穴位按摩结合情志护理对减轻经产妇产后宫缩疼痛及促进康复的影响
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R714.6

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Effect of Point Massage Combined with Emotional Nursing on Relieving Postpartum Pain of Uterine Contraction and Promoting Rehabilitation in Multiparae
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    摘要:

    目的:探讨经产妇采用穴位按摩和情志护理结合的干预方式对产后宫缩疼痛和身体恢复的影响。方法:将128 例经产妇根据数字表法随机分为对照组和观察组各64 例。对照组产妇给予常规护理,观察组产妇在此基础上给予穴位按摩结合情志护理,对比2 组产妇不同时间段的宫缩疼痛评分、疼痛程度、住院时间、宫缩乏力时采用缩宫素的比例、总产程时间、产后2 h出血量。结果:2 组产妇分娩后6 h 的宫缩疼痛评分比较,差异无统计学意义(P>0.05)。观察组产妇产后1 d、产后2 d 的宫缩疼痛评分与对照组比较,差异有统计学意义(P<0.05)。观察组产妇宫缩乏力时采用缩宫素比例较对照组低,住院时间、总产程时间较对照组短,产后2 h 出血量较对照组少,差异有统计学意义(P<0.05)。2 组均无无痛产妇,观察组产妇轻度疼痛比例较对照组高,中度、重度疼痛比例较对照组低,差异有统计学意义(P<0.05)。结论:经产妇采用穴位按摩和情志护理的联合干预,能有效缓解产后宫缩疼痛,缩短产程,减少产后出血。

    Abstract:

    Abstract:Objective:To discuss the effect of point massage combined with emotional nursing on intervening postpartum pain of uterine contraction and rehabilitation in multiparae. Methods:A total of 128 cases of multiparae were divided into the control group and the observation group according to the random number table method,64 cases in each group. The control group was given routine nursing,and the observation group was additionally given point massage combined with emotional nursing based on the treatment of the control group. The scores of uterine contraction pain at different periods,the degree of pain,hospitalization time,the percentage of using oxytocin when uterine inertia,the total duration of labor and the blood loss during the first two hours after labor were compared between the two groups. Results:When compared the scores of uterine contraction pain during the first six hours after labor between the two groups, there was no significant difference being found in the comparison(P>0.05). When compared the scores of uterine contraction pain during the first hours and the first two hour after labor between the two groups, the difference was significant(P<0.05). In the observation group, the percentage of using oxytocin when uterine inertia was lower than that in the control group,the hospitalization time and the total duration of labor shorter,and the blood loss during the first two hours after labor less,the difference being significant (P<0.05). There was no painless labor in either group. The percentage of mile pain in the observation group was significantly higher than that in the control group,and the percentages of moderate pain and severe pain were significantly lower,the difference being significant(P<0.05). Conclusion: The combined intervention of point massage and emotional nursing on multiparae can effectively relieve postpartum pain of uterine contraction, shorten labor course, and reduce postpartum bleeding.

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陈燕花,李翰玲,徐玉婷.穴位按摩结合情志护理对减轻经产妇产后宫缩疼痛及促进康复的影响[J].新中医,2020,52(17):134-136

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  • 在线发布日期: 2020-09-06
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