中医多元化护理在促进顺产产妇子宫复旧中的应用价值分析  

Application Value of Diversified Nursing of Traditional Chinese Medicine in Promoting Uterine Rehabilitation of Parturient Women

作　　者：刘兰芝 王德霞 王远侠[1] LIU Lanzhi;WANG Dexia;WANG Yuanxia(Linyi Hospital of Traditional Chinese Medicine,Linyi,Shandong Province,276000 China)

机构地区：[1]山东省临沂市中医医院,山东临沂276000

出　　处：《中外医疗》2022年第33期145-149,共5页China & Foreign Medical Treatment

摘　　要：目的探讨顺产产妇子宫复旧应用中医多元化护理干预后对临床指标的改善效果。方法随机选取2020年6月-2021年6月山东省临沂市中医医院收治的80例顺产子宫复旧产妇,以随机抽签方式分为对照组与观察组,各40例。观察组采取中医多元化护理干预,对照组采取常规护理干预。比较两组产妇产后当天至产后4 d子宫缩复情况、子宫恶露排出量、恶露类型及血性恶露持续时间、子宫情况,评估对比两组护理满意度及生活质量。结果两组产后当天及产后1 d子宫缩复情况比较,差异无统计学意义(P>0.05);产后2~4 d时,观察组子宫缩复情况依次为(12.01±0.22)、(10.12±0.51)、(8.33±0.41)cm,优于对照组的(14.15±0.65)、(13.26±0.74)、(10.95±0.61)cm,差异有统计学意义(t=19.723、22.097、22.545,P<0.05)。两组产后当天恶露排出量比较,差异无统计学意义(P>0.05);产后1~4 d时,与对照组相比,观察组恶露排出量明显降低,且血性恶露持续时间较短,出现频率更低,产后及产后4 d子宫长径、前后径、横径均缩短,差异有统计学意义(P<0.05)。对照组护理满意度为75.00%,低于观察组的100.00%,差异有统计学意义(χ^(2)=11.429,P<0.05)。观察组生活质量优于对照组,差异有统计学意义(P<0.05)。结论促进顺产产妇子宫复旧采取中医多元化护理干预,能改善产妇产后各项临床指标,降低血性恶露出现频率及持续时间,改善子宫情况,提高患者生活质量及满意度。Objective To explore the improvement effect on clinical indexes after the application of diversified nursing intervention of traditional Chinese medicine in uterine rehabilitation of parturient women.Methods From June 2020 to June 2021,80 women with spontaneous uterine involution who were admitted to Linyi Traditional Chinese Medicine Hospital in Shandong Province were randomly selected randomly divided into control group and observation group with 40 cases each.The observation group received diversified nursing intervention of traditional Chinese medicine,while the control group received routine nursing intervention.Compared the uterine retraction,lochia discharge,lochia type,duration of bloody lochia,and uterine condition of the two groups from the day delivery to 4 days delivery,and evaluated and compared the nursing satisfaction and quality of life of the two groups.Results There was no statistically significant difference between the two groups in uterine retraction on the day after delivery and the first day after delivery(P>0.05);at 2-4 days after delivery,the uterine contractions in the observation group were(12.01±0.22)cm,(10.12±0.51)cm,(8.33±0.41)cm,which were superior to those in the control group(14.15±0.65)cm,(13.26±0.74)cm,(10.95±0.61)cm,and the difference was statistically significant(t=19.723,22.097,22.545,P<0.05).There was no statistically significant difference between the two groups in lochia discharge on the day of postpartum(P>0.05);at 1-4 days postpartum,compared with the control group,the output of lochia in the observation group was significantly reduced,the duration of bloody lochia was shorter,and the frequency of occurrence was lower,and the long diameter,anteroposterior diameter and transverse diameter of the uterus were shortened in the postpartum and 4 days postpartum,and the difference was statistically significant(P<0.05).The nursing satisfaction of the control group was 75.00%,lower than that of the observation group(100.00%),and the difference was statistically significant(

关 键 词：中医多元化护理 顺产产妇 子宫复旧 血性恶露 生活质量 满意度 

分 类 号：R47[医药卫生—护理学]