曼彻斯特疼痛管理模式结合赋能教育对剖宫产产妇术后康复的影响

To explore the effect of Manchester pain management model combined with empowerment education on postoperative rehabilitation of cesarean section women

目的探讨基于曼彻斯特疼痛管理模式(MPMM)结合赋能教育的护理干预对剖宫产产妇术后疼痛及恢复的影响,为促进剖宫产产妇术后康复提供参考。方法采用类实验研究方法,便利选取2021年9月至2022年6月在山西省妇幼保健院行剖宫产术的120例产妇,按随机数字表法分为观察组和对照组,每组60例。观察组接受基于MPMM结合赋能教育的护理干预,对照组接受常规护理,比较2组产妇术后疼痛情况、术后恢复情况及护理满意度。结果干预后,观察组术后静息状态下8、12、24、48 h的疼痛评分分别为(5.13±1.14)、(4.17±0.97)、(3.56±0.75)、(3.04±0.79)分,低于对照组的(6.02±0.81)、(5.05±1.08)、(4.48±0.82)、(3.50±0.95)分,差异均有统计学意义(t值为2.88~6.41,均P<0.05);观察组术后活动状态下8、12、24、48 h的疼痛评分分别为(6.98±0.72)、(6.44±0.76)、(5.48±0.91)、(4.50±0.89)分,低于对照组的(7.62±0.69)、(7.47±0.94)、(6.95±1.23)、(6.18±0.93)分,差异均有统计学意义(t值为4.84~10.12,均P<0.05)。观察组术后首次下床活动时间为(24.70±2.53)h,早于对照组的(26.32±3.37)h,差异有统计学意义(t=2.97,P<0.05);观察组首次母乳喂养成功率为76.7%(46/60),高于对照组的58.3%(35/60),差异有统计学意义(χ^(2)=4.60,P<0.05);观察组产妇的总体护理满意度得分(8.25±1.39)分,高于对照组的(7.73±1.04)分,差异有统计学意义(t=-2.31,P<0.05)。结论实施基于MPMM结合赋能教育的护理干预能有效减少剖宫产产妇术后疼痛,促进产后恢复,提升护理满意度,值得临床推广。

Objective To explore the effect of Manchester pain management model(MPMM)combined with empowerment education nursing intervention on pain and recovery after cesarean section,and to provide reference for promoting recovery after cesarean section.Methods A quasi-experimental study was conducted.A total of 120 pregnant women who underwent cesarean section in Shanxi Maternal and Child Health Hospital from September 2021 to June 2022 were selected by convenient sampling method and divided into observation group and control group according to the random number table method,with 60 cases in each group.The observation group received nursing intervention based on MPMM combined with empowerment education,while the control group received routine nursing.The degree of pain,postoperative recovery and nursing satisfaction were compared between the two groups.Results After the intervention,the pain scores of the observation group were(5.13±1.14),(4.17±0.97),(3.56±0.75)and(3.04±0.79)points in the resting state 8,12,24 and 48 h after the operation,respectively,which were lower than(6.02±0.81),(5.05±1.08),(4.48±0.82),(3.50±0.95)points of the control group,the differences were statistically significant(t values were 2.88 to 6.41,all P<0.05).The pain scores of the observation group at 8,12,24 and 48 hours after operation were(6.98±0.72),(6.44±0.76),(5.48±0.91)and(4.50±0.89)points,respectively,which were lower than(7.62±0.69),(7.47±0.94),(6.95±1.23),(6.18±0.93)points of the control group,the differences were statistically significant(t values were 4.84 to 10.12,all P<0.05).The time of getting out of bed for the first time in the observation group was(24.70±2.53)h,which was lower than(26.32±3.37)h in the control group,and the difference was statistically significant(t=2.97,P<0.05).The success rate of first breastfeeding in the observation group was 76.7%(46/60),which was higher than 58.3%(35/60)in the control group,and the difference was statistically significant(χ^(2)=4.60,P<0.05).The overall nursing satisfaction score of the observation group was(8.25±1.39)points,which was higher than(7.73±1.04)points of the control group,and the difference was statistically significant(t=-2.31,P<0.05).Conclusions The nursing intervention based on Manchester pain management model combined with empowerment education can effectively reduce the pain after cesarean section,promote postpartum recovery and improve nursing satisfaction,which is worthy of clinical promotion.