助产士主导的加速康复外科对剖宫产术后疼痛程度及护理满意度的影响

Effect of Midwife-led ERAS on Postoperative Pain Degree and Nursing Satisfaction in Puerperae with Cesarean Section

杨学智¹

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作者信息

1. 上饶市立医院妇产科,江西上饶 334000
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摘要

目的:探讨助产士主导的加速康复外科(ERAS)对剖宫产术后疼痛程度及护理满意度的影响.方法:选取2021年12月—2022年12月上饶市立医院行剖宫产的70例产妇作为研究对象,按单双号法将其随机分为助产士主导组(n=35,单号,采用由助产士主导的ERAS干预方案)和常规护理组(n=35,双号,采用常规干预措施).比较两组产妇术后恢复情况、术后疼痛程度、产后并发症发生情况及护理满意度.结果:助产士主导组首次下床活动、首次排气、首次排便、拔除尿管时间均明显短于常规护理组,术后24h出血量明显低于常规护理组,差异有统计学意义(t=7.008、5.825、7.643、3.030、2.245,P＜0.05);术后第1～3d,两组产妇疼痛评分均呈下降趋势,且助产士主导组疼痛评分均明显低于同期常规护理组,差异有统计学意义(t=2.429、3.141、3.433,P＜0.05);助产士主导组产后并发症总发生率低于常规护理组,护理总满意度高于常规护理组,差异有统计学意义(x2=4.200、8.737,P＜0.05).结论:助产士主导的ERAS可有效降低剖宫产产妇术后疼痛程度和并发症发生率,加快术后康复速度,提高护理满意度.

Abstract

Objective:To explore the effect of midwife-led enhanced recovery after surgery(ERAS)on postoperative pain degree and nursing satisfaction in puerperae undergoing cesarean section.Methods:70 puerperae who underwent elective cesarean section in the hospital from December 2021 to December 2022 were selected and randomly divided into midwife-led group(n=35,odd number,implementation of midwife-led ERAS intervention regimen)and conventional nursing group(n=35,even number,conventional intervention measure)according to the odd-even number method.The postoperative recovery status,postoperative pain degree,occurrence of postpartum complications and nursing satisfaction were compared between both groups.Results:The time of first getting out of bed,first exhaust,first defecation and catheter extraction in the midwifer-led group was significantly shorter than that in the conventional care group,and the blood loss 24 h after surgery was significantly lower than that in the conventional care group,with statistically significant difference(t=7.008,5.825,7.643,3.030,2.245;P＜0.05).1st to 3rd day after surgery,the pain scores of the two groups showed a downward trend,and the pain scores of the midwifer-led group were significantly lower than those of the conventional nursing group,with statistically significant difference(t=2.429,3.141,3.433;P＜0.05).The total incidence of postpartum complications in the midwifer-led group was lower than that in the conventional nursing group,and the total nursing satisfaction was higher than that in the conventional nursing group,with statistically significant difference(x2=4.200,8.737;P＜0.05).Conclusion:Midwife-led ERAS can effectively reduce the postoperative pain degree and incidence rates of complications,accelerate the postoperative rehabilitation speed,and improve the nursing satisfaction in puerperae with cesarean section.

关键词

剖宫产术/助产士/加速康复外科/术后疼痛程度/产后并发症/护理满意度

Key words

Cesarean section/Midwife/Enhanced recovery after surgery/Postoperative pain degree/Postpartum complications/Nursing satisfaction

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出版年

2024

黑龙江医学

中华医学会黑龙江分会

黑龙江医学

影响因子：0.714

ISSN：1004-5775

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