经产妇产后宫缩疼痛分级护理构建及实施效果分析  

Construction of nursing care for graded postpartum uterine contraction pain in multiparae and analysis of its implementation effect

作　　者：潘晓 曾锋 陈淼婷 PAN Xiao;ZENG Feng;CHEN Miao-ting(Department of Obstetrics and Gynecology,Luoding Hospital of Traditional Chinese Medicine,Guangdong Province,Luoding527200,China)

机构地区：[1]广东省罗定市中医院妇产科,广东罗定527200

出　　处：《中国当代医药》2021年第24期123-126,共4页China Modern Medicine

基　　金：广东省云浮市医药卫生科研立项课题(2020B071)。

摘　　要：目的探讨经产妇产后宫缩疼痛分级护理构建及实施效果。方法选取2019年8月—2020年7月罗定市中医院收治的98例经阴道分娩后产褥期出现宫缩痛的经产妇作为研究对象,按随机数字表法分为对照组与观察组,每组各49例。两组依据产后宫缩疼痛程度的不同进行二次分组,分为轻度疼痛、中度疼痛及重度疼痛三个亚组,观察组的轻度组22例,中度组16例,重度组13例,对照组的轻度组22例,中度组16例,重度组13例。观察组采用分级疼痛管理,对照组采用常规疼痛护理干预。比较两组不同时间的疼痛程度,比较两组产后宫缩痛影响及产后舒适度评分。结果两组的不同疼痛程度(轻度、中度、重度)产妇随产后时间迁移,其疼痛数字评分法(NRS)评分逐渐降低,差异有统计学意义(P<0.05)。两组的不同疼痛程度(轻度、中度、重度)产妇产后当天的NRS评分比较,差异无统计学意义(P>0.05)。观察组的不同疼痛程度(轻度、中度、重度)产妇产后第1、2、3天的NRS评分低于对照组,差异均有统计学意义(P<0.05)。观察组的疼痛对身体及日常生活的影响评分、对控制疼痛教育满意度评分、对控制疼痛方法满意度评分及产后宫缩痛影响总评分高于对照组,差异均有统计学意义(P<0.05)。两组产后当天的身体舒适度评分、精神心理舒适度评分、社会文化舒适度评分比较,差异无统计学意义(P>0.05)。两组产后第3天的身体舒适度评分、精神心理舒适度评分高于本组产后当天,且观察组产后第3天的身体舒适度评分、精神心理舒适度评分高于对照组,差异均有统计学意义(P<0.05)。两组产后第3天的社会文化舒适度评分比较,差异无统计学意义(P>0.05)。结论对经产妇采取产后宫缩疼痛分级指标管理,可有效缓解产妇的宫缩痛,增加产妇的舒适度,提高患者对护理满意度,营造和谐的护患关系。Objective To discuss the construction and implementation effect of nursing care for graded postpartum contraction pain in multiparae.Methods From August 2019 to July 2020,98 cases of multiparae with uterine contraction pain during the puerperium after vaginal delivery were selected.They were divided into the control group and the observation group according to random number table method,49 cases in each group.The two groups were divided into three subgroups:mild pain,moderate pain,and severe pain according to the degree of postpartum contraction pain.In the observation group,22 cases were mild,16 cases were moderate,and 13 cases were severe.In the control group,there were 22 mild cases,16 moderate,and 13 case vere severe.In the observing group,graded pain management was used,and in the control group,routine pain nursing intervention was adopted.The pain degree of the two groups at different times,the effect of postpartum contractions,and the postpartum comfort scores of the two groups were compared.Results The numerical rating scale(NRS)scores of multiparaeat different pain degrees(mild,moderate,severe)in the two groups gradually decreased with the extension of the postpartum time(P<0.05).There were no statistically significant differences in the NRS scores of the multiparae at different pain degrees(mild,moderate,severe)between the two groups on the day after delivery(P>0.05).The NRS scores of the multiparae in the observation group at different pain levels(mild,moderate,severe)were all lower than those of the control group on the 1,2,and 3 days after delivery(P<0.05).The score of effect of pain on the body and daily life,the satisfaction score for education on pain control,the satisfaction score for pain control methods,and the total score of effect of postpartum contraction pain in the observation group were higher than those in the control group(P<0.05).There were no statistically significant differences in the physical comfort scores,mental comfort scores,or sociocultural comfort scores of the two groups on

关 键 词：经产妇 产后宫缩痛 疼痛分级 满意度 

分 类 号：R714[医药卫生—妇产科学]