基于快速康复外科理念的多模式干预对HDP剖宫产手术产妇的护理效果  

Nursing effect of the multi-mode intervention based on fast-track surgery concept for pregnant women with hypertensive disorders of pregnancy after cesarean section

作　　者：朱苗苗 颜雪娇 周宁 ZHU Miaomiao;YAN Xuejiao;ZHOU Ning(Huaian First People's Hospital,Huaian,Jiangsu Province,223399)

机构地区：[1]江苏省淮安市第一人民医院,223399

出　　处：《中国计划生育学杂志》2025年第3期710-713,共4页Chinese Journal of Family Planning

摘　　要：目的:观察基于快速康复外科(FTS)理念的多模式干预对妊娠高血压疾病(HDP)剖宫产手术产妇的影响。方法:回顾性分析本院2021年1月-2023年12月收治的136例HDP剖宫产产妇临床资料,根据产妇护理方法不同分为对照组和观察组各68例,两组均实施常规护理干预,观察组同时给予基于FTS理念的多模式干预,观察剖宫产后两组产妇并发症情况、疼痛评分(VAS),新生儿Apger评分及不良情况,出院时血压、贝克焦虑量表(BAI)与贝克抑郁量表(BDI)评分、护理满意度。结果:观察组剖宫产后并发症发生率(1.5%)低于对照组(10.3%),新生儿不良事件发生率(0)低于对照组(5.9%),剖宫产后1d、2d VAS评分(3.46±0.50分、1.16±0.37分)均低于对照组(4.76±0.43分、2.03±0.34分)(均P<0.05),两组出院时收缩压与舒张压无差异且均正常(P>0.05);观察组出院时BAI评分(12.18±1.88分)及BDI评分(13.15±1.15分)均低于对照组(15.24±2.12分、16.54±2.00分),出院时护理满意度(97.1%)高于对照组(86.8%)(均P<0.05)。结论:基于FTS理念的多模式干预对HDP剖宫产手术产妇有积极影响,可较好减少产妇剖宫产后并发症及疼痛程度,改善产后心理状态、自我护理能力及治疗依从性,改善新生儿情况,产妇血压正常,满意率高。Objective:To observe the nursing effect of the multi-mode intervention based on fast-track surgery(FTS)concept for pregnant women with hypertensive disorders of pregnancy(HDP)after cesarean section.Methods:The clinical data of 136 pregnant women with HDP after cesarean section admitted to the hospital from January 2021 to December 2023 were analyzed retrospectively.According to the different methods of the maternity care,these women were divided into control group(68 cases)and observation group(68 cases).The women in the control group received the routine nursing intervention,and the women in the observation group received the routine nursing intervention combined the multi-mode intervention based on FTS concept.The maternal complications,the pain degree evaluated by the visual analogue scale(VAS)score,the neonatal Apger score,the adverse conditions situation,the blood pressure value at discharge,the scores of Beck anxiety Inventory(BAI)and Beck Depression Inventory(BDI)and the nursing satisfaction of the women in the two groups after cesarean section were observed.Results:The incidence of the complications(1.5%)of the women in the observation group after cesarean section was significantly lower than that(10.3%)of the women in the control group,and the incidence of the neonatal adverse events(0)of the women in the observation group was significantly lower than that(5.9%)of the women in the control group.The VAS scores of the women in the observation group in 1d and in 2d after cesarean section(3.46±0.50 points and 1.16±0.37 points)were significantly lower than those(4.76±0.43 points and 2.03±0.34 points)of the women in the control group(all P<0.05).There were no significant differences in the values of systolic and diastolic blood pressure of the women at discharge between the two groups(P>0.05).The scores of BAI(12.18±1.88 points)and BDI(13.15±1.15 points)of the women in the observation group at discharge were significantly lower than those(15.24±2.12 points and 16.54±2.00 points)of the women in the cont

关 键 词：妊娠高血压疾病 产妇 剖宫产术 基于FTS理念的多模式干预 并发症 术后疼痛 新生儿不良事件 血压 心理状态 

分 类 号：R47[医药卫生—护理学]