精细化护理干预在剖宫产手术产妇中的应用

Application of fine nursing intervention in puerpera after cesarean section

  • 摘要:
      目的  探讨精细化护理干预在剖宫产产妇中的应用效果。
      方法  将90例行剖宫产手术的患者随机分为对照组和实验组,每组45例。对照组采用常规护理干预,实验组采用精细化护理干预。比较2组术后不同时期疼痛评分、胃肠功能恢复及乳房泌乳情况和护理满意率。
      结果  2组患者术后24、48 h疼痛评分均低于术后30 min,差异有统计学意义(P < 0.05);2组患者术后48 h疼痛评分均低于术后24 h,差异有统计学意义(P < 0.05)。实验组患者术后24、48 h疼痛评分低于对照组,差异有统计学意义(P < 0.05)。实验组肠鸣音、排气、排便恢复时间均短于对照组,差异有统计学意义(P < 0.05)。实验组泌乳始动时间、乳房胀痛发生率均低于对照组,48 h内泌乳充足率高于对照组,差异有统计学意义(P < 0.05);实验组护理满意率为97.78%,高于对照组的86.67%,差异有统计学意义(P < 0.05)。
      结论  精细护理干预措施可更有效缓解剖宫产患者术后疼痛,促进胃肠功能功能恢复及产后泌乳,提高患者满意度。

     

    Abstract:
      Objective  To explore the application effect of fine nursing intervention in puerpera after cesarean section.
      Methods  Ninety patients undergoing cesarean section were randomly divided into control group and experimental group, with 45 cases in each group. The control group used routine nursing intervention, and the experimental group used fine nursing intervention. The pain score at different postoperative periods, recovery of bowel function and breast lactation as well as nursing satisfaction rate were compared between the two groups.
      Results  The pain scores of both groups after surgery at 24 and 48 h were significantly lower than those of 30 min (P < 0.05). The pain score at 48 h after surgery in both groups was significantly lower than that at 24 h after surgery (P < 0.05). The pain scores of the experimental group at 24 and 48 h after surgery were significantly lower than those of the control group (P < 0.05). The recovery time of bowel sound, exhaust and defecation in the experimental group were significantly shorter than those in the control group (P < 0.05). The initiation time of lactation and the incidence of breast tenderness in the experimental group were significantly lower than those in the control group, and the lactation sufficient rate within 48 h was significantly higher than that in the control group (P < 0.05). The nursing satisfaction rate of the experimental group was 97.78%, which was significantly higher than 86.67% of the control group (P < 0.05).
      Conclusion  Fine nursing interventions can more effectively relieve postoperative pain in patients with cesarean section, promote gastrointestinal functional recovery and postpartum lactation, and improve patient satisfaction.

     

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