[1]毛 燕,徐燕云.强化护理干预在缓解剖宫产术后肠胀气中的效果[J].医学信息,2022,35(19):189-192.[doi:10.3969/j.issn.1006-1959.2022.19.054]
　MAO Yan,XU Yan-yun.Effect of Intensive Nursing Intervention on Relieving Meteorism After Cesarean Section[J].Journal of Medical Information,2022,35(19):189-192.[doi:10.3969/j.issn.1006-1959.2022.19.054]
点击复制

强化护理干预在缓解剖宫产术后肠胀气中的效果()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年19期
页码:
189-192
栏目:
护理研究
出版日期:
2022-10-01

文章信息/Info

Title:
Effect of Intensive Nursing Intervention on Relieving Meteorism After Cesarean Section
文章编号:
1006-1959（2022）19-0189-04
作者:
毛 燕; 徐燕云
（金溪县中医院院办1，妇产科2，江西 金溪 344800）
Author(s):
MAO Yan; XU Yan-yun
(Institute Office1,Department of Obstetrics and Gynecology2,Jinxi County Hospital of Traditional Chinese Medicine,Jinxi 344800,Jiangxi,China)
关键词:
剖宫产; 强化护理干预; 肠胀气; 胃肠功能
Keywords:
Cesarean section; Intensive nursing intervention; Meteorism; Gastrointestinal function
分类号:
R473.6
DOI:
10.3969/j.issn.1006-1959.2022.19.054
文献标志码:
A
摘要:
目的 探讨强化护理干预在缓解剖宫产术后肠胀气的效果。方法 选取2019年3月-2021年3月我院行剖宫产产妇72例作为研究对象，按照随机数字表法分为RC组和IC组，每组36例。RC组给予常规护理干预，IC组给予强化护理干预，比较两组干预前后心理状况、术后胃肠功能恢复时间、不同阶段疼痛评分、肠胀气发生率、健康知识知晓率及对围产期护理的总体评价。结果 两组干预后HAMA、HAMD评分低于干预前，且IC组低于RC组（P＜0.05）；IC组首次排气、首次排便、肠鸣音恢复时间短于RC组，术后6、12、24 h VAS评分低于RC组（P＜0.05）；IC组术后肠胀气发生率为2.78%，低于RC组的16.67%（P＜0.05）；IC组预防肠胀气知识、剖宫产术知识、早期康复活动知识、合理饮食知识、自我护理知识的知晓率高于RC组（P＜0.05）；IC组总体评价高于RC组（P＜0.05）。结论 强化护理干预可缓解行剖宫产术产妇不良情绪，减轻产后疼痛感受，促进胃肠功能恢复，预防术后肠胀气，也能够提高产妇健康常识知晓率，增进护患关系。
Abstract:
Objective To explore the effect of intensive nursing intervention on relieving meteorism after cesarean section.Methods A total of 72 parturients who underwent cesarean section in our hospital from March 2019 to March 2021 were selected as the study subjects and divided into RC group and IC group according to the random number table method, with 36 cases in each group. The RC group was given routine nursing intervention, and the IC group was given intensive nursing intervention. The psychological status before and after intervention, postoperative gastrointestinal function recovery time, pain scores at different stages, incidence of meteorism, awareness rate of health knowledge and overall evaluation of perinatal nursing were compared between the two groups.Results The HAMA and HAMD scores of the two groups after intervention were lower than those before intervention, and the IC group was lower than the RC group (P<0.05). The recovery time of first exhaust, first defecation and bowel sounds in IC group was shorter than that in RC group, and the VAS scores at 6,12 and 24 h after operation were lower than those in RC group (P<0.05). The incidence of postoperative meteorism in the IC group was 2.78%, which was lower than 16.67% in the RC group (P<0.05). The awareness rates of intestinal flatulence prevention knowledge, cesarean section knowledge, early rehabilitation activity knowledge, reasonable diet knowledge and self-care knowledge in IC group were higher than those in RC group (P<0.05). The overall evaluation of IC group was higher than that of RC group (P<0.05).Conclusion Intensive nursing intervention can alleviate the bad mood of parturients undergoing cesarean section, reduce postpartum pain, promote the recovery of gastrointestinal function, prevent postoperative meteorism, improve the awareness rate of maternal health knowledge, and enhance the relationship between nurses and patients.

参考文献/References:

[1]代志俊.预见性护理促进剖宫产术后产妇胃肠功能恢复和早期泌乳的效果[J].河南外科学杂志,2020,25(1):188-189.[2]陈贝茹.品管圈活动在降低剖宫产术后肠胀气发生率中的应用[J].广州医科大学学报,2019,47(4):114-115.[3]熊晓妮,熊小娟,章芬芬,等.过程全覆盖式强化心理支持模式在剖宫产初产妇中的应用[J].齐鲁护理杂志,2021,27(13):149-151.[4]陈赟,叶美霞,钟印芹,等.品管圈优化中医护理方案实施促进剖宫产术后胃肠功能恢复的应用[J]. 中国实用护理杂志,2018,34(24):1870-1876.[5]孟庆中,江春丽,王继欣.饮食干预联合强化健康教育对剖宫产后产妇泌乳及胃肠功能恢复的影响[J].现代消化及介入诊疗,2018,23(2):257-259.[6]王华英,姚依坤,孙晓静.加速康复外科护理模式对剖宫产术后恢复的影响[J].护理研究,2021,35(5):905-907.[7]王芬秀,娄棣,赵凤萍.剖宫产后并发急性假性肠梗阻患者的临床观察与护理体会[J].国际护理学杂志,2021,40(2):323-327.[8]袁媛.心理护理和健康教育对剖宫产患者生活质量的影响[J].安徽卫生职业技术学院学报,2021,20(3):136-137.[9]张仙金,林昆.术中综合保温护理对剖宫产手术患者术中低体温和术后并发症的影响探究[J].中外医学研究,2021,19(21):95-97.[10]张聪.温热机与手术薄膜对剖宫产术中低温预防效果的对比研究[J].全科护理,2019,17(21):2630-2632.[11]李静.循证护理模式对剖宫产产妇术后胃肠功能及心理状况的影响[J]. 实用中西医结合临床,2021,21(14):147-148.[12]石英娜,贾丽,苏江涛,等.瘢痕子宫剖宫产应用加速康复外科理念麻醉管理的效果观察[J].临床误诊误治,2020,33(10):20-25.[13]沈桂美.饮食护理干预对剖宫产产妇术后泌乳及胃肠功能恢复的影响[J].包头医学,2018,42(1):58-59.[14]黄银璇.剖宫产术后早期口服补液盐对胃肠道功能恢复的影响[J].中外医学研究,2020,18(32):43-45.[15]汪丽君.基于快速康复外科理念的干预计划在剖宫产产妇产后生存与康复质量中的作用分析[J].中国基层医药,2020,27(12):1517-1520.[16]王雪芬,程相红,梁菲.强化专科护理在剖宫产患者产后康复中的应用效果[J].河南医学研究,2021,30(26):4969-4972.[17]崔瀛元.中西医结合护理对胃肠外科患者术后胃肠功能恢复及并发症的影响[J].医学信息,2021,34(20):179-181.[18]张海燕.整体护理对瘢痕子宫妊娠再次剖宫产产妇胃肠功能恢复及并发症的影响[J].基层医学论坛,2020,24(36):5316-5317.[19]张瑞.围术期整体护理对剖宫产产妇术后胃肠功能恢复和早期泌乳的效果[J].河南外科学杂志,2019,25(2):187-188.

相似文献/References:

[1]刘汉芬.剖宫产术后护理干预对产妇康复效果的影响分析[J].医学信息,2018,31(01):169.[doi:10.3969/j.issn.1006-1959.2018.01.067]
　LIU Han-fen.Effect of Nursing Intervention on Maternal Rehabilitation after Cesarean Section[J].Journal of Medical Information,2018,31(19):169.[doi:10.3969/j.issn.1006-1959.2018.01.067]
[2]刘 礼.影响剖宫产术后瘢痕子宫足月分娩结局的相关因素分析[J].医学信息,2018,31(02):109.[doi:10.3969/j.issn.1006-1959.2018.02.039]
　LIU Li.Analysis of Related Factors Influencing the Outcome of Full Term Delivery of Scar Uterus after Cesarean Section[J].Journal of Medical Information,2018,31(19):109.[doi:10.3969/j.issn.1006-1959.2018.02.039]
[3]李 欢,刘 俊,夏军辉.妊娠期高血压疾病患者血浆Pro BNP水平及其临床意义[J].医学信息,2018,31(04):158.[doi:10.3969/j.issn.1006-1959.2018.04.059]
　LI Huan,LIU Jun,XIA Jun-hui.Plasma Pro BNP Levels in Patients with Hypertensive Disorder Complicating Pregnancy and their Clinical Significance[J].Journal of Medical Information,2018,31(19):158.[doi:10.3969/j.issn.1006-1959.2018.04.059]
[4]鲁秋彤.经阴道彩色多普勒超声在诊断剖宫产子宫疤痕妊娠中的 价值研究[J].医学信息,2018,31(05):160.[doi:10.3969/j.issn.1006-1959.2018.05.058]
　LU Qiu-tong.The Value of Transvaginal Color Doppler Ultrasound in the Diagnosis of Cesarean Scar Pregnancy[J].Journal of Medical Information,2018,31(19):160.[doi:10.3969/j.issn.1006-1959.2018.05.058]
[5]蒋红梅.子宫下段横形环状压迫缝合术治疗前置胎盘剖宫产术中 胎盘剥离面出血的临床研究[J].医学信息,2018,31(07):120.[doi:10.3969/j.issn.1006-1959.2018.07.040]
　JIANG Hong-mei.Clinical Study on the Treatment of Placental Exfoliation Bleeding in Caesarean Section of Placenta Previa by Transverse Annular Compression Suture of Lower Uterine Segment[J].Journal of Medical Information,2018,31(19):120.[doi:10.3969/j.issn.1006-1959.2018.07.040]
[6]冉会仁.小剂量舒芬太尼在剖宫产术麻醉中预防寒战及 牵拉痛的疗效评价[J].医学信息,2018,31(08):101.[doi:10.3969/j.issn.1006-1959.2018.08.032]
　RAN Hui-ren.Evaluation of the Efficacy of Low-dose Sufentanil in Preventing Chills and Pulling Pain during Cesarean Section Anesthesia[J].Journal of Medical Information,2018,31(19):101.[doi:10.3969/j.issn.1006-1959.2018.08.032]
[7]王玉霞.剖宫产术后子宫疤痕妊娠的临床诊治[J].医学信息,2018,31(10):48.[doi:10.3969/j.issn.1006-1959.2018.10.015]
　WANG Yu-xia.Clinical Diagnosis and Treatment of Uterine Scar Pregnancy after Cesarean Section[J].Journal of Medical Information,2018,31(19):48.[doi:10.3969/j.issn.1006-1959.2018.10.015]
[8]熊 丽,蒋明珉,何娅娟.以护士为主导的疼痛管理模式在剖宫产围手术期的应用研究[J].医学信息,2019,32(01):179.[doi:10.3969/j.issn.1006-1959.2019.01.058]
　XIONG Li,JIANG Ming-min,HE Ya-juan.Application Study of Nurse-led Pain Management Model in Perioperative Period of Cesarean Section[J].Journal of Medical Information,2019,32(19):179.[doi:10.3969/j.issn.1006-1959.2019.01.058]
[9]王 颖,石显江,陈斯乔,等.多巴胺预注射在剖宫产腰硬联合麻醉的临床应用[J].医学信息,2019,32(11):150.[doi:10.3969/j.issn.1006-1959.2019.11.044]
　WANG Ying,SHI Xian-jiang,CHEN Si-qiao,et al.Clinical Application of Dopamine Pre-injection in Cesarean Section Combined with Spinal Anesthesia[J].Journal of Medical Information,2019,32(19):150.[doi:10.3969/j.issn.1006-1959.2019.11.044]
[10]龙俊青.臀位外倒转术的应用研究[J].医学信息,2019,32(12):61.[doi:10.3969/j.issn.1006-1959.2019.12.019]
　LONG Jun-qing.Application Study of Breech Presentation[J].Journal of Medical Information,2019,32(19):61.[doi:10.3969/j.issn.1006-1959.2019.12.019]

更新日期/Last Update: 1900-01-01