Christina Tussey is a Maternal-Child Clinical Nurse Specialist, Banner University Medical Center Phoenix, Phoenix, AZ. The author can be reached via e-mail at
MCN Am J Matern Child Nurs. 2019 Nov/Dec;44(6):310-316. doi: 10.1097/NMC.0000000000000571.
The purpose of this study was to evaluate potential benefits of use of an abdominal binder after cesarean birth.
A randomized controlled trial was conducted at a Magnet-designated, academic medical center in the southwest United States. English- and Spanish-speaking adult women scheduled for an elective cesarean birth were randomized to the intervention or control group. Outcomes were measured for the first 48 hours postoperatively, including pain, medication use, and self-reported symptom distress.
Randomization resulted in balanced groups. Women who used the abdominal binder after cesarean birth reported a decrease in pain after ambulation, whereas women in the control group reported an increase in pain after ambulation (p < .001). Women in the binder group reported less distress on the Breathe and Cough items of the Symptom Distress Scale than those in the control group. On postoperative day 2, women in the binder group used more ibuprofen (p = .002) and acetaminophen (p = .027) than the control group.
Use of an abdominal binder by women after cesarean birth can decrease pain, potentially enhancing speed of postoperative recovery. As a nursing intervention, abdominal binders may offer women a safe nonpharmacologic option to provide postoperative comfort.
本研究旨在评估剖宫产术后使用腹带的潜在益处。
在美国西南部的一家被评为磁铁指定的学术医疗中心进行了一项随机对照试验。计划进行择期剖宫产的英语和西班牙语成年女性被随机分配到干预组或对照组。术后 48 小时内测量了疼痛、用药和自我报告的症状困扰等结局。
随机分组导致两组均衡。使用腹带的剖宫产术后女性在活动后疼痛减轻，而对照组女性在活动后疼痛增加（p<.001）。使用腹带的女性在呼吸和咳嗽项目上的症状困扰量表评分低于对照组（p<.001）。术后第 2 天，使用腹带的女性使用布洛芬（p=0.002）和对乙酰氨基酚（p=0.027）的次数多于对照组。
剖宫产术后女性使用腹带可以减轻疼痛，有可能加快术后康复速度。作为一种护理干预措施，腹带为女性提供了一种安全的非药物选择，以提供术后舒适感。
