前后分阶段式疼痛干预模式对剖宫产术后产妇疼痛作用分析
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摘要
目的研究分析手术前、后分阶段疼痛干预模式对剖宫产术后产妇疼痛感及整体恢复的护理干预效果。方法 100例需行剖宫产手术孕妇中50例行手术前后分阶段式疼痛干预模式(A组),50例行术后传统护理干预方式(B组)。应用NRS评分法评估所有产妇的疼痛程度,并据此分级;自行制定问卷评估产妇术后的护理满意度。结果 A组产妇剖宫产手术后的NRS疼痛评分(3.24±1.05分)小于B组(5.03±1.17分),差异有统计学意义(P<0.05);且术后整体中度、重度疼痛发生率明显低于B组患者,差异有统计学意义(P<0.05)。A组护理满意评分中,各条目分数及整体分数均明显高于B组,差异有统计学意义(P<0.05)。结论手术前、后分阶段疼痛干预模式可以明显减轻剖宫产术后产妇的疼痛感,提高产妇的护理满意度。
Objective To evaluate the efficacy of a ‘staged preoperative and posterior pain intervention model' in reducing the pain resulting from cesarean section and enhancing overall recovery. Methods Firstly, 100 patients subjected to cesarean section were divided into an experimental group and a control group. The experimental group(n=50) were administered with the ‘staged preoperative and postoperative pain intervention model'. The control group(n=50) were treated with traditional pain intervention. The degrees of pains suffered by the subjects were evaluated and graded by the NRS Scale. A self-designed questionnaire was used to evaluate the subjects' satisfaction with nursing. Results After cesarean section, the NRS pain score(3.24±1.05) achieved by the experimental group was lower than that of the control(5.03±1.17). The difference was statistically significant(P<0.05). The rate of incidence of moderate and severe postoperative pain in the experimental group was also lower than that of the control. The difference was statistically significant(P<0.05). The nursing satisfaction scores, both of a single item and overall calculation, of the experimental group were higher than those of the control group. The difference was statistically significant(P<0.05).Conclusions The ‘staged preoperative and posterior pain intervention model' can efficiently alleviate the pain that results from cesarean section and thus enhance the patients' satisfaction with the nursing care provided to them.
Objective To evaluate the efficacy of a ‘staged preoperative and posterior pain intervention model' in reducing the pain resulting from cesarean section and enhancing overall recovery. Methods Firstly, 100 patients subjected to cesarean section were divided into an experimental group and a control group. The experimental group(n=50) were administered with the ‘staged preoperative and postoperative pain intervention model'. The control group(n=50) were treated with traditional pain intervention. The degrees of pains suffered by the subjects were evaluated and graded by the NRS Scale. A self-designed questionnaire was used to evaluate the subjects' satisfaction with nursing. Results After cesarean section, the NRS pain score(3.24±1.05) achieved by the experimental group was lower than that of the control(5.03±1.17). The difference was statistically significant(P<0.05). The rate of incidence of moderate and severe postoperative pain in the experimental group was also lower than that of the control. The difference was statistically significant(P<0.05). The nursing satisfaction scores, both of a single item and overall calculation, of the experimental group were higher than those of the control group. The difference was statistically significant(P<0.05).Conclusions The ‘staged preoperative and posterior pain intervention model' can efficiently alleviate the pain that results from cesarean section and thus enhance the patients' satisfaction with the nursing care provided to them.
引文
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[2] 唐果.剖宫产术后泌乳和胃肠功能恢复的饮食护理干预[J].国际医药卫生导报,2016,22(12):1791-1793.
[3] 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):3981-3982.
[4] 阚峰玉.知信行健康教育对剖宫产产妇术后疼痛管理的作用[J].国际护理学杂志,2014,33(11):3154-315.
[5] 刘晖,周春燕,蓝素芳.精细护理干预对剖宫产产妇肛门排气与早期泌乳的影响[J].护理实践与研究,2017,14(8):71-72.
[6] 张岩.剖宫产产妇应用常规结合舒适护理的整体护理干预的效果分析[J].实用妇科内分泌杂志,2017,4(6):1-2.
[7] 汤锦燕,刘燕.210 例产科术后患者的疼痛评估与针对性疼痛护理方法分析[J].浙江创伤外科,2016,21(2):272-274.
[8] 陈银英,钟汇.全程优质护理对剖宫产术中寒颤、术后疼痛及生活质量的影响[J].中国医药科学,2017,7(21):96-98.