连续性护理在产科手术护理中的应用及对产妇心理及生理应激的影响  

Application of continuous care in obstetric operation nursing and analysis of its impacts on the psychological and physiological stress of the puerperae

作　　者：叶磊东 YE Leidong(Maternal and Child Hospital Affiliated to Xiamen University,Fujian,Xiamen 361003,China)

机构地区：[1]厦门大学附属妇女儿童医院,福建厦门361003

出　　处：《中国医药科学》2021年第6期142-144,159,共4页China Medicine And Pharmacy

摘　　要：目的分析连续性护理在产科手术护理中的应用及对产妇心理及生理应激的影响。方法将于2019年1—12月期间厦门大学附属妇女儿童医院行剖宫产手术的150例产妇随机分为A组和B组,每组各75例。手术护理中A组产妇行常规护理,B组产妇行连续性护理。于两组产妇手术前后,采用焦虑自评量表(SAS)和抑郁自评量表(SDS)予以产妇心理状态评价;检测生理应激反应指标[血清肾上腺素(E)和皮质醇(COR)];统计两组产妇的下床活动时间、住院时间,采用视觉模拟评分法(VAS)评价两组产妇的伤口疼痛程度。结果术前1 d、术中及术后3 d,在SAS、SDS评分上,B组均低于A组(P<0.05)。术前1 d、术后7 d,在血清E、COR指标值上,B组均低于A组(P<0.05)。在下床活动时间、住院时间上,B组均短于A组(P<0.05);且术后1 d、术后3 d,B组VAS评分均低于A组(P<0.05)。结论于产科手术护理中应用连续性护理能有效降低产妇心理及生理应激反应,加快术后康复进程。Objective To analyze the application of continuous care in obstetric operation nursing and its impacts on the psychological and physiological stress of the puerperae.Methods A total of 150 puerperae underwent cesarean section surgery admitted to the Maternal and Child Hospital Affiliated to Xiamen University from January 2019 to December 2019 were randomly divided into group A(n=75)and group B(n=75).In the operation nursing,puerperae in the A group were treated with conventional nursing,while those in the B group were treated with continuous care.Before and after the operation,the psychological status of the two groups of puerperae was assessed by self-rating anxiety scale(SAS)and self-rating depression scale(SDS).The physiological stress response indicators[serum epinephrine(E)and cortisol(COR)]were detected.The off-bed activity time and hospitalization time of the two groups of puerperae were counted.And the degree of wound pain of the two groups of puerperae was evaluated by visual analogue scale(VAS).Results On the first day before operation,during operation and on the third day after operation,the SAS and SDS scores of group B were all lower than those of group A(P<0.05).On the first day before operation and the seventh day after operation,the indicator levels of serum E and COR in group B were all lower than those in group A(P<0.05).The off-bed activity time and hospitalization time in group B were shorter than those in group A(P<0.05).Meanwhile,on the first day and the third day after operation,the VAS scores of group B were all lower than those of group A(P<0.05).Conclusion The application of continuous care in obstetric operation nursing can effectively reduce the psychological and physiological stress response of puerperae,which accelerates the process of postoperative rehabilitation.

关 键 词：手术护理 产科 连续性护理 心理应激 生理应激 

分 类 号：R473.71[医药卫生—护理学]