基于行为研究法的快速康复护理在剖宫产术后产妇中的应用  

Application of Rapid Rehabilitation Nursing Based on Behavioral Approach in Postoperative Women with Cesarean Section

作　　者：曾丽玲[1] 刘燕玲[1] 陈柳妃 Zeng Liling;Liu Yanling;Chen Liufei(Maternal and Child Health Hospital of Guangdong Province,Guangzhou Guangdong 510010,China)

机构地区：[1]广东省妇幼保健院,广东广州510010

出　　处：《齐鲁护理杂志》2022年第2期7-10,共4页Journal of Qilu Nursing

基　　金：广东省医学科学技术研究基金项目(编号:C2020035)。

摘　　要：目的:探讨基于行为研究法的快速康复护理在剖宫产术后产妇中的应用效果。方法:将2020年4月1日~7月31日产科收治的150例剖宫产产妇作为对照组,实施剖宫产术后常规护理干预;将2020年8月1日~11月30日收治的150例剖宫产产妇作为实验组,在常规护理基础上实施基于行为研究法的快速康复护理干预;比较两组术后3 d产后恢复情况、母乳喂养情况、疼痛情况[采用数字疼痛评分表(NRS)]、心理状态[采用爱丁堡产后抑郁量表(EPDS)]及自我护理能力[采用自我护理能力量表(ESCA)]。结果:实验组下床活动时间、产后排气时间均短于对照组(P<0.05);实验组乳汁分泌充足率、喂养成功率均高于对照组(P<0.05);实验组NRS评分、EPDS评分低于对照组(P<0.05),ESCA评分高于对照组(P<0.05)。结论:基于行为研究法的快速康复护理干预可改善剖宫产术后产妇的产后疼痛及心理状态,提高母乳喂养质量,具有良好应用效果。Objective:To analyze the application effect of rapid rehabilitation nursing based on behavioral approach in women with cesarean section.Methods:A total of 150 patients admitted to department of obstetrics and gynecology for cesarean section during April 1 to July 31,2020 were selected as the control group and were given routine cesarean section nursing,and another 150 patients admitted during August 1 to November 30,2020 were set as the experimental group and were given behavioral approach-based rapid rehabilitation nursing intervention on the basis of routine nursing.The postpartum recovery,breastfeeding status,pain by Numerical Rating Scale(NRS),psychological states by Edinburgh Postpartum Depression Scale(EPDS)and self-care ability by Exercise of Self-Care Agency Scale(ESCA)were compared between the two groups at 3 days after surgery.Results:The ambulation time and postpartum exhaust time were shorter in the experimental group than those in the control group(P<0.05).The adequacy rate of milk secretion and success rate of feeding in the experimental group were higher than those in the control group(P<0.05).The NRS scores and EPDS scores in the experimental group were lower than those in the control group(P<0.05).The ESCA scores in the experimental group were higher than those in the control group(P<0.05).Conclusion:Rapid rehabilitation nursing intervention based on behavioral approach can improve the postpartum pain and psychological states in women with cesarean section and improve their quality of breastfeeding,with good application effect.

关 键 词：行为研究法 快速康复护理 母乳喂养 抑郁 疼痛 自护能力 

分 类 号：R473.71[医药卫生—护理学]