Effect of psychological nursing intervention combined with acupressure on postoperative recovery of women after cesarean section  

作　　者：Xing-Ying Liu Xiao-Bo Chen You-Liang Wen Xiao-Ping Guo Xiao-Bin Zhou 

机构地区：[1]Department of Rehabilitation Medicine,Second Affiliated Hospital of Gannan Medical University,Ganzhou 341000,Jiangxi Province,China [2]Rehabilitation Therapy Teaching and Research Office,Rehabilitation College of Gannan Medical University,Ganzhou 341000,Jiangxi Province,China [3]Dermatology and Plastic Surgery Department,First Affiliated Hospital of Gannan Medical University,Ganzhou 341000,Jiangxi Province,China

出　　处：《World Journal of Clinical Cases》2024年第21期4527-4535,共9页世界临床病例杂志

基　　金：the Ethic Committee of Second Affiliated Hospital of Gannan Medical University。

摘　　要：BACKGROUND Psychological intervention nursing(PIN)has been considered to have a curative effect on cesarean section(CS)post-operative recovery.However,the therapeutic mechanisms remain obscure.AIM To explore the effects of PIN combined with acupressure massage on CS postoperative recovery.METHODS A retrospective study was conducted on 150 pregnant women admitted to an obstetrics department between January 2020 and January 2023.The control group(CG)received acupressure therapy(n=73),and the intervention group(IG)received acupressure therapy and PIN therapy(n=77).Postoperative recovery time was assessed by anal-exhausting,defecation,bed activity,breastfeeding,and hospital stay times.Adverse effects,including infection,bleeding,limb numbness,intrauterine hematoma,urinary retention,and venous thromboembolism,were recorded.the pain visual analogue scale(VAS)was used to evaluate the degree of pain.Anxiety and depression status were qualitatively assessed using the selfrating anxiety scale(SAS),self-rating depression scale(SDS),and Edinburgh postpartum depression scale(EPDS).The Pittsburgh sleep quality index(PSQI)was used to compare sleep quality between the groups.RESULTS The baseline data and SAS,SDS,EPDS,and PSQI scores did not significantly differ before CS(P>0.05)and neither did complication rates between the two groups after CS(P>0.05).However,anal-exhausting,defecation,waking up,breastfeeding,and hospitalization times were significantly shorter for participants in the IG than those for participants in the CG(P<0.05).The VAS,SAS,SDS,EPDS,and PSQI scores of the IG were significantly lower than those of the CG(P<0.05).CONCLUSION PIN,combined with acupressure massage,effectively promotes maternal recovery,reduces post-CS pain,and improves post-operative negative emotions and sleeping quality.

关 键 词：Psychological intervention nursing Acupressure massage Cesarean section Negative emotions Sleep quality 

分 类 号：R614[医药卫生—麻醉学]