Influence of comfortable nursing intervention on pain and stress reactions for patients after cesarean section
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摘要:目的 探讨剖宫产术后舒适护理对患者疼痛及应激反应的影响。方法 将本院接诊的80例行剖宫产孕妇按照随机数表法分为观察组和对照组，每组40例。观察组患者术后采取舒适护理干预，对照组患者术后实行常规护理。对比2组患者干预前后疼痛、焦虑和应激反应、护理满意程度及并发症情况。结果 干预前, 2组焦虑评分(SAS)差异无统计学意义(P > 0.05); 干预后, 2组SAS评分均显著降低，且观察组显著低于对照组(P < 0.05)。干预前, 2组患者视觉模拟法(VAS)评分比较差异无统计学意义(P > 0.05); 干预后, 2组VAS评分均显著降低，且观察组显著低于对照组(P < 0.05)。干预前, 2组皮质醇(Cor)水平比较差异无统计学意义(P > 0.05); 干预后, 2组Cor水平显著降低，且观察组显著低于对照组(P < 0.05)。观察组满意度显著高于对照组，并发症发生率显著低于对照组(P < 0.05)。结论 术后实行舒适护理干预能够有效缓解患者疼痛，减轻术后应激反应，有助于缓解患者的焦虑情绪，提高护理满意度，促进患者恢复。Abstract:Objective To explore the influence of comfortable nursing intervention on pain and stress of patients after cesarean section.Methods A total of 80 pregnant women who received cesarean section in our hospital were selected as study subjects, and were divided into observation group and control group according to random number table method. The patients in the observation group(n=40) received comfortable nursing after operation, while those in the control group(n=40) received routine nursing after operation. The pain, anxiety and stress reaction, nursing satisfaction and incidence of complications of the two groups before and after intervention were compared.Results Before intervention, there were no significant differences in Self-rating Anxiety Score(SAS) score, Visual Anlogue Scale(VAS) scores, and Cortisol(Cor) level between the two groups (P > 0.05); after intervention, the SAS scores, Cor level and VAS scores of the two groups were significantly reduced, and the observation group was significantly lower than that in the control group(P < 0.05). The satisfaction of the observation group was significantly higher, and the incidence of complications was significantly lower than that of the control group (P < 0.05).Conclusion Nursing intervention of cesarean section can effectively relieve the pain, reduce the postoperative stress reaction, alleviate the anxiety of patients, improve nursing satisfaction, and promote the recovery of patients.
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Keywords:
- cesarean section /
- comfort care /
- pain /
- stress reaction /
- satisfaction degree /
- complications
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表 1 2组患者焦虑、疼痛评分情况比较(x±s)
分 组别 焦虑评分 疼痛评分 干预前 干预后 干预前 干预后 观察组(n=40) 44.48±6.15 31.70±5.32*# 9.52±2.62 4.51±0.64*# 对照组(n=40) 43.85±6.13 36.45±5.10* 8.94±3.15 7.15±0.56* 与干预前比较, *P < 0.05; 与对照组比较, #P < 0.05。 
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表 2 2组患者皮质醇浓度情况比较(x±s)
nmol/L 组别 n 干预前 干预后 观察组 40 861.02±112.85 407.10±54.43*# 对照组 40 858.65±105.23 682.28±83.10* 与干预前比较, *P < 0.05; 与对照组比较, #P < 0.05。
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表 3 2组并发症情况比较[n(%)]
组别 n 睡眠差 泌乳少 恶露增加 合计 观察组 40 2(5.00) 1(2.50) 1(2.50) 4(10.00)* 对照组 40 5(12.50) 3(7.50) 4(10.00) 12(30.00) 与对照组比较, *P < 0.05。
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