中药熏洗泡足及穴位贴敷护理干预对产妇产后康复及睡眠质量的影响研究  

A Study on the Influence of Traditional Chinese Medicine Fumigation,Foot Soaking,and Acupoint Application Nursing Intervention on Postpartum Rehabilitation and Sleep Quality of Postpartum Women

作　　者：任玲玲 REN Lingling(Department of Obstetrics and Gynecology,Pingtan Comprehensive Experimental Zone Hospital,Fuzhou 350400,China)

机构地区：[1]平潭综合实验区医院妇产科,福州350400

出　　处：《中国医药指南》2024年第35期129-132,共4页Guide of China Medicine

摘　　要：目的研究穴位贴敷及中药熏洗泡足对产妇的影响。方法选取2021年2月至2023年2月平潭综合实验区医院产妇46例,依据护理干预方法分为对照组(23例,常规护理)和观察组(23例,常规护理干预基础上联合穴位贴敷及中药熏洗泡足)。统计分析两组产后康复、泌乳情况、疼痛程度、心理状态、睡眠质量、生活质量[分别采用视觉模拟评分表(VAS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、爱泼沃斯嗜睡量表(ESS)、匹兹堡睡眠质量指数(PSQI)、简易生活质量量表(SPPB)评估]、夜醒次数、睡眠时长、并发症发生率。结果观察组产妇的产后2 h、24 h出血量、恶露量均少于对照组(P<0.05),产后48 h子宫复旧多于对照组(P<0.05),子宫复旧时间、恶露干净时间、腹痛消失时间、泌乳始动时间、肠鸣音恢复时间、下床活动时间、肛门排气时间短于对照组(P<0.05),宫底高度低于对照组(P<0.05)。察组产妇的泌乳0级、1级比例均低于对照组(P<0.05),2级、3级比例均高于对照组(P<0.05)。观察组产妇的疼痛评分、焦虑评分、抑郁评分、ESS评分、PSQI评分均低于对照组(P<0.05),生活质量评分高于对照组(P<0.05),夜醒次数少于对照组(P<0.05),睡眠时长长于对照组(P<0.05)。观察组产妇的下肢疼痛、肿胀、血流瘀滞、静脉血栓发生率均低于对照组(P<0.05)。结论穴位贴敷及中药熏洗泡足护理干预能够促进产妇产后康复,并提升产妇睡眠质量。Objective To study the effects of acupoint application and traditional Chinese medicine fumigation and foot soaking on postpartum women.Methods A total of 46 parturient women from the Pingtan Comprehensive Experimental Zone Hospital between February 2021 and February 2023 were retrospectively selected.Based on the nursing intervention methods,the study is divided into a control group(23 cases,routine nursing)and an observation group(23 cases,routine nursing intervention combined with acupoint plastering and traditional Chinese medicine fumigation and foot soaking).The study statistically analyzed postpartum recovery,lactation status,pain levels,psychological state,sleep quality,and quality of life[assessed using the Visual Analogue Scale(VAS),Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS),Epworth Sleepiness Scale(ESS),Pittsburgh Sleep Quality Index(PSQI),and the Short Physical Performance Battery(SPPB)],as well as the number of night awakenings,sleep duration,and incidence of complications in both groups.Results The postpartum bleeding volume and lochia volume at 2 hours and 24 hours in the observation group were less than those in the control group(P<0.05),and the uterine involution at 48 hours postpartum was greater than that in the control group(P<0.05).The time for uterine involution,lochia clearance,disappearance of abdominal pain,initiation of lactation,return of bowel sounds,time to ambulation,and time to first anal gas passage in the observation group were all shorter than those in the control group(P<0.05),and the fundal height was lower than that in the control group(P<0.05).The proportion of grade 0 and 1 lactation in the observation group was lower than that in the control group(P<0.05),while the proportion of grade 2 and 3 was higher than that in the control group(P<0.05).The pain scores,anxiety scores,depression scores,ESS scores,and PSQI scores of the parturient women in the observation group were all lower than those in the control group(P<0.05),and the quality of life scores

关 键 词：产妇 中药熏洗泡足 穴位贴敷 护理干预 产后康复 睡眠质量 

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