剖宫产术后疼痛护理干预研究.doc

剖宫产术后疼痛护理干预研究 　　[摘要] 目的 探讨剖宫产术后疼痛的护理干预及其效果。方法 200例剖宫产产妇随机分为对照组和干预组，对照组常规护理，干预组实施缓解疼痛的综合护理，比较两组产妇疼痛强度、发生时间及VAS评分。结果 干预组产妇剖宫产术后疼痛强度低于对照组（P 　　[关键词] 综合护理干预；剖宫产；疼痛；护理质量 　　[中图分类号] R473.71[文献标识码] B[文章编号] 1673-9701（2012）10-0103-02 　　Study of comprehensive nursing intervention on postoperative pain of cesarean section 　　HE Yan 　　Department of Obstetrics，the Maternal and Child Health Center of Zhoushan City in Zhejiang Province, Zhoushan 316000，China 　　[Abstract] Objective To explore messure and effect of nursing intervention on postoperative pain of cesarean section. Methods All 200 caesarean women were randomly divided into intervention group received comprehensive nursing intervention for pain and control group received conventional nursing care, intensity and occurrencing time of pain were contrasted and score of VAS were compared between two groups. Results The postoperative ache of cesarean section was lighter in intervention group than that in control group, occurrencing time of pain was later in intervention group than that in control group, score of VAS were lower in intervention group than that in control group. Conclusion The comprehensive nursing intervention could lessen postop- erative pain of cesarean section,improve quality of care. 　　[Key words] Comprehensive nursing intervention；Cesarean section；Pain；Quality of care. 　　剖宫产是一种有创的分娩方式，腹部切口及产后子宫收缩疼痛影响产妇休息、睡眠，还可抑制乳汁分泌，延缓产妇术后康复[1]。因此，剖宫产术后疼痛成为护理人员的重要工作内容。近年来，我们采用综合护理措施对剖宫产术后疼痛进行护理干预，取得较好护理效果，现报道如下。 　　 　　1 资料与方法 　　1.1 一般资料 　　选择2009年10月~2010年10月在我院行剖宫产手术200例产妇作为研究对象，随机分为对照组和干预组各100例。所有产妇麻醉方式均为硬膜外麻醉，术后均留置镇痛泵。排除心理精神障碍、产后新生儿缺陷以及伴有其他严重并发症的产妇。两组的年龄、文化程度、孕周等一般资料差异无统计学意义（P ＞ 0.05），具有可比性。 　　1.2 护理干预方法 　　对照组给予剖宫产术后常规护理，干预组在此基础上实施缓解疼痛的综合护理方案，具体如下：① 疼痛评估。护理人员掌握疼痛的评估方法，增加巡视次数，根据产妇主诉、临床表现准确评估疼痛部位、性质及程度等，并做好记录，制定针对性的疼痛控制综合干预方案，帮助产妇解除痛苦，平安度过围产期。② 健康教育。向产妇讲解剖宫产术后止痛的重要性，疼痛出现的大致时间、常用镇痛方法等，鼓励产妇及时诉说疼痛，增强其心理耐受能力，积极主动配合治疗，促进切口早期愈合。③ 转移注意力。可通过看电视、小说，听故事、音乐，抚摩切口周围皮肤，想象自己在田野散步等，从视觉、听觉、意识等多方面转移注意力，降低对疼痛的反应。④ 放松训练。指导产妇进行深呼吸，聆