护理干预对剖宫产产妇产后恢复的影响观察(1)
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[摘要] 目的 探讨护理干预对剖宫产产妇产后恢复情况的影响。方法 选取2011年1～6月于本院进行剖宫产生产的150例产妇为研究对象，将其随机分为对照组(传统护理模式组)75例和观察组(加强护理干预组)75例，后将两组产妇的排气、拔管、进食及泌乳时间、产后乳房泌乳、胀痛及硬结发生率进行统计及比较。结果 观察组排气、拔管、进食及泌乳时间、产后乳房泌乳、胀痛及硬结发生率均优于对照组，有显著性差异(P均<0.05)。结论 对剖宫产产后产妇加强护理干预可以显著改善患者的泌乳情况，并可缩短产妇的术后恢复时间。
[关键词] 护理干预；剖宫产；产后恢复；影响
[中图分类号] R473.71 [文献标识码] B [文章编号] 1673-9701(2011)33-103-02
The Observation of the Effect for Nursing Intervention on the Impact of Cesarean Section Postpartum Recovery
WANG Xiufen LIN Huajuan PENG Xiaohua GUO Enxing ZHOU Rihong HUANG Xiaohua
Department of Gynaecology，the Third People's Hospital of Cangnan，Cangnan 325804，China
[Abstract] Objective To investigate the effect of nursing intervention on the cesarean section postpartum recovery situation. Methods All 150 cases of maternal cesarean section from January 2011 to June 2011 in our hospital for the production were chosen as the research object. They were randomly divided into the control group(traditional model of care group)with 75 cases and the observation group(enhanced care intervention group)with 75 cases. The exhaust，extubation，time consuming and lactation，postpartum breast milk，the incidence of pain and induration for the two groups were compared. Results The exhaust，extubation，time consuming and lactation，postpartum breast milk，the incidence of pain and induration for the observation group were better than the control group(P<0.05). There were significant difference. Conclusion Nursing intervention on the impact of cesarean section postpartum can improve the situation of patients with lactation and reduces the mother's postoperative recovery time.
[Key words] Nursing intervention；Cesarean section；Postpartum recovery；Impact
近年来随着社会及产妇要求等多种因素的影响，剖宫产的生产率呈现不断上升的趋势，而与剖宫产相关的多项因素也随之得到广泛的研究，其中术后的产妇恢复状况成为研究的重点之一[1]。而排除手术对产妇的影响，护理对产妇产后的影响也较大，因此产后护理不可忽视。本文中我们就加强护理干预对产妇产后恢复情况的影响进行观察，现将结果总结报道如下。
1 资料与方法
1.1 一般资料
选取2011年1~6月于本院进行剖宫产生产的150例产妇为研究对象，将其随机分为对照组(传统护理模式组)75例和观察组(加强护理干预组)75例。对照组的75例产妇年龄为21.5～33.6岁，平均(27.5±4.6)岁，孕周37.2～40.4周，平均(38.7±1.2)周。观察组的75例产妇年龄为21.3～33.8岁，平均(27.7±5.0)岁，孕周37.1～40.5周，平均(38.6±1.3)周。两组产妇的各项基本资料进行比较，均无显著性差异。
1.2 方法
对照组采用传统护理模式进行护理，给予患者术后相应的护理，包括生命体征、手术切口情况、子宫收缩情况、饮食及体位等，并给予相应的健康宣教，同时对于术后治疗进行相应的护理配合。观察组采用加强护理干预的方法进行护理，针对每位产妇的自身情况结合手术情况进行综合护理评估 ......
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