黄志君+潘燕英+何向红+陈锦妍+黄水凤

[摘要]目的 探讨舒适护理对剖宫产产妇在分娩期生理、心理的影响。方法 选取2014年6月～2016年6月在我院行剖宫产的160例初产妇作为研究对象，随机分为观察组80例及对照组80例。观察组采用常规护理加舒适护理模式，对照组采用常规护理模式。评价产妇焦虑、术后恢复情况、术后疼痛、护理满意度。结果 干预前两组产妇焦虑自评量表（SAS）评分无统计学差异（P>0.05）。干预后对照组SAS评分高于观察组，有统计学差异（P<0.05）。观察组在术后下床活动时间、首次肛门排气时间、术后第3天泌乳量充足方面均优于对照组，差异有统计学意义（P<0.05）。观察组术后疼痛VAS评分低于对照组，观察组护理满意度评分高于对照组，差异均有统计学意义（P<0.05）。结论 通过舒适护理，可以减少产妇焦虑情绪，减轻术后疼痛，促进产后更快恢复，改善泌乳情况，提高护理满意度。

[关键词]舒适护理；剖宫产；初产妇

[中图分类号] R473.71 [文献标识码] A [文章编号] 1674-4721（2017）04（a）-0162-04

Application of comfortable nursing in patients with cesarean section

HUANG Zhi-jun PAN Yan-ying HE Xiang-hong CHEN Jin-yan HUANG Shui-feng

Department of Obstetrics，the People′s Hospital of Yunfu in Guangdong Province，Yunfu 527300，China

[Abstract]Objective To explore the comfortable nursing on the physiological and psychological influences in women with cesarean section during childbirth.Methods From June 2014 to June 2016，160 primiparae performed with cesarean section in our hospital were selected as research objects and evenly divided into observation group and control group in random.In the observation group，regular nursing plus comfortable nursing was adopted，while in the control group，only regular nursing was used.The anxiety，postoperative recovery，postoperative pain，and nursing satisfaction were evaluated.Results There was no significant difference in SAS scores between the two groups before treatment （P>0.05）.After invervention，the SAS score in the control group was higher than that in the observation group （P<0.05）.In the observation group，time to be off bed after surgery，first anal exhaust time，and lactation yield in the third day after surgery were all superior to those in the control group with statistical differences （P<0.05）.The VAS score of postoperative pain was lower and score of nursing satisfaction was higher in the observation group，which were both displayed statistical differences （P<0.05）.Conclusion Comfortable nursing can reduce maternal anxiety，alleviate postoperative pain，promote quick postpartum recovery，and improve lactation as well as nursing satisfaction.

[Key words]Comfortable nursing；Cesarean section；Primipara

近幾年，越来越多的女性为避免自然分娩所带来的痛苦而接受剖宫产。但是，剖宫产术后的疼痛、焦虑等不适感为产妇们带来极大的困扰，也加大了术后的护理难度。如何通过一系列的护理操作减轻产妇的痛苦成为目前学者研究的重点。舒适护理的概念最初由Kolcaba于1995年提出[1]。而舒适护理模式目前国内学者主要推崇1998年台湾萧丰富先生提出的“萧氏双C护理”模式[2]。这种舒适护理模式的特点是使患者在生理、心理、社会、灵性各方面均到达最愉快的状态，或减低其不愉快程度[2]。这与目前提倡的以患者为中心的护理服务理念是一致的。本研究选取在我院产科进行剖宫产治疗的初产妇作为研究对象，在围术期实施舒适护理，获得了良好的临床效果，现报道如下。

1资料与方法

1.1一般资料

选取2014年6月～2016年6月在我院行剖宫产的160例产妇作为研究对象。入组标准：①年龄18～35岁；②……