摘要
目的:探讨快速康复护理模式对剖宫产术产妇的临床效果及对其睡眠质量的影响。方法:选取2019年2月至2021年3月南华大学附属第二医院收治的剖宫产术产妇100例作为研究对象,随机分为对照组和观察组,每组50例。对照组采用常规护理模式完成护理干预,观察组在对照组护理基础上采用快速康复护理模式完成护理干预;比较2组产妇术后恢复指标(首次下床活动时间、术后24 h出血量、泌乳始动时间、胃肠功能恢复时间、住院时间)、尿潴留发生率、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、睡眠效率、入睡时间、睡眠时间以及匹兹堡睡眠质量指数量表(PSQI)评分。结果:观察组首次下床活动时间、术后24 h出血量、泌乳始动时间、胃肠功能恢复时间、住院时间均少于对照组,2组比较差异均有统计学意义(均P<0.05);观察组尿潴留发生率低于对照组,2组比较差异有统计学意义(P<0.05);护理前,2组产妇SAS评分、SDS评分比较,差异均无统计学意义(P>0.05);护理后,观察组SAS评分、SDS评分均低于对照组,2组比较差异均有统计学意义(P<0.05);护理后,观察组睡眠效率高于对照组,入睡时间短于对照组,睡眠时间长于对照组,2组比较差异均有统计学意义(P<0.05);护理前,2组PSQI评分比较,差异无统计学意义(P>0.05);护理后,观察组PSQI评分低于对照组,2组比较差异有统计学意义(P<0.05)。结论:快速康复护理模式应用于剖宫产术产妇,可提高产妇术后恢复效果和睡眠质量,显著改善产妇的心理状态,改善剖宫产术产妇的预后水平。
Objective:To explore the effect of nursing intervention on sleep quality of women undergoing cesarean section by using rapid rehabilitation nursing mode.Methods:A total of 100 women undergoing cesarean section from February 2019 to March 2021 from the Second Affiliated Hospital of Nanhua University were selected for nursing study.The patients were randomly divided into two groups,50 cases in each group and 50 cases in the control group(routine nursing mode)and observation group(rapid rehabilitation nursing mode).Compare two groups of patients with postoperative recovery index(the first time out of bed activity,24 h blood loss,postoperative mammary initiating time,gastrointestinal function recovery time,hospital stay),the incidence of urinary retention,self-rating Anxiety Scale(SAS)score,self-rating Depression Scale(SDS)score,sleep efficiency,the time to fall asleep,sleep time and PSQI(Pittsburgh sleep quality index)score.Results:The first time of getting out of bed,the amount of bleeding 24 hours after operation,the time of lactation initiation,the time of gastrointestinal function recovery and the length of hospital stay in the observation group were all lower than those in the control group,and the differences between the two groups were statistically significant(all P<0.05).The incidence of urinary retention in the observation group was lower than that in the control group,and the difference between the two groups was statistically significant(P<0.05).Before nursing,there was no statistical significance in SAS score and SDS score between 2 groups(P>0.05).After nursing,the SAS score and SDS score of the observation group were lower than those of the control group,and the differences between the two groups were statistically significant(P<0.05).After nursing,the sleep efficiency of the observation group was higher than that of the control group,the time to fall asleep was shorter than that of the control group,and the sleep time was longer than that of the control group,the differences between the two groups were statistically significant(P<0.05).Before nursing,there was no significant difference in PSQI scores between the two groups(P>0.05).After nursing,PSQI score of observation group was lower than control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion:The effective application of rapid rehabilitation nursing mode can significantly improve the postoperative recovery,sleep quality and psychological state of patients,and improve the prognosis level of patients undergoing cesarean section.
作者
曾彩平
向冬连
ZENG Caiping;XIANG Donglian(Drug Phase Ⅰ Clinical Trial Ward of the Second Affiliated Hospital of Nanhua University,Hengyang 421001,China;Obstetrics of the Second Affiliated Hospital of Nanhua University,Hengyang 421001,China)
出处
《世界睡眠医学杂志》
2023年第2期300-302,共3页
World Journal of Sleep Medicine
关键词
剖宫产术
快速康复护理模式
术后恢复
睡眠质量
Cesarean section
Rapid rehabilitation nursing mode
Postoperative recovery
The quality of sleep
