according to the random number table method,60 cases in each.The control group was given routine nursing,while the observation group was given comprehensive rehabilitation nursing on the basis of that of the control group.The lactation initiation time,the time of uterus entering the womb,the incidence of complications,the scores of self-rating depression scale(SDS)before and after the nursing,and the score of quality of life[world health organization quality of life-BREF(WHOQOL-BREF)]after the nursing were compared between the two groups.Results:The lactation initiation time and the time of uterus entering the womb in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications such as acute mastitis,constipation and poor uterine involution in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).After the nursing,the SDS scores of the two groups were lower than those before the nursing,that in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).Further,after the nursing,the WHOQOL-BREF scores of physiological field,psychological field,independence field and environmental field in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the comprehensive rehabilitation nursing can shorten the postpartum lactation initiation time and the time of uterus entering the womb,reduce the incidence of complications and the SDS score,and improve the quality of life of the primiparas.Moreover,it is superior to single routine nursing.