The value of puerperium nursing mode in nursing after cesarean section
产褥期护理模式在剖宫产术后护理中的价值

摘要

目的 分析产褥期护理模式在剖宫产术后护理中的价值。方法 以我院产科2020年1月至12月就诊的100例剖宫产产妇为本次研究对象，所有研究对象以随机数字法分为常规组和观察组，每组各50例，其中常规组产妇给予常规术后护理，观察组产妇开展术后产褥期护理模式。统计对比两组产妇产后不良事件发生率（乳腺炎、子宫复旧不全、失眠、下肢深静脉血栓、感染、便秘、尿潴留）及临床指标（卧床时长、住院时长及产褥期结束时的子宫底高度、产褥期恶露排出时长）。结果 （1）常规组和观察组产妇产后不良事件发生率分别为14.00%（7/50）、2.00%（1/50），常规组产妇产后不良事件发生率显著高于观察组（χ2=4.891、P=0.027）。（2）常规组卧床时长、住院时长及产褥期结束时的子宫底高度、产褥期恶露排出时长等各临床指标均显著高于观察组（t=8.885、P=0.000；t=8.627、P=0.000；t=8.930、P=0.000；t=14.926、P=0.000）。结论 在剖宫产术后护理中开展产褥期护理模式，可有效降低产妇产后不良事件发生率，缩短产妇术后临床指标，值得临床推广。

Abstract

Objective To analyze the value of puerperium nursing mode in nursing after cesarean section.
Methods 100 cases of cesarean section women who visited the obstetrics department of our hospital from January to December 2020 were selected as the research subjects. All subjects were randomly divided into a routine group and an observation group, with 50 cases in each group. The puerperium in the group was given routine posto- perative care, while the puerperium in the observation group was given the post-operative puerperium nursing mode. The incidence rates of postpartum adverse events (mastitis, uterine involution, insomnia, lower extremity deep vein thrombosis, infection, constipation, and urinary retention) and clinical indicators (length of bed rest, length of hospital stay, and fundus height at the end of the puerperium period) were statistically compared between the two groups. puerperal lochia discharge duration).
Results (1) The incidence of postpartum adverse events in routine group and observation group were 14.00% (7/50) and 2.00% (1/50), respectively, and the incidence of postpartum adverse events in routine group was significantly higher than that in observation group (χ2=4.891, P=0.027). (2) The clinical indicators such as the length of bed rest, the length of hospital stay, the height of the uterus at the end of the puerperium, and the length of lochia discharge during the puerperium in the routine group were significantly higher than those in the observation group (t=8.885, P=0.000; t=8.627, P=0.000; t=8.930, P=0.000; t=14.926, P=0.000).
Conclusion   Carrying out the puerperium nursing mode in the nursing after cesarean section can effectively reduce the incidence of postpartum adverse events and shorten the clinical indicators of postpartum women, which is worthy of clinical promotion.