激励式健康教育联合中医适宜技术在剖宫产术产妇中的护理效果  

Nursing effect of incentive health education combined with traditional Chinese medicine suitable technology in patients undergoing cesarean section

作　　者：严艳燕[1] 黄刘燕 陈丽芳 赵艺 程慧芳 YAN Yanyan;HUANG Liuyan;CHEN Lifang;ZHAO Yi;CHENG Huifang(Department of Gynaecology and Obstetrics,Lishui Traditional Chinese Medicine Hospital,Lishui,Zhejiang 323000,China)

机构地区：[1]丽水市中医院妇产科,浙江丽水323000

出　　处：《中华全科医学》2023年第12期2101-2105,共5页Chinese Journal of General Practice

基　　金：浙江省中医药科技计划项目(2020ZB297)。

摘　　要：目的将激励式健康教育联合中医适宜技术应用于剖宫产术产妇中,探讨护理效果。方法选取2019年1月—2021年12月浙江省丽水市中医院产检的150例剖宫产孕妇,根据临床护理开展时间段分为对照组(60例,2019年1月—2020年6月开展激励式健康教育)和观察组(90例,2020年7月—2021年12月开展激励式健康教育联合中医适宜技术)。比较2组分娩结局、康复情况、疼痛情况、情绪管理、母婴并发症发生情况。结果2组产后2 h出血量比较差异无统计学意义(P>0.05),观察组术后排气时间短于对照组[(1.92±0.64)d vs.(2.93±0.80)d],而新生儿Apgar评分高于对照组[(9.03±1.69)分vs.(7.75±1.70)分],差异均有统计学意义(均P<0.05)。观察组及对照组产妇术后不同时点VAS评分水平均较干预前下降(均P<0.05),且观察组在术后1、3、5 d时VAS评分均低于对照组(均P<0.01)。干预后,观察组健康知识水平、自我护理技能高于对照组,差异有统计学意义(均P<0.05),而自我概念、自护责任感差异无统计学意义(均P>0.05)。观察组产褥期感染率、产后尿潴留率、缺乳率、新生儿黄疸率、新生儿肺炎率均低于对照组,差异有统计学意义(均P<0.05)。结论对剖宫产产妇应用激励式教育联合中医适宜技术,可提升产妇自我管理能力,消除负面情绪,改善母婴结局,减少并发症。Objective Applying motivational health education combined with appropriate technology of traditional Chinese medicine to cesarean section laboring women to explore the nursing effect.Methods The data of 150 cases of pregnant women undergoing cesarean delivery in Lishui Traditional Chinese Medicine Hospital's maternity checkups from January 2019 to December 2021 were selected for prospective analysis,and divided into a control group(60 cases,with motivational health education carried out in January 2019 to June 2020)and an observation group(90 cases,with motivational health education combined with appropriate technology of traditional Chinese medicine in July 2020 to December 2021)according to the time period of the development of clinical nursing care.The two groups were compared in terms of labor and delivery outcomes,rehabilitation,pain,emotional management,and maternal and infant complications.Results There was no statistically significant difference between the two groups in terms of 2 h postpartum hemorrhage(P>0.05),and the postoperative time of exhaustion in the observation group was lower than that in the control group[(1.92±0.64)d vs.(2.93±0.80)d],while the newborn Apgar score was higher than that in the control group[(9.03±1.69)points vs.(7.75±1.70)points],and the differences were statistically significant in all cases(all P<0.05).The levels of maternal VAS scores at different postoperative time points in the two groups were down-regulated compared with the pre-intervention level(all P<0.05),and the observation group had lower VAS scores than the control group at 1 day,3 days,and 5 days post operation(all P<0.01).After the intervention,the observation health knowledge level and self-care skills difference group were higher than the control group,and the difference was statistically significant(all P<0.05),while the difference in self-concept and sense of self-care responsibility was not statistically significant(all P>0.05).The rates of puerperal infection,postpartum urinary retention,breast milk def

关 键 词：激励式健康教育 中医适宜技术 剖宫产 护理效果 

分 类 号：R714.7[医药卫生—妇产科学] R473.71[医药卫生—临床医学]