无痛分娩产后尿潴留砭石温熨联合芳香疗法干预效果评价

Effectiveness of Bian stone warming and ironing combined with aromatherapy on postpartum urinary retention among lying-in women with painless delivery

目的评价无痛分娩产后尿潴留砭石温熨联合芳香疗法的干预效果,为防治无痛分娩产后尿潴留提供参考。方法选择在杭州市妇产科医院行无痛分娩的产妇,随机分配入干预组和对照组。干预组实施砭石温熨联合芳香疗法,对照组实施常规护理。记录两组产妇产后首次排尿和尿潴留情况;采用纽卡斯尔护理服务满意度量表调查护理满意度;采用世界卫生组织生活质量测定量表简表评价产妇生活质量;比较两组产妇产后尿潴留发生率、护理满意度和生活质量。结果干预组92人,年龄为(26.51±1.31)岁,孕周为(38.11±0.55)周;对照组86人,年龄为(26.61±1.24)岁,孕周为(38.28±0.72)周。两组产妇一般资料比较,差异均无统计学意义(P>0.05)。干预组首次排尿时间[(2.91±1.02)h]短于对照组[(3.76±1.68)h];产后首次尿量[(160.56±21.03)mL]多于对照组[(142.43±18.42)mL];首次排尿后膀胱残余尿量[(73.20±17.03)mL]少于对照组[(85.46±20.24)mL];尿潴留发生率(3.26%)低于对照组(10.47%);护理满意度(95.65%)高于对照组(72.09%);生活质量各维度评分干预后上升幅度大于对照组,差异均有统计学意义(P<0.05)。结论砭石温熨联合芳香疗法可降低无痛分娩产后尿潴留发生率,并提升产妇护理满意度和生活质量。

Objective To evaluate the effectiveness of Bian stone warming and ironing combined with aromatherapy on postpartum urinary retention among lying-in women with painless delivery,so as to provide the reference for preventing postpartum urinary retention after painless delivery.Methods Lying-in women who underwent painless delivery in the Hangzhou Women's Hospital were randomly assigned into the intervention and control group.Participants in the inter⁃vention group were given Bian stone warming and ironing combined with essential oil aromatherapy,while participants in the control group were given routine nursing care.The first postpartum urination and urinary retention were recorded,nursing satisfaction was investigated using Newcastle Satisfaction with Nursing Scale,the quality of life was evaluated us⁃ing The World Health Organization Quality of Life-BREF,and these indicators were compared between the two groups.Results There were 92 participants in the intervention group,with a mean age of(26.51±1.31)years and mean gesta⁃tional age of(38.11±0.55)weeks,and 86 participants in the control group,with a mean age of(26.61±1.24)years and mean gestational age of(38.28±0.72)weeks.There was no statistically significant difference in the general data between the two groups(P>0.05).The time of first urination in the intervention group was shorter than that in the control group[(2.91±1.02)h vs.(3.76±1.68)h],the first postpartum urine volume was more than that in the control group[(160.56±21.03)mL vs.(142.43±18.42)mL],the residual urine volume of the bladder after the first urination was less than that in the control group[(73.20±17.03)mL vs.(85.46±20.24)mL],the incidence of urinary retention was lower than that in the control group(3.26%vs.10.47%),nursing satisfaction was higher than that in the control group,and the increase in scores of all dimensions of quality of life was greater than that in the control group,with statistically significant dif⁃ferences(all P<0.05).Conclusion Bian stone warming and ironing therapy combined with aromatherapy may effectively reduce the incidence of postpartum urinary retention,and improve nursing satisfaction and quality of life among lying-in women after painless delivery.