摘要
目的探讨快速康复护理理念在剖宫产术患者中的应用效果。方法将符合入选标准的148例剖宫产患者应用随机数字表法分为观察组和对照组。观察组74例依据快速康复护理理念应用综合护理措施进行护理，对照组74例患者依据传统护理理念应用常规护理措施进行护理，比较两组患者的产后康复情况以及护理满意度。结果观察组患者的肛门排气时间为（16．4±3．1）h，下床活动时间为（38．9±3．6）h，切口愈合时间为（6．2±1．4）d，住院时间为（5．8±1．6）d，分别优于对照组的（27．5±3．3）h，（46．7±4．3）h，（8．5±2．3）d，（9．4±1．8）d，差异均有统计学意义（t值分别为21．089，11．964，7．348，12．858；P〈0．05）。观察组患者产后24，48h子宫底高度均低于对照组，初始泌乳时间早于对照组，72h泌乳量多于对照组，差异均有统计学意义（P〈0．05）。观察组护理满意度为95．95％，对照组为87．84％，两组比较差异有统计学意义（Х^2=3．264，P〈0．05）。结论快速康复护理理念应用于剖宫产患者能够有效改善其预后．促进其康复。提升护理满意度。
Objective To explore the effect of fast recovery nursing on the patients with cesarean delivery. Methods Totals of 148 cases with cesarean delivery were randomly divided into observation group （ n = 74） received the nursing according to the nursing philosophy of fast recovery, and control group （ n = 74） that received the routine nursing. Then, the recovery situation and nursing satisfaction were observed and compared between two groups. Results In observation group, the indexes such as the anus exhausting time [ （ 16.4 ± 3.1 ） h vs （27.5 ± 3.3 ） h ], activity time [ （38.9 ± 3.6 ） h vs （46.7 ± 4.3 ） h ], incision healing time [ （6.2 ± 1.4） d vs （ 8.5 ± 2.3） d ], and length of stay [ （5.8 ± 1.6） d vs （9.4 ± 1.8） d ] were better than those in control group, and the differences were statistically significant （t = 21. 089, 11. 964,7. 348, 12. 858, respeetively;P 〈 0. 05 ）. And the height of uterine bottom in 24 hours and 48 hours after the surgery in observation significantly lower than that in control group, as well as the time of the initial lactation, and lactation volume were better than control group （ P 〈 0. 05 ）. And the nursing satisfaction of observation group was significantly higher than that of control group （ 95.95% vs 87.84% ; Х^2 = 3. 264, P 〈 0. 05 ）. Conclusions Application of nursing philosophy of fast recovery in patients with cesarean delivery can effectively improve their prognosis, promote their recovery, and improve the nursing satisfaction.
出处
《中华现代护理杂志》
2013年第15期1786-1788,共3页
Chinese Journal of Modern Nursing
