摘要
目的探究心理-饮食-康复锻炼护理模式在剖宫产产妇产后的应用效果。方法选取2022年1月至2023年1月江西省上饶市立医院妇产科收治的60例剖宫产产妇为研究对象,按照随机数字表法分为对照组(30例)和试验组(30例)。对照组采用常规护理方案,试验组采用心理-饮食-康复锻炼护理模式。比较两组产妇术后康复情况、负性心理情况、生活质量、术后并发症和护理满意度评分。结果干预前,两组产妇基本情况比较,差异无统计学意义(P>0.05),试验组干预后疼痛持续时间、肛门恢复排气时间、进食时间、恶露持续时间短于对照组,差异有统计学意义(P<0.05)。干预前,两组产妇汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分比较,差异无统计学意义(P>0.05);干预后,两组产妇HAMA、HAMD评分均低于本组干预前,且试验组产妇HAMA、HAMD评分均低于对照组,差异有统计学意义(P<0.05)。干预前,两组产妇身体活动能力、精力、疼痛、睡眠、社会孤独感、情绪反应评分比较,差异无统计学意义(P>0.05);干预后,两组产妇身体活动能力、精力、疼痛、睡眠、社会孤独感、情绪反应评分均低于本组干预前,且试验组产妇身体活动能力、精力、疼痛、睡眠、社会孤独感、情绪反应评分均低于对照组,差异有统计学意义(P<0.05)。干预后,试验组产妇肺部感染、尿潴留发生率均低于对照组,差异有统计学意义(P<0.05)。试验组产妇护理满意度高于对照组,差异有统计学意义(P<0.05)。结论心理-饮食-康复锻炼护理模式能够缩短剖宫产产妇的疼痛持续时间、肛门恢复排气时间、进食时间、恶露持续时间,改善不良心理,提升生活质量,减少并发症,提高护理满意度,具有临床推广适用价值。
Objective To explore the application effect of psychological-diet-rehabilitation exercise nursing model on postpartum delivery of cesarean section.Methods A total of 60 puerperae with cesarean section admitted to the Department of Obstetrics and Gynecology of Shangrao Municipal Hospital from January 2022 to January 2023 were selected as the study objects,and they were divided into control group(30 cases)and experimental group(30 cases)according to random number table method.The control group adopted the routine nursing scheme,and the experimental group adopted the psychological-diet-rehabilitation exercise nursing model.The postoperative recovery,negative psychological condition,quality of life,postoperative complications and nursing satisfaction score were compared between the two groups.Results Before intervention,there were no statistical significances in the basic conditions of the two groups(P>0.05).The duration of pain,anal exhaust recovery time,feeding time and lochia duration of the experimental group after intervention were shorter than those of the control group,with statistical significances(P<0.05).Before intervention,there were no significant differences in Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)scores between the two groups(P>0.05).After intervention,the HAMA and HAMD scores of puerperae in the two groups were lower than those before intervention,and the HAMA and HAMD scores of puerperae in the experimental group were lower than those in the control group,with statistical significances(P<0.05).Before intervention,there were no significant differences in the scores of physical activity,energy,pain,sleep,social loneliness and emotional response between the two groups(P>0.05).After intervention,the scores of physical activity,energy,pain,sleep,social loneliness and emotional response in the two groups were lower than those before intervention,and the scores of physical activity,energy,pain,sleep,social loneliness and emotional response in the experimental group were lower than those in the control group,with statistical significances(P<0.05).After intervention,the incidences of pulmonary infection and urinary retention in experimental group were lower than those in control group,and the differences were statistically significant(P<0.05).The satisfaction of maternal nursing in experimental group was higher than that in control group,and the difference was statistically significant(P<0.05).Conclusion The psychological-diet-rehabilitation exercise nursing model can shorten the duration of pain,anal recovery exhaust time,feeding time,lochia duration,improve the poor psychology,improve the quality of life,reduce complications,improve nursing satisfaction,and have clinical application value.
作者
潘琼
李芳
徐镜
俞梦霞
蔡叶琪
PAN Qiong;LI Fang;XU Jing;YU Mengxia;CAI Yeqi(Department of Obstetrics and Gynecology,Shangrao Municipal Hospital,Jiangxi Province,Shangrao334000,China)
出处
《中国当代医药》
CAS
2024年第10期163-167,共5页
China Modern Medicine
基金
江西省卫生健康委科技计划项目(202312344)。
关键词
心理
饮食
康复锻炼
剖宫产
产妇
效果
Psychology
Diet
Rehabilitation exercise
Cesarean section
Puerpera
Effect
