论文部分内容阅读
目的探讨综合康复护理干预对剖宫产患者术后疼痛的影响及对生理功能康复的促进效果。方法选择2014月1月—2015年1月本院收治的300例剖宫产术后疼痛患者作为研究对象,随机分为常规护理组和康复护理组各150例。常规护理组给予常规护理方案,康复护理组在常规护理基础上给予综合康复护理干预,观察两组护理效果。采用视觉模拟量表(visual analogue scale,VAS)评估两组患者的疼痛程度,使用焦虑自评量表(self-rating anxiety scale,SAS)和抑郁自评量表(self-rating depression scale,SDS)对两组患者护理前后心理状态变化情况进行评价。计量资料采用t检验,P<0.05为差异有统计学意义。结果康复护理组产妇术后24、48、72 h疼痛评分分别为(3.11±1.59)、(2.69±1.20)、(1.55±0.49)分,均明显低于常规护理组的(5.59±1.69)、(4.57±1.23)、(3.76±0.45)分,差异均有统计学意义(均P<0.05)。护理干预后,康复护理组SAS和SDS评分分别为(44.25±4.79)、(47.12±2.26)分,均明显低于常规护理组的(51.26±4.80)、(53.29±2.12)分,差异均有统计学意义(均P<0.05)。康复护理组产妇术后下床活动时间、排气时间、切口愈合时间、24 h睡眠时间、住院时间分别为(36.5±3.2)、(7.3±1.2)、(21.9±2.3)h、(4.1±0.9)、(5.1±0.8)d,均优于常规护理组的(56.1±4.5)、(5.3±0.9)、(29.9±2.5)h、(6.3±0.7)、(9.6±1.3)d,差异均有统计学意义(均P<0.05)。结论综合康复护理干预可以有效改善产妇的疼痛程度,对促进产妇术后生理功能的早期康复具有重要意义。
Objective To investigate the effect of comprehensive rehabilitation nursing intervention on postoperative pain in patients with cesarean section and to promote the rehabilitation of physiological function. Methods From January 2014 to January 2015, 300 patients with post-cesarean pain who were treated in our hospital were selected and randomly divided into routine nursing group and rehabilitation nursing group, each with 150 cases. The routine nursing group was given routine nursing program, and the rehabilitation nursing group was given comprehensive rehabilitation nursing intervention on the basis of routine nursing, and the nursing effect was observed. The pain was assessed in both groups using a visual analogue scale (VAS) using self-rating anxiety scale (SAS) and self-rating depression scale (SDS) The changes of psychological status before and after nursing in both groups were evaluated. Measurement data using t test, P <0.05 for the difference was statistically significant. Results The scores of pain in rehabilitation nursing group were (3.11 ± 1.59), (2.69 ± 1.20) and (1.55 ± 0.49) points respectively, which were significantly lower than those of the routine nursing group (5.59 ± 1.69) (4.57 ± 1.23) and (3.76 ± 0.45) points, respectively (all P <0.05). After nursing intervention, the scores of SAS and SDS in rehabilitation nursing group were (44.25 ± 4.79) and (47.12 ± 2.26) points, respectively, which were significantly lower than those in routine nursing group (51.26 ± 4.80) and (53.29 ± 2.12) respectively Statistical significance (all P <0.05). Recuperation and Nursing Group maternal postoperative ambulation time, exhaust time, incision healing time, 24 h sleep time, length of stay were (7.3 ± 1.2), (21.9 ± 2.3) h, (4.1 ± (5.1 ± 0.8) d and (5.1 ± 0.8) d were significantly higher than those in the conventional nursing group (56.1 ± 4.5), (5.3 ± 0.9), (29.9 ± 2.5) h, (6.3 ± 0.7) and All were statistically significant (P <0.05). Conclusion Comprehensive rehabilitation nursing intervention can effectively improve the degree of maternal pain and promote the early rehabilitation of postoperative physiological function of pregnant women.