摘要
目的分析术前访视及术中正性暗示对剖宫产产妇术后恢复的作用。方法选择自2012年1月至2013年1月期间我院行剖宫产的初产妇158例，随机分为对照组及观察组，对照组采用常规护理措施，观察组采用术前访视及术中正性暗示干预，对两组产妇进入手术室后及手术进行前采用恐惧视觉模拟评分法（FAVS）进行恐惧评分、采用疼痛视觉模拟评分法（VAs）进行疼痛评分，并记录产妇恢复情况。结果观察组人手术室后及手术前FAVS评分观察组较对照组有显著性差异（x^2=14．832，P〈0．05，x^2=18．154，P〈0．05）。观察组24h及48hVAS评分较对照组有显著性差异（x^2=10．972，P％0．05）。观察组产妇肛门排气时间、下床活动时间、乳量充足时间均显著短于对照组（P〈0．05），两组导尿管拔除时间无统计学差异（P〉0．05）。结论对接受剖宫产的初产妇进行术前访视及术中正性暗示可有效促进手术期间患者内心恐惧感的消除，有效促进产后恢复。
Objective To analyse the efficacy of preoperative visit and surgery for cesarean section. Methods From January 2012 to January 2013 in our hospital 158 cases were randomly divided into control group and obser- vation group. Control group accepted conventional care measures, observation group accepted preoperative visit and postive suggestive intervention, FAVS were used to measure the fear after entering the operating room and before surgery,using the pain visual analog scale （VAS） for pain score and record maternal recovery. Results After the observation group and into the operating room and before surgery FAVS score of observation group than the control group showed significant difference （x^2= 14.832, P〈0.05,x^2=18. 154, P〈0.05）. Observation group at 24 h and 48 h VAS score than the control group showed significant difference （Xz = 10. 972, P〈0.05）. Observation group maternal flatus, ambulation, milk sufficient time was significantly shorter than the control group （P〈0.05）, catheter removal time showed no significant statistical difference （P〈0.05） . OOflClusiofl Preoperative and intra- operative positive intervention can effectively promote the elimination of inner fear and accelerate promotion of postpartum recovery for those accepted cesarean primipara patients.
出处
《国外医学（医学地理分册）》
CAS
2013年第3期180-183,共4页
Foreign Medical Sciences：Section of Medgeography
关键词
术前访视
正性暗示
初产妇
剖宫产
preoperativevisit
positive suggestion
primipara
cesarean section
