循证护理在剖宫产术后的应用效果及对DVT发生率的影响  

Application effect of evidence-based nursing after cesarean section and its influence on the incidence of DVT

作　　者：赵永丽 孟秋萍 胡昌娥 张玉莲[2] ZHAO Yongli;MENG Qiuping;HU Chang'e;ZHANG Yulian(Shaanxi Kangfu Hospital,Xi'an 710065;Shaanxi Provincial People's Hospital,Xi'an 710068,China)

机构地区：[1]陕西省康复医院,陕西西安710065 [2]陕西省人民医院,陕西西安710068

出　　处：《临床医学研究与实践》2023年第24期150-153,共4页Clinical Research and Practice

基　　金：陕西省资源主导型产业关键技术(链)项目-社会发展领域重大统筹项目(No.2016KTCL03-05)。

摘　　要：目的 探讨循证护理在剖宫产术后的应用效果及对下肢深静脉血栓形成(DVT)发生率的影响。方法 选取2021年1月至2022年1月在本院接受剖宫产的96例产妇为研究对象,按照随机数字表法将其分为对照组和观察组,各48例。对照组给予常规护理,观察组在对照组基础上展开循证护理。比较两组的护理效果。结果 护理后,两组的广泛性焦虑量表(GAD-7)评分均降低,心理弹性量表简版(CD-RISC10)评分均升高,且观察组优于对照组(P<0.05)。术后12 h,两组的皮质醇(Cor)、去甲肾上腺素(NE)水平均升高,但观察组低于对照组(P<0.05)。观察组的DVT发生率低于对照组(P<0.05)。产后42 d,观察组的匹斯堡睡眠质量指数(PSQI)、爱丁堡产后抑郁量表(EPDS)评分低于对照组(P<0.05)。结论 循证护理可改善剖宫产术后产妇的心理状态,减轻应激反应,降低DVT发生率,提升产后恢复效果。Objective To investigate the application effect of evidence-based nursing after cesarean section and its influence on the incidence of lower extremity deep venous thrombosis(DVT).Methods A total of 96 parturients who underwent cesarean section in our hospital from January 2021 to January 2022 were selected as the research objects.According to the random number table method,the parturients were divided into control group and observation group,with 48 cases in each group.The control group was given routine nursing,and the observation group was given evidence-based nursing on the basis of the control group.The nursing effects of the two groups were compared.Results After nursing,the Generalized Anxiety Disorder Scale(GAD-7)score of the two groups decreased,and the 10-Item Connor-Davidson Resilience Scale(CD-RISC10)score increased,and those in the observation group were better than the control group(P<0.05).At 12 h after operation,the levels of cortisol(Cor)and norepinephrine(NE)in the two groups increased,but those in the observation group were lower than the control group(P<0.05).The incidence of DVT in the observation group was lower than that in the control group(P<0.05).At 42 d after delivery,the scores of Pittsburgh Sleep Quality Index(PSQI)and Edinburgh Postnatal Depression Scale(EPDS)in the observation group were lower than those in the control group(P<0.05).Conclusion Evidence-based nursing can improve the psychological state of parturients after cesarean section,relieve stress response,reduce the incidence of DVT,and improve the effect of postpartum recovery.

关 键 词：循证护理 剖宫产 下肢深静脉血栓形成 

分 类 号：R473[医药卫生—护理学]