摘要
目的:分析五位一体护理结合环节式健康教育干预在剖宫产后腹胀患者中的应用及睡眠质量的影响。方法:选取2020年4月至2022年7月福建省惠安县医院妇产科收治的剖宫产产妇122例作为研究对象,按照随机数字表法分为观察组(n=65)和对照组(n=57),对照组给予常规护理干预,观察组给予五位一体护理结合环节式健康教育干预,对比2组机体功能恢复情况,采用睡眠状况自评量表(SRSS)对2组产妇进行睡眠情况的评估,采用焦虑抑郁量表(HADS)对患者心理状态进行测评,对比2组并发症发生情况。结果:护理干预后,观察组产妇肠鸣音恢复、排气排便及进食时间均短于对照组,差异有统计学意义(P<0.05);干预后,2组SRSS评分均有降低,其中观察组评分显著低于对照组,差异有统计学意义(P<0.05);观察组术后无异常心理症状产妇占比显著高于对照组,差异有统计学意义(P<0.05);观察组发生腹胀、肠粘连、切口愈合延迟总发生率显著低于对照组,差异有统计学意义(P<0.05)。结论:五位一体护理结合环节式健康教育干预能够有效降低剖宫产后腹胀的发生率,改善产妇睡眠情况,加快产妇机体修复进程,值得临床推广使用。
Objective:To analyze the effect of five-in-one nursing combined with link health education intervention on abdominal distension after cesarean section and sleep quality.Methods:A total of 122 women with cesarean section admitted to the Obstetrics and Gynecology Department of Huian County Hospital in Fujian Province from April 2020 to July 2022 were selected as the study objects,and divided into observation group(n=65)and control group(n=57)according to the random number table method.The control group was given routine nursing intervention,and the observation group was given five-in-one nursing combined with link health education intervention.Compared with the recovery of body function between the 2 groups,Self Rating Scale of Sleep(SRSS)was used to evaluate the sleep status of 2 groups,and Hospital Anxiety and Depression Scale(HADS)was used to assessed the psychological state of the patients and compared the occurrence of complications in 2 groups.Results:After nursing intervention,the recovery of intestinal sound,exhaust defecation and feeding time in the observation group were shorter than those of the control group,and the difference between the 2 groups was statistically significant(P s<0.05).After the intervention,the SRSS score of both groups was decreased,and the score of the observation group was significantly lower than the control group,the difference between the 2 groups was statistically significant(P s<0.05).The proportion of pregnant women without abnormal psychological symptoms in the observation group was significantly higher than the control group,and the difference between the two groups was statistically significant(P<0.05).The total incidence rates of abdominal distension,intestinal adhesion and delayed incision healing in the observation group were significantly lower than those in the control group,and the difference between the two groups was statistically significant(P s<0.05).Conclusion:Five-in-one nursing combined with link health education intervention can effectively reduce the incidence of abdominal distension after cesarean section,improve the sleep quality of parturient women,and accelerate the process of parturient body repair,which is worthy of clinical promotion.
作者
蔡爱红
王雪菁
林燕红
CAI Aihong;WANG Xuejing;LIN Yanhong(Hui′an County Hospital,Hui′an 362100,China)
出处
《世界睡眠医学杂志》
2023年第7期1562-1565,共4页
World Journal of Sleep Medicine
关键词
五位一体护理结合环节式健康教育干预
剖宫产后腹胀
功能恢复
睡眠质量
生命质量
Five-in-one nursing combined with link health education intervention
Abdominal distension after cesarean section
Functional recovery
Sleep quality
Quality of life