加速康复外科护理在剖宫产产妇中的应用效果

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中文摘要：目的:观察加速康复外科(ERAS)护理模式在剖宫产产妇中的应用效果.方法:选取 2020 年 12 月至 2022 年 12 月于该院行剖宫产的 98 例产妇进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各 49 例.对照组实施常规护理,观察组实施ERAS护理,比较两组术后康复指标(首次肛门排气时间、下床活动时间、排便时间、住院时间)水平、护理前后舒适度[Kolcaba的舒适状况量表(GCQ)]评分、并发症发生率及护理满意度.结果:观察组首次肛门排气时间、下床活动时间、排便时间、住院时间均短于对照组,差异有统计学意义(P<0.05);护理后,两组生理、心理、环境、社会文化等GCQ评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为 4.08%(2/49),低于对照组的 16.33%(8/49),差异有统计学意义(P<0.05);观察组护理满意度为 95.92%(47/49),高于对照组的 81.63%(40/49),差异有统计学意义(P<0.05).结论:ERAS护理应用于剖宫产产妇可提高舒适度评分和护理满意度,以及降低术后康复指标水平和并发症发生率的效果优于常规护理效果.

外文标题：Application effects of enhanced recovery after surgery nursing in parturients with cesarean section

外文摘要：Objective:To observe application effects of enhanced recovery after surgery(ERAS)nursing in parturients with cesarean section.Methods:A prospective study was conducted on 98 parturients who underwent cesarean section in this hospital from December 2020 to December 2022.According to the random number table method,they were divided into control group and observation group,49 cases in each group.The control group was given routine nursing,while the observation group was given the ERAS nursing.The levels of postoperative rehabilitation indexes(first anal exhaust time,ambulation time,defecation time,hospitalization time),the comfort[Kolcaba's comfort questionnaire(GCQ)]scores before and after the nursing,the incidence of complications,and the nursing satisfaction were compared between the two groups.Results:The first anal exhaust time,the ambulation time,the defecation time and the hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the GCQ scores of physiology,psychology,environment,social culture in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 4.08%(2/49),which was lower than 16.33%(8/49)in the control group,and the difference was statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 95.92%(47/49),which was higher than 81.63%(40/49)of the control group,and the difference was statistically significant(P<0.05).Conclusions:The ERAS nursing for the parturients with cesarean section can improve the comfort scores and the nursing satisfaction,and reduce the levels of postoperative rehabilitation indexes and the incidence of complications.Moreover,it is superior to the routine nursing.

外文关键词：

Cesarean sectionEnhanced recovery after surgery nursingPainComfortComplication

作者：

武欢欢、袁玲玲

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作者单位：

驻马店市中心医院妇女儿童医院家庭化产房,河南驻马店 463000

关键词：

剖宫产加速康复外科护理疼痛舒适度并发症

出版年：

2024

DOI：