产后运动操联合格林健康教育对剖宫产产妇的效果

Effect of Postpartum Exercise Combined With Green's Health Education on Postpartum Women Undergoing Cesarean Section

目的探讨产后运动操联合格林健康教育对剖宫产产妇的效果。方法选取厦门大学附属妇女儿童医院/厦门市妇幼保健院产科2022年1月—2023年9月收治的245例剖宫产产妇。按照不同干预方法分为对照组120例,给予产后运动操;观察组125例给予产后运动操联合格林健康教育。比较2组手术相关指标、角色适应能力[母亲角色适应调查问卷(maternal role adaptation questionnaire,MRAQ)]、自我护理能力[自我护理能力测定量表(exercise of self-care agencyscale,ESCA)]、术后并发症。结果观察组首次下床、首次肛门排气及住院时间短于对照组(P<0.05)。干预前,2组MRAQ评分比较,差异无统计学意义(P>0.05);干预后,观察组MRAQ评分为(60.52±7.48)分,高于对照组的(52.24±7.20)分(P<0.05)。干预前,2组ESCA评分比较,差异无统计学意义(P>0.05);干预后,观察组ESCA评分为(114.25±7.44)分,高于对照组的(104.36±7.18)分(P<0.05)。观察组术后并发症总发生率为4.00%,低于对照组的11.67%(P<0.05)。结论产后运动操联合格林健康教育应用于剖宫产产妇中能够缩短住院时间,使产妇加快适应母亲角色,并且提高自我护理能力,减少并发症发生率。

Objective To explore the effect of postpartum exercise combined with Green's health education on postpartum women undergoing cesarean section.Methods A total of 245 cases of department of obstetrics,Women and Children's Hospital Affiliated to Xiamen University/Xiamen Maternal and Child Health Hospital from January 2022 to September 2023 were selected.According to different intervention methods,120 cases were divided into control group and given postpartum exercise.A total of 125 patients in the observation group were given postpartum exercise combined with Green's health education.The operation related indexes,role adaptation ability[(maternal role adaptation questionnaire,MRAQ)],self-care ability[exercise of self-care agencyscale(ESCA)],postoperative complications were compared.Results The first time out of bed,the first anal exhaust and the length of hospital stay in the observation group were shorter than those in the control group(P<0.05).Before intervention,there was no statistically significant difference in MRAQ scores between the two groups(P>0.05).After intervention,the MRAQ score in the observation group was(60.52±7.48)points,which was higher than the(52.24±7.20)points of the control group(P<0.05).Before intervention,there was no statistical difference in ESCA scores between the two groups(P>0.05).After intervention,the ESCA score of the observation group was(114.25±7.44)points,which was higher than the control group(104.36±7.18)points(P<0.05).The total incidence of postoperative complications in the observation group was 4.00%,lower than that in the control group(11.67%)(P<0.05).Conclusion The application of postpartum exercise combined with Green's health education in cesarean section mothers can shorten hospital stay,accelerate maternal adaptation,improve self-care ability,and reduce the incidence of complications.