中西医结合护理在剖宫产术ERAS的护理研究  

Nursing research of integrated traditional Chinese and Western medicine in the concept of enhanced recovery after surgery in cesarean section

作　　者：刘兰 万艳 王眉 丁璐 熊雪莲[1] 龙亚娟 陈凌燕[1] LIU Lan;WAN Yan;WANG Mei;DING Lu;XIONG Xuelian;LONG Yajuan;CHEN Lingyan(Department of Obstetrics,Jiangxi Maternal and Child Health Hospital,Jiangxi Province,Nanchang330006,China)

机构地区：[1]江西省妇幼保健院产科,江西南昌330006

出　　处：《中国当代医药》2022年第17期177-180,共4页China Modern Medicine

基　　金：江西省中医药管理局科技计划项目(2021B086)。

摘　　要：目的探讨中西医结合护理在剖宫产术加速康复外科理念(ERAS)中的应用效果。方法选取2021年1月至10月江西省妇幼保健院产科收治的120例行剖宫产术的产妇作为研究对象,采用随机数字表法分为干预组以及对照组,各60例。对照组采用传统护理,干预组采用中西医结合护理,比较两组产妇焦虑自评量表(SAS),抑郁自评量表(SDS)、妊娠结局、新生儿结局以及产妇满意度。结果护理前,两组产妇组间SAS评分,SDS评分比较,差异无统计学意义(P>0.05);护理后,两组产妇护理后SAS评分、SDS评分低于护理前,且干预组的SAS评分、SDS评分低于对照组,差异有统计学意义(P<0.05)。干预组产妇肠粘连、切口红肿、肠梗阻总发生率5.01%,低于对照组18.33%,差异有统计学意义(P<0.05)。分娩5、10 min,1 d后,干预组新生儿Apgar评分均高于对照组,差异有统计学意义(P<0.05);两组新生儿分娩10 min、1 d的Apgar评分高于本组分娩5 min,分娩1 d的Apgar评分高于本组分娩10 min,差异有统计学意义(P<0.05)。干预组产妇护理总满意度95.00%,高于对照组的护理总满意度80.00%,差异有统计学意义(P<0.05)。结论剖宫产术ERAS中实施中西医结合护理,可以减少产妇不良情绪,有利于改善产妇以及新生儿结局,使产妇以及家属认可医院护理模式与内容,值得在临床产妇剖宫产术过程中推广使用。Objective To explore the application effect of integrated traditional Chinese and Western medicine nursing in the concept of enhanced recovery after surgery(ERAS)in cesarean section.Methods A total of 120 puerpera who underwent cesarean section in the Department of Obstetrics of Jiangxi Maternal and Child Health Hospital from January to October 2021 were selected as the research subjects,they were divided into intervention group and control group according to random number table method,with 60 cases in each group.The control group was treated with traditional nursing,and the intervention group was treated with integrated traditional Chinese and Western medicine nursing.Compare the self-rating anxiety scale(SAS),self-rating depression scale(SDS),pregnancy outcomes,neonatal outcomes,and puerpera′s satisfaction of two groups.Results Before nursing,there were no significant differences in SAS and SDS scores between the two groups(P>0.05).After nursing,the SAS score and SDS score in two groups were lower than those before nursing,and the SAS and SDS scores of the intervention group were lower than those of the control group,the differences were statistically significant(P<0.05).At 5,10 min and 1 d after delivery,the Apgar scores of the intervention group were higher than those of the control group,and the differences were statistically significant(P<0.05).The Apgar score of newborns in the two groups at 10 min and 1 d after delivery was higher than that at 5 min after delivery,and the Apgar score at 1 d after delivery was higher than that at 10 min after delivery,the differences were statistically significant(P<0.05).The total nursing satisfaction of the intervention group was 95.00%,which was higher than 80.00%of the control group,and the difference was statistically significant(P<0.05).Conclusion The implementation of integrated traditional Chinese and Western medicine nursing in ERAS nursing for cesarean section can reduce maternal negative emotions,improve maternal and neonatal outcomes,and make maternal and fam

关 键 词：中西医结合护理 剖宫产术 加速康复外科理念 满意度 心理状态 

分 类 号：R473.71[医药卫生—护理学]