首页|MPMM结合赋能教育干预对剖宫产产妇的影响

MPMM结合赋能教育干预对剖宫产产妇的影响

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目的:探讨曼彻斯特疼痛管理模式(MPMM)结合赋能教育干预对剖宫产产妇的影响。方法:选择 2022 年10 月—2023 年 10 月于厦门大学附属妇女儿童医院收治的 100 例剖宫产产妇,根据干预方法的不同分为对照组和研究组,各50 例。对照组采用常规干预,研究组采用MPMM结合赋能教育干预。比较两组术后疼痛程度、术后恢复情况、负性情绪、纯母乳喂养情况。结果:术后 8 h、12 h、24 h,研究组静息和运动状态下疼痛数字评分法(NRS)评分均低于对照组,差异有统计学意义(P<0。05)。研究组下床活动时间早于对照组,差异有统计学意义(P<0。05)。干预后,研究组汉密顿焦虑量表(HAMA)评分、汉密顿抑郁量表(HAMD)评分均低于对照组,差异有统计学意义(P<0。05)。研究组泌乳始动时间短于对照组,纯母乳喂养率、母乳喂养自我效能简式量表(BSES-SF)评分高于对照组,差异有统计学意义(P<0。05)。结论:MPMM结合赋能教育干预能够减轻剖宫产产妇术后的疼痛,促进术后恢复,改善产妇负性情绪,提高纯母乳喂养率。
Effect of MPMM Combined with Enabling Education Intervention on the Parturients in Cesarean Section Parturient
Objective:To explore the effect of Manchester pain management model(MPMM)combined with enabling education intervention on cesarean section parturient.Method:A total of 100 cases of cesarean section delivered in Women and Children's Hospital Affiliated to Xiamen University from October 2022 to October 2023 were selected,and divided into control group and study group according to different intervention methods,with 50 cases in each group.The control group was treated with routine intervention,and the study group was treated with MPMM combined with enabling education intervention.The degree of postoperative pain,postoperative recovery,negative emotion and exclusive breast-feeding were compared between the two groups.Result:At 8 h,12 h and 24 h after operation,the numerical rating scale(NRS)scores at rest and exercise of the study group were lower than those of the control group,and the differences were statistically significant(P<0.05).The time of getting out of bed in the study group was earlier than that in the control group,and the difference was statistically significant(P<0.05).After the intervention,the Hamilton anxiety scale(HAMA)scores and Hamilton depression scale(HAMD)scores in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).The lactation initiation time of the study group was shorter than that of the control group,and the exclusive breast-feeding rate and breast-feeding self-efficacy scale short form(BSES-SF)score of the study group were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion:MPMM combined with enabling education intervention can reduce pain after uterine labor,promote postoperative recovery,improve maternal negative emotions,and increase the rate of exclusive breast-feeding.

Manchester pain management modelEnabling educationCaesarean sectionBreast-feeding

许婉真

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厦门大学附属妇女儿童医院(厦门市妇幼保健院) 福建厦门 361026

曼彻斯特疼痛管理模式 赋能教育 剖宫产 母乳喂养

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(5)
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