整体护理在剖宫产产妇围术期中的临床应用观察

目的探讨整体护理在剖宫产产妇围术期中的临床应用。方法选取2011年2月前后我院收治的择期行剖宫产产妇100例为观察组和对照组。对照组予以常规护理,观察组实施整体护理。比较两组产后恢复情况(离床活动时间、肛门排气时间、拔除尿管时间及术后48 h疼痛评分)、并发症及新生儿Apgar评分。结果观察组产妇离床活动时间、肛门排气时间、拔除尿管时间均明显早于对照组(P<0.01),术后48 h疼痛评分显著低于对照组(P<0.05)。观察组产妇并发症明显少于对照组(P<0.05),新生儿Apgar评分≥8分者明显多于对照组(P<0.05)。结论在剖宫产产妇围术期中采用整体护理,能有效促进剖宫产产妇产后恢复,减少并发症,提高新生儿出生质量,值得临床推广应用。

Clinical observation of holistic nursing on cesarean section maternal in the perioperative period

Objective To investigate the clinical application of holistic nursing on cesarean section maternal in the periop- erative period. Methods 50 cases of maternal scheduled for cesarean section in our hospital in the time from February to Octoberin 2011 were respectively selected as the observation group and control group. The control group received routine nursing, the observation group reveived holistic nursing. The postpartum recovery situations （time of out bed, anus exhaust time, and the catheter removal time and pain score after surgery 48 h）, the complications and Apgar score were compared. Results The time of anal exhaust and out bed, catheter removal time of observation group were significantly earlier than the control group （P 〈 0.01）, the pain scores of observation group were significantly lower than the control group at 48 h after surgery （P 〈 0.05）. Maternal complications of the observation group was significantly less than the control group （P 〈 0.05）, the neonates normal rate of observation group was significantly higher than the control group （P 〈 0.05）. Conclusion The holistic nursing can effectively promote the postpartum recovery of cesarean section maternal, reduce complications and improve the quality of neonates, is worthy of clinical application.