赋能理论对剖宫产术后产妇早期离床活动的影响  

The effect of nursing care based on enabling theory on maternal early ambulation activities after cesarean section

作　　者：骆淑华[1] 王桂英[1] 廖旭嘉[1] LUO Shuhua;WANG Guiying;LIAO Xujia

机构地区：[1]佛山市第一人民医院妇产科,广东佛山528000

出　　处：《中国临床护理》2018年第4期320-322,共3页Chinese Clinical Nursing

基　　金：2013年佛山市卫生局医学科研立项课题(编号:2013051)

摘　　要：目的探讨赋能理论对剖宫产术后产妇早期离床活动的影响。方法选取符合入选标准的剖宫产产妇400例,按剖宫产手术顺序单双号分为观察组与对照组各200例。对照组采取剖宫产术后常规护理,观察组采用赋能模式护理。比较2组产后24h内离床率、肠鸣音恢复时间及产后48h纯母乳喂养率。结果观察组产后24h内离床率及48h纯母乳喂养率明显高于对照组(χ2=29.421,P<0.001;χ2=48.000,P<0.001),肠鸣音恢复时间明显短于对照组(t=16.474,P<0.001)。结论将赋能理论应用于剖宫产围手术期护理,能有效地促进产妇早期离床及快速康复,提升纯母乳喂养率。Objective To explore the effect of nursing care based on enabling theory on maternal early ambulation activities after cesarean section.Methods A total of 400 patients receiving cesarean section were selected and randomly divided into an observation group and a control group,each of 200.The control group was given routine nursing,while the observation group was provided with nursing care based on enabling theory.The rate of off-bed activities in 24 hours after delivery,the time of hearing bowel sounds and the rate of exclusive breastfeeding in 48 hours after delivery were recorded and compared between the two groups.Results The rate of off-bed activities in 24 hours and exclusive breastfeeding in 48 hours after delivery of the observation group were significantly higher than that of the control group(χ2=29.421,P<0.001;χ2=48.000,P<0.001),while the recovery of bowel sounds of the former was significantly earlier than the latter(t=16.474,P<0.001).Conclusion The perioperative nursing based on enabling theory can effectively promote the early ambulation activities after cesarean section and rapid recovery of the mother,as well as the exclusive breastfeeding.

关 键 词：赋能理论 剖宫产 早期离床活动 

分 类 号：R473.71[医药卫生—护理学]