摘要
目的分析快速康复外科(Fast Track Surgery,FTS)护理模式在剖宫产产妇中的应用效果。方法随机选取2022年6月-2023年6月福建医科大学附属泉州第一医院行剖宫产手术的80例产妇作为研究对象,按照随机数表分为两组,每组40例。对照组接受常规围术期护理措施,研究组在其基础上采用FTS理念对围术期护理进行改进与优化。针对两组产妇护理前后的中文版舒适度状况量表(General Comfort Questionnaire,GCQ)评分、产后泌乳始动时间与产后第2天泌乳量,以及护理满意度进行评价与比较。结果护理前,两组GCQ量表中生理、心理精神、社会文化、环境维度评分对比,差异无统计学意义(P均>0.05);护理后,研究组GCQ量表中生理维度为(13.45±1.00)分、心理精神维度为(30.52±4.56)分高于对照组的(10.86±1.56)分、(23.65±2.45)分,差异有统计学意义(t=8.840、8.394,P均<0.05),社会文化、环境维度评分与对照组对比,差异无统计学意义(P均>0.05)。研究组产妇泌乳始动时间短于对照组,产后第2天泌乳量高于对照组,差异有统计学意义(P均<0.05)。研究组产妇对于本次护理服务的总满意率高于对照组,差异有统计学意义(P<0.05)。结论基于FTS的护理模式能够有效改善剖宫产产妇的舒适度,促进泌乳,且提高了护理满意度。
Objective To analyze the application effect of Fast Track Surgery(FTS)nursing model in parturients with cesarean section.Methods A total of 80 parturients who underwent cesarean section in Quanzhou First Hospital Affili-ated to Fujian Medical University from June 2022 to June 2023 were randomly selected as the research objects.They were divided into two groups according to the random number table,with 40 cases in each group.The control group re-ceived routine perioperative nursing measures,and the study group used FTS concept to improve and optimize periop-erative nursing on the basis of routine perioperative nursing measures.The Chinese version of the General Comfort Questionnaire(GCQ)score,postpartum lactation initiation time and lactation volume on the second day after delivery,and nursing satisfaction were evaluated and compared between the two groups before and after nursing.Results Before nursing,there was no statistically significant difference in the scores of physiological,psychological,socio-cultural,and environmental dimensions between the two groups of GCQ scales(all P>0.05).After nursing,the physiological di-mension score and psychological dimension score of the GCQ scale in the study group were(13.45±1.00)points and(30.52±4.56)points,respectively,higher than those in the control group(10.86±1.56)points and(23.65±2.45)points,the differences were statistically significant(t=8.840,8.394,both P<0.05).However,in the scores of social,cultural,and environmental dimensions compared to the control group,the differences were not statistically significant(both P>0.05).The onset time of lactation in the study group was shorter than that in the control group,and the lactation vol-ume on the second day after delivery was higher than that in the control group,the differences were statistically signifi-cant(both P<0.05).The overall satisfaction rate of the study group's postpartum women with this nursing service was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The nursing model based on FTS can effectively improve the comfort of cesarean section,promote lactation,and improve nursing satisfaction.
作者
杜丽芳
宋志华
黄玉芬
DU Lifang;SONG Zhihua;HUANG Yufen(Department of Gynecology and Obstetrics,Quanzhou First Hospital Affiliated to Fujian Medical University,Quanzhou,Fujian Province,362000 China)
出处
《中外医疗》
2024年第4期163-166,170,共5页
China & Foreign Medical Treatment
关键词
快速康复外科
护理
剖宫产
产妇
Fast track surgery
Nursing
Caesarean section
Parturients
