摘要
目的:探讨手术室低温前瞻性干预联合疼痛管理对剖宫产初产妇寒颤及疼痛影响。方法:选取2022年1月-2024年5月本院拟行剖宫产手术的85例初产妇,根据随机数字表法分为对照组(n=42)和干预组(n=43),对照组采用常规护理,干预组采用手术室低温前瞻性干预联合疼痛管理护理。对比两组术后疼痛、寒颤、护理满意度等情况。结果:疼痛评分干预组手术当天(5.18±1.06分)、术后1天(3.45±0.62分)、术后2天(3.02±0.75分)均低于对照组(6.12±0.83分、4.51±0.81分、3.49±0.89分),术中发生低温频次(2.3%)低于对照组(14.3%),颤抖频次(4.7%)、颤抖严重程度评分(1.57±0.18分)均低于对照组(26.2%、2.05±0.21分),护理服务态度(4.16±0.31分)、用药咨询(4.16±0.11分)、健康教育(4.28±0.14分)、护患沟通(4.05±0.29分)评估均高于对照组(3.97±0.49分、3.72±0.35分、3.90±0.31分、4.07±0.23分)(均P<0.05)。结论:手术室低温前瞻性干预联合疼痛管理可有效降低剖宫产初产妇术中颤抖发生率,缓解术后疼痛。
Objective:To exploring the effects of the prospective hypothermia intervention in operating room combined with the pain management for primiparas with cesarean section on their shivering and pain.Methods:85 primiparas who were admitted in the hospital for cesarean section were selected as the research subjects.According to the random number table method,these primiparas were divided into control group(n=42)and experimental group(n=43)from January 2022 to May 2024.The primiparas in the control group received the routine nursing care,while the primiparas in the experimental group received the preoperative low-temperature intervention combined with the pain management in the operating room.The postoperative pain and chills situations,and the nursing satisfaction of the primiparas were compared between the two groups.Results:The pain scores of the primiparas in the experimental group on the day of operation(5.18±1.06 points),on the lst day after operation(3.45±0.62 points)and on the 2rd day after operation(3.02±0.75 points)were significantly lower than those(6.12±0.83 points,4.51±0.81 points and 3.49±0.89 points)of the primiparas in the control group.The hypothermia rate(2.3%)of the primiparas in the experimental group was significantly lower than that(14.3%)of the primiparas in the control group.The chilling rate(4.7%)and the score of shivering severity(1.57±0.18 points)of the primiparas in the experimental group were significantly lower than those(26.2%and 2.05±0.21 points)of the primiparas in the control group.The scores of the nursing service attitude(4.16±0.31 points),medication consultation(4.16±0.11 points),health education(4.28±0.14 points)and nurse-patient communication(4.05±0.29 points)of the primiparas in the experimental group were significantly higher than those(3.97±0.49 points,3.72±0.35 points,3.90±0.31 points and 4.07±0.23 points)of the primiparas in the control group(all P<0.05).Conclusion:The prospective intervention with low temperature in the operating room combined with the pain management for the primiparas with cesarean section can reduce their incidence of intraoperative chilling and can relieve postoperative pain.
作者
谢腾业
崔静
周智维
XIE Tengye;CUI Jing;ZHOU Zhiwei(Zhoushan Women's and Children's Hospital,Zhoushan,Zhejiang Province,316004)
出处
《中国计划生育学杂志》
2025年第6期1316-1319,共4页
Chinese Journal of Family Planning
关键词
初产妇
剖宫产
前瞻性护理
体温管理
疼痛管理
护理满意度
Primipara
Cesarean section
Prospective nursing
Temperature management
Pain management
Nursing satisfaction
