基于生物-心理-社会模式的围术期护理对剖宫产产妇应激水平及并发症影响  

Impact of the perioperative nursing based on the biopsychosocial model for women with cesarean section on their stress level and complications

作　　者：高宝芹 葛金星[1] 罗书引 葛菲 沈阳[1] GAO Baoqin;GE Jinxing;LUO Shuyin;GE Fei;SHEN Yang(The Second People's Hospital of Huai'an,Jiangsu Province,223001)

机构地区：[1]江苏省淮安市第二人民医院,223001

出　　处：《中国计划生育学杂志》2025年第4期845-850,共6页Chinese Journal of Family Planning

摘　　要：目的:探究基于生物-心理-社会模式的围术期护理对剖宫产产妇应激水平及并发症影响。方法:选取2023年1-12月本院拟行剖宫产手术的产妇150例,将2023年1-5月行剖宫产手术67例为对照组,2023年6-12月行剖宫产手术83例为干预组。对照组采用常规围手术期护理,干预组在对照组基础上采用生物-心理-社会模式的围手术期护理,对比两组应激水平、康复情况以及术后并发症等。结果:干预后手术前后干预组丙二醛(1.87±0.57μg/ml、1.59±0.42μg/ml)、脂质过氧化氢(321.16±31.48μmol/L、307.32±32.19μmol/L)、晚期蛋白氧化产物(62.87±7.29μmol/L、59.61±7.82μmol/L)、皮质醇(319.15±16.47pg/ml、308.67±16.48pg/ml)、收缩压(126.86±2.49mmHg、118.63±3.48mmHg)均低于对照组(2.08±0.56μg/ml、1.81±0.38μg/ml、331.46±30.59μmol/L、320.84±31.67μmol/L、65.48±8.33μmol/L、63.48±8.49μmol/L、324.67±15.86pg/ml、315.68±15.85pg/ml、128.46±2.64mmHg、121.86±3.46mmHg),焦虑自评量表(45.72±3.22、40.16±4.82分)、抑郁自评量表(46.34±4.21分、38.92±4.11分)均低于对照组(48.72±3.15分、45.86±4.15分、48.84±4.11分、43.16±4.24分),术后干预组舒张压(67.34±3.08mmHg)、心率(80.49±5.39次/min)低于对照组(75.23±2.48mmHg、89.56±3.47次/min),下床活动时间、泌乳时间、尿管拔出时间均低于对照组(均P<0.05),但术后肛门排气时间两组无差异(P>0.05),干预组并发症发生率(6.0%)低于对照组(19.4%),护理干预总满意率(98.8%)高于对照组(89.6%)(均P<0.05)。结论:生物-心理-社会模式的围术期护理有利于降低剖宫产产妇的应激水平与术后并发症发生率,稳定产妇情绪,促进术后康复。Objective:To explore the impact of the perioperative nursing based on the biopsychosocial model for women with cesarean section on their stress level and complications.Methods:150 pregnant women who were admitted to the hospital for cesarean section between January 2023 and December 2023 were selected as the research subjects.According to the admission time,67 women between January 2023 and May 2023 were selected in control group and 83 pregnant women between June 2023 and December 2023 were selected in study group.The women in the two groups received the conventional perioperative care,and the women in the study group received the perioperative nursing based on the biopsychosocial model additionally.The stress levels,the recovery status and the postoperative complications of the women were compared between the two groups.Results:After intervention,the levels of malondialdehyde before and after operation(1.87±0.57μg/ml and 1.59±0.42μg/ml),lipid hydrogen peroxide before and after operation(321.16±31.48μmol/L and 307.32±32.19μmol/L),advanced protein oxidation products before and after operation(62.87±7.29μmol/L and 59.61±7.82μmol/L),cortisol before and after operation(319.15±16.47pg/ml and 308.67±16.48pg/ml),systolic blood pressure before and after operation(126.86±2.49mmHg and 118.63±3.48mmHg)of the women in the study group were significantly higher than those(2.08±0.56μg/ml and 1.81±0.38μg/ml,331.46±30.59μmol/L and 320.84±31.67μmol/L,65.48±8.33μmol/L and 63.48±8.49μmol/L,324.67±15.86pg/ml and315.68±15.85pg/ml,and 128.46±2.64mmHg and 121.86±3.46mmHg)of the women in the control group(P<0.05).The scores of the self rating anxiety scale before and after operation(45.72±3.22points and 40.16±4.82points)and self rating depression scale before and after operation(46.34±4.21points and 38.92±4.11points)of the women in the study group were significantly lower than those(48.72±3.15points and 45.86±4.15points,and 48.84±4.11points and 43.16±4.24points)of the women in the control group.Th

关 键 词：剖宫产术 围术期 护理 生物-心理-社会模式 应激水平 心理状态 并发症 

分 类 号：R473.71[医药卫生—护理学]