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基于互联网微信平台教育的综合护理干预对剖宫产产妇术后恢复的影响

Effect of Comprehensive Nursing Intervention Under Internet-Based WeChat Platform Education on Postoperative Recovery of Puerperae Undergoing Cesarean Section.

作者信息

Kong Guixiang, Liu Jinfeng, Jiang Jing

机构信息

Department of Obstetrics, The Second Hospital of Shandong University, Jinan 250033, Shandong, China.

Department of Emergency Surgery, College of Nursing, Shandong University of Traditional Chinese Medicine, Jinan 250355, Shandong, China.

出版信息

J Healthc Eng. 2022 Apr 6;2022:5040461. doi: 10.1155/2022/5040461. eCollection 2022.

Abstract

OBJECTIVE

To explore the effect of comprehensive nursing intervention under internet-based WeChat platform education on postoperative recovery of puerperae undergoing cesarean section (C-section).

METHODS

A total of 96 patients undergoing C-section in our hospital from June 2018 to October 2021 were selected for the retrospective analysis and grouped according to the nursing intervention modes as follows: patients who received a routine nursing intervention were included in the control group, and patients who received comprehensive nursing intervention under internet-based WeChat platform education were included in the study group, with 48 cases each. After the intervention, the postoperative recovery of puerperae undergoing C-section and obstetrics nursing quality were scientifically assessed.

RESULTS

No statistical differences in general data between the two groups were observed ( > 0.05). Compared with the control group, patients in the study group had obviously earlier initial time of lactation ( < 0.05), significantly higher breast milk amount within 48 h after delivery ( < 0.05), significantly earlier spontaneous urination time, anal exhaust time and off-bed activity time ( < 0.05), obviously better mastery of health knowledge ( < 0.05), and, in terms of SCL-90, remarkably lower total score, average total positive score, and the number of positive items and scores in dimensions, such as somatization, obsessive-compulsive, depression, anxiety, interpersonal sensibility, anger-hostility, phobic-anxiety, and paranoid ideation ( < 0.05). At discharge, 3 months, and 6 months of follow-up, patients in the study group obtained significantly higher scores on quality of life than the control group ( < 0.05).

CONCLUSION

In the nursing of puerperae undergoing C-section, comprehensive nursing intervention measures based on the internet-based WeChat platform education can effectively improve the early lactation, mastery of health knowledge, and adverse emotions of puerpera and promote their postoperative recovery.

摘要

目的

探讨基于互联网微信平台教育的综合护理干预对剖宫产产妇术后恢复的影响。

方法

选取2018年6月至2021年10月在我院行剖宫产的96例患者进行回顾性分析,根据护理干预方式分为:接受常规护理干预的患者纳入对照组,接受基于互联网微信平台教育的综合护理干预的患者纳入研究组,每组48例。干预后,对剖宫产产妇的术后恢复情况及产科护理质量进行科学评估。

结果

两组一般资料比较,差异无统计学意义(>0.05)。与对照组相比,研究组产妇泌乳初始时间明显提前(<0.05),产后48 h内母乳量明显增多(<0.05),自主排尿时间、肛门排气时间及下床活动时间明显提前(<0.05),健康知识掌握情况明显更好(<0.05),在SCL-90方面,总分、总均分、阳性项目数及各因子分,如躯体化、强迫症状、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执等均明显降低(<0.05)。出院时、出院后3个月及6个月随访时,研究组产妇生活质量评分明显高于对照组(<0.05)。

结论

在剖宫产产妇护理中,基于互联网微信平台教育的综合护理干预措施能有效改善产妇早期泌乳、健康知识掌握情况及不良情绪,促进其术后恢复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf1a/9007654/bf1abcd6aab5/JHE2022-5040461.001.jpg

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