循证护理对剖宫产初产妇围术期应激反应及术后泌乳、排气情况的影响

The effect of evidence-based nursing on perioperative stress response and postoperative lactation and exhaust in primiparous women undergoing cesarean section

目的观察循证护理对剖宫产初产妇围术期应激反应及术后泌乳、排气情况的影响。方法选取102例剖宫产初产妇,采用抛硬币法随机等比分为两组,每组51例。对照组接受常规剖宫产围术期护理,观察组接受剖宫产围术期循证护理,对比两组术后应激反应、泌乳及排气情况。结果观察组术后心率、舒张压、收缩压水平均低于对照组,焦虑自评量表评分、抑郁自评量表评分均低于对照组(P<0.05)。观察组术后泌乳时间(48.21±4.85)h、排气时间(28.16±2.05)h均分别早于对照组的(67.84±6.32)h、(35.81±3.89)h(P<0.05)。结论循证护理可有效改善剖宫产初产妇生理与心理应激反应,促进术后泌乳时间与排气时间,具有临床推广价值。

Objective To observe the effect of evidence-based nursing on the perioperative stress response and postoperative lactation and exhaust in primiparous women undergoing cesarean section.Methods 102 primipara with cesarean section were randomly divided into two groups with 51 cases in each group by coin toss method.The control group received routine perioperative nursing during cesarean section,and the observation group received evidence-based nursing during perioperative nursing during cesarean section.The postoperative stress response,lactation and exhaust were compared between the two groups.Results The heart rate,diastolic blood pressure and systolic blood pressure of the observation group were lower than those of the control group,and the scores of self-rating anxiety scale and self-rating depression scale were lower than those of the control group(P<0.05).The lactation time(48.21±4.85)h and the exhaust time(28.16±2.05)h in the observation group were earlier than that in the control group(67.84±6.32)h and(35.81±3.89)h,respectively(P<0.05).Conclusion Evidencebased nursing can effectively improve the physiological and psychological stress responses of primiparas after cesarean section,and promote postoperative lactation time and exhaust time,which has clinical value.