标题 | 舒适护理在剖宫产术后产妇中的应用效果 |
范文 | 毕燕坤 [摘要]目的 探讨舒适护理在剖宫产术后产妇中的应用效果。方法 选取北京航天总医院妇产科2017年5月~2018年5月收治的100例行剖宫产术分娩的产妇作为研究对象,将其随机分为常规组(50例)与舒适组(50例)。常规组产妇术后实施常规护理,舒适组产妇术后在常规护理基础上加用舒适护理。比较两组产妇护理后的康复情况、舒适度,瘢痕、并发症发生情况及满意度。结果 舒适组产妇护理后的恶露量明显少于常规组,术后排气、首次下床和切口愈合时间均明显短于常规组(P<0.01),Kplcaba舒适状况量表(GCQ)评分和护理满意度评分明显高于常规组(P<0.01),温哥华瘢痕评估量表(VSS)评分和并发症总发生率明显低于常规组(P<0.05)。结论 舒适护理用于剖宫产产妇术后护理中的效果显著,可提高产妇的护理满意度,值得临床推广应用。 [关键词]剖宫产术;舒适护理;临床效果 [中图分类号] R248.3? ? ? ? ? [文献标识码] A? ? ? ? ? [文章编号] 1674-4721(2019)10(c)-0247-03 [Abstract] Objective To discuss the application effect of comfortable nursing in parturients after cesarean section. Methods All of 100 parturients after cesarean section treated in Department of Obstetrics and Gynecology of Beijing Aerospace General Hospital from May 2017 to May 2018 were selected as study objects and they were randomly divided into the routine group (50 cases) and comfortable group (50 cases). Parturients in the routine group were given routine nursing after operation, and those in the comfortable group were given comfortable nursing on the basis of the routine nursing after operation. The rehabilitation, comfort degree, the incidence of scars and complications, and satisfaction degree in parturients after nursing between the two groups were compared. Results The amount of lochia after nursing in the comfortable group was significantly less than that in the routine group, and the time of exhaust, first time out of bed and wound healing were significantly shorter than those in the routine group (P<0.01). The Kplcaba general comfort questionnaire (GCQ) score and nursing satisfaction degree score were significantly higher than those of the routine group (P<0.01). The score of Vancouver scar scale (VSS) and the incidence of complications were significantly lower than those of the routine group (P<0.05). Conclusion Comfortable nursing has a remarkable effect in in parturients after cesarean section, and it can improve the nursing satisfaction degree of parturients. It is worthy of clinical promotion and application. [Key words] Cesarean section; Comfortable nursing; Clinical effect 剖宮产是临床常见的一种分娩方式,多用于合并产科严重并发症或难产的孕妇,可有效减少孕产妇和围生儿的病死情况,受女性生活压力和工作压力加大、传统观念、习俗及近年来我国“二孩”政策全面放开等因素的影响,我国剖宫产率不断上升[1]。有研究指出,我国剖宫产率已高至54%,且个别地区高达72%,远高于世界卫生组织规定的警戒线15%[2]。剖宫产术后的疼痛、尿潴留及腹胀等情况不仅会影响患者的舒适度,还会增加患者的痛苦,影响产妇身体恢复速度,故探寻剖宫产术后有效的护理方案尤为重要[3]。舒适护理是台湾萧丰富先生提出的一种以改善患者生理和心理不愉快程度为目标,具有整体化和个性化的主流护理模式,且在临床外科、骨科和重症医学科等均取得了较好的效果[4],为了探究其用于产妇剖宫产术后护理中的效果,笔者进行如下研究。 剖宫产术后尿潴留不仅与妊娠期膀胱紧张度下降和产后腹肌松弛等因素有关,还与产妇的精神心理因素关系密切[15-16],本研究中,舒适组产妇加强了心理疏导和疼痛干预,缓解了产妇产后的负面情绪,且嘱咐产妇尽早下床活动和饮食干预导尿管措施,不仅可促进产妇术后的康复,还有助于减少产妇的术后并发症,本研究中舒适组产妇护理后的康复情况和护理满意度明显优于常规组(P<0.01),并发症总发生率明显低于常规组(P<0.05)。 综上所述,舒适护理用于剖宫产术后产妇护理中的效果显著,但在具体实施过程中还需主治医师和行政部门等部门的协助,以确保舒适护理顺利实施。 [参考文献] [1]冯丹,马红云,季丽萍.改良马迈式挤奶法在剖宫产后乳房疏通中的应用[J].护理学杂志,2016,31(20):7-9. [2]陈小兰,李红玉.护理干预对择期剖宫产产妇术后疼痛及舒适度的影响[J].河北医学,2015,21(5):841-843. [3]谢诺.两种止痛栓剂在选择性剖宫产术后止痛护理中的效果与不良反应[J].实用药物与临床,2017,20(6):679-682. [4]陈雪梅,孔丹,李欣潞.舒适护理联合中医情志护理在老年性股骨颈骨折围手术期的护理效果观察[J].中医药导报,2015,21(18):106-108. [5]周继红.中医康复护理融入舒适护理在剖宫产围手术期中的应用[J].长春中医药大学学报,2016,32(1):158-160. [6]佟俊萍,王宁,李静,等.腮腺肿瘤切除患者围术期个性化舒适护理与叙事护理干预模式的构建[J].中国医药导报,2018,15(14):132-136. [7]高平,姚美,张树波,等.德莫林敷贴在剖宫产术后伤口护理中的应用研究[J].护理研究,2015,29(35):4447-4448. [8]苏琳,董京文.ICU舒适护理模式在术后气管插管清醒患者中的应用研究[J].中国医药导报,2017,14(31):173-176,封3. [9]米娜,李洪艳,禹艳,等.舒适护理模式实施优质护理在内镜下逆行胰胆管造影术患者中的应用[J].重慶医学,2015, 44(31):4459-4461. [10]黄慧.前瞻性护理干预对剖宫产产妇尿潴留发生的影响[J].实用临床医药杂志,2016,20(22):122-125. [11]宫卓,马彩莲,李晓梅,等.精细化护理模式对剖宫产产妇康复及产科护理质量的应用效果[J].实用临床医药杂志,2017,21(10):115-119. [12]何春辉,陈晔.德莫林敷贴处理开放性骨折术后残留创面疗效观察[J].海南医学,2016,27(7):1156-1157. [13]鲁汉杰,张穗,杨丽,等.多模式预防性镇痛对剖宫产术后产妇早期宫缩性疼痛护理的影响[J].解放军护理杂志,2018,35(20):54-58. [14]吴显荣,温艳红,张玉桃.家属授权式健康教育对剖宫产术后疼痛护理的影响[J].中华现代护理杂志,2015,21(33):3981-3983. [15]李玲,赵雪,王晓敏.膳食指导联合个性性格特色护理对剖宫产术后产妇母乳喂养成功率及早期恢复的影响[J].贵州医药,2017,41(1):99-100. [16]刘雪平,王颖.基于标准化护理语言的剖宫产护理之满意度调查分析[J].中国实用护理杂志,2015,31(Z1):180. (收稿日期:2019-04-04? 本文编辑:许俊琴) |
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