妊娠相关腰背痛预防与管理的循证实践  

Evidence-based practice in the prevention and management of pregnancy-related low back pain during pregnancy

作　　者：石志宜 刘玉凤 卢颖 邢丽媛[2] 王真真 冯宪凌[1] 程相红[1] 刘纬华[2] 张红梅[2] SHI Zhiyi;LIU Yufeng;LU Ying;XING Liyuan;WANG Zhenzhen;FENG Xianling;CHENG Xianghong;LIU Weihua;ZHANG Hongmei(Department of Obstetrics and Gynecology,Henan Provincial People's Hospital,Henan Provincial Key Medicine Laboratory of Nursing,Zhengzhou,450003,China)

机构地区：[1]河南省人民医院妇产科,河南省护理医学重点实验室,郑州市450003 [2]河南省人民医院护理部,郑州市450003

出　　处：《中国护理管理》2024年第10期1460-1465,共6页Chinese Nursing Management

基　　金：2022年度河南省医学科技攻关计划联合共建项目(LHGJ20220073);中华护理学会2019年度立项科研课题(ZHKY201911)。

摘　　要：目的 :建立基于证据的妊娠相关腰背痛预防与管理方案,评价应用效果,为孕期管理提供参考依据。方法 :运用循证护理方法构建妊娠相关腰背痛预防与管理的证据实施策略,于2020年12月至2022年6月在河南省某三级甲等医院围产期保健门诊实施,比较证据应用前后孕妇妊娠相关腰背痛发生率、疼痛及功能障碍变化情况。结果 :方案实施后,妊娠相关腰背痛发生率与实施前比较,差异无统计学意义(P>0.05);疼痛程度方面,从第3次评估开始,后效评价组疼痛程度低于基线审查组,最终平均疼痛程度低于基线审查组(P<0.05);功能障碍方面,从第2次评估开始,后效评价组功能障碍程度低于基线审查组,最终平均功能障碍程度低于基线审查组(P<0.05)。结论 :妊娠相关腰背痛证据指导护理实践,有助于降低孕妇疼痛及功能障碍程度,规范妊娠相关腰背痛管理行为。Objective:To explore evidence-based prevention and management programs for pregnancy-related low back pain,and evaluate the application effects,so as to provide reference for pregnancy management.Methods:Evidencebased methods were used to build the evidence application strategy,and implemented in the Obstetrics Clinic of a tertiary grade A hospital in Henan province from December 2020 to June 2022.The indicators of patients before and after the application of evidence and the implementation rate of the reviewed entries were compared.Results:After the implementation of the evidence,there was no statistically significant difference in the incidence of pregnancy-related low back pain compared to before implementation(P>0.05).The pain degree of pregnant women with pregnancy-related low back pain from the third assessment was lower than that of the baseline review group,and the average pain degree was lower than that of the baseline review group at the four times after implementation(P<0.05).In terms of disability,the degree of disability after implementation from the second evaluation was lower than that of the baseline review group,and the average disability level after implementation was lower than that of the baseline review group(P<0.05).Conclusion:The evidence of pregnancyrelated low back pain during pregnancy can guide nursing practice,help to reduce the degree of pregnancy-related low back pain and dysfunction index,and standardize pain management behavior.

关 键 词：腰背痛 妊娠 妊娠并发症 循证护理学 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]