舒适护理对剖宫产患者疼痛及应激水平的影响.docVIP

舒适护理对剖宫产患者疼痛及应激水平的影响 　　[摘要] 目的 探讨舒适护理对剖宫产患者疼痛及应激水平的影响。 方法 选择2011年6月～2013年4月义乌市中医医院妇产科50例行择期剖宫产术患者作为研究对像，将其随机分为对照组和观察组，每组各25例。对照组给予常规观察和护理，观察组在对照组护理的基础上给予舒适护理，观察两组患者入手术室时和手术结束前10 min的焦虑自评量表评分（SAS评分）和皮质醇（Cort）水平变化，采用视觉模拟评分法（VAS评分）记录患者术后24 h的疼痛情况，并使用调查表的形式调查患者对护理的满意度，并对以上数据进行统计分析。 结果 ①干预前两组SAS焦虑自评差异无统计学意义（P 0.05），干预后对照组和观察组的SAS评分分别为（48.62±8.36）、（35.31±5.96）分，两组比较，差异有高度统计学意义（P 0.05），干预后对照组和观察组的Cort水平分别为（3.49±0.91）、（2.38±0.52）分，两组比较，差异有统计学意义（P 0.05）；③干预后观察组的VAS评分、患者满意度均优于对照组（P 0.05或P 0.01）。 结论 舒适护理干预可有效缓解剖宫产患者疼痛症状，减轻患者的手术应激反应，提高患者的满意度。 　　[关键词] 舒适护理；剖宫产；术后疼痛；应激水平 　　[中图分类号] R47 [文献标识码] C [文章编号] 1673-7210（2014）02（c）-0111-03 　　Effect of comfortable nursing on postoperative pain and stress reaction of cesarean section patients 　　JIN Haiyan1 HE Lanjuan1 YE Caimei2 　　1.Department of Obstetrics and Gynecology， Hospital of Traditional Chinese Medicine of Yiwu City， Zhejiang Province， Yiwu 322000， China； 2.Department of Matermity， Womens Hospital Affiliated to School of Medicine Zhejiang University， Zhejiang Province， Hangzhou 310006， China 　　[Abstract] Objective To investigate the effect of comfortable nursing on postoperative pain and stress reaction of cesarean section patients. Methods 50 patients undergoing elective cesarean section in Obstetrics and Gynecology Department of Hospital of Traditional Chinese Medicine of Yiwu City from June 2011 to April 2013 were selected as study objects and randomly divided into experimental group and control group， with 25 cases in each group. The control group was received routine observation and nursing interventions. On the basis of conventional measures of control group， the experimental group were given the comfortable nursing in addition. The change of state trait anxiety scores （SAS） and cortisol of patients in two groups were observed when entering the operating room and at 10 min before the end of surgery， the VAS scores in postoperative 24 h were recorded by visual analogue scale （VAS）， the satisfaction of patients