快速康复护理在剖宫产产妇中的应用效果

Application effect of rapid rehabilitation nursing in parturients with cesarean section

目的 探讨快速康复护理在剖宫产产妇中的应用效果。方法 选取2022年1月至2023年1月阳信县中医医院妇产科收治的104例剖宫产产妇作为研究对象,按照随机数字表法分为对照组与观察组,每组各52例。对照组采用常规护理,观察组采用快速康复护理。比较两组心理状态、术后相关指标、并发症发生情况、泌乳始动时间及术后泌乳量评分。结果 护理后,观察组焦虑自评量表评分为(35.32±3.31)分,抑郁自评量表评分为(34.39±3.26)分,均低于对照组的(44.27±4.22)、(43.83±4.17)分(P<0.05)。观察组切口愈合时间为(6.12±0.53)d、排气时间为(14.36±1.41)h、下床活动时间为(12.07±3.57)h,均短于对照组的(8.85±0.84)d、(24.35±2.52)h、(21.59±4.42)h(P <0.05)。观察组并发症总发生率为1.92%,低于对照组的15.38%(P<0.05)。观察组泌乳始动时间短于对照组,术后24、48h泌乳量评分均高于对照组(P<0.05)。结论 剖宫产产妇采用快速康复护理可有效减轻负面心理,减少并发症,促进产后康复和泌乳。

Objective To explore the application effect of rapid rehabilitation nursing in parturients with cesarean section.Methods A total of 104 parturients with cesarean section admitted to the Department of Obstetrics and Gynecology,Yangxin County Traditional Chinese Medicine Hospital from January 2022 to January 2023 were selected as the study subjects.All the parturients were divided into the control group and the observation group according to the random number table method,with 52 cases in each group.The control group received the routine nursing,and the observation group received the rapid rehabilitation nursing.The psychological state,postoperative related indicators,incidence of complications,initiation time of lactation,and postoperative lactation volume score were compared between the two groups.Results After nursing,the score of self-rating anxiety scale was(35.32±3.31)points and the score of self-rating depression scale was(34.39±3.26)points in the observation group,which were lower than(44.27±4.22)and(43.83±4.17)points in the control group(P<0.05).The incision healing time was(6.12±0.53)days,the exhaust time was(14.36±1.41)hours,and the time of getting out of bed was(12.07±3.57)hours in the observation group,which were shorter than(8.85±0.84)days,(24.35±2.52)hours,and(21.59±4.42)hours in the control group(P<0.05).The total incidence of complications in the observation group was 1.92%,which was lower than 15.38%in the control group(P<0.05).The initiation time of lactation in the observation group was shorter than that in the control group,and the postoperative lactation volume scores at 24 and 48 hours were higher than those in the control group(P<0.05).Conclusion The rapid rehabilitation nursing in parturients with cesarean section can effectively alleviate negative psychology,reduce complications,and promote postpartum recovery and lactation.