整合曼彻斯特疼痛管理模式与赋权教育对剖宫产术后康复的影响：一项综合干预研究。
The effects of integrating the Manchester Pain Management Model and empowerment education on postoperative rehabilitation after cesarean section: A comprehensive intervention study.
作者信息
Jiang Hailing, Xu Ronghua, Li Lingfang, Zhu Haijuan
机构信息
Department of Obstetrics, Hefei Maternal and Child Health Hospital, Hefei, Anhui Province, China.
Department of Anesthesia, Hefei Maternal and Child Health Hospital, Hefei, Anhui Province, China.
出版信息
PLoS One. 2025 Jun 16;20(6):e0324292. doi: 10.1371/journal.pone.0324292. eCollection 2025.
PURPOSE
To evaluate the effect of combining the Manchester Pain Management Model (MPMM) with the enabling education model as a comprehensive intervention in maternal rehabilitation after cesarean section.
METHODS
A total of 120 women who underwent cesarean section in our hospital from June 2021 to June 2023 were randomly divided into observation group and control group, with 60 cases in each group. The control group received standard nursing measures, while the observation group received comprehensive nursing measures combined with Manchester pain management and enabling education model. A rigorous randomized controlled trial design was employed. Data were analyzed using independent t-tests for continuous variables and chi-square tests for categorical variables, with a significance level set at P < 0.05. Postoperative pain degree (VAS score), postoperative recovery indicators, and nursing satisfaction scores were compared between the two groups.
RESULTS
The pain scores at 4 hours, 12 hours and 24 hours after surgery, the first independent time out of bed activity, the first time to exhaust gas and the length of hospital stay in the observation group were significantly lower than those in the control group (P < 0.05), and the success rate of the first breastfeeding and nursing satisfaction were significantly higher than those in the control group (P < 0.01).
CONCLUSION
The combined intervention of the Manchester pain management model and empowerment education significantly improved postoperative pain control, accelerated physiological recovery, and increased overall satisfaction with nursing care. This model may provide an effective new method for rehabilitation management after clinical cesarean section.
目的
评估将曼彻斯特疼痛管理模式（MPMM）与赋能教育模式相结合作为剖宫产术后产妇康复综合干预措施的效果。
方法
选取2021年6月至2023年6月在我院行剖宫产的120例产妇，随机分为观察组和对照组，每组60例。对照组接受标准护理措施，观察组接受结合曼彻斯特疼痛管理和赋能教育模式的综合护理措施。采用严格的随机对照试验设计。连续变量采用独立t检验分析，分类变量采用卡方检验分析，显著性水平设定为P < 0.05。比较两组术后疼痛程度（VAS评分）、术后恢复指标及护理满意度评分。
结果
观察组术后4小时、12小时和24小时的疼痛评分、首次独立下床活动时间、首次排气时间及住院时间均显著低于对照组（P < 0.05），首次母乳喂养成功率及护理满意度均显著高于对照组（P < 0.01）。
结论
曼彻斯特疼痛管理模式与赋能教育相结合的综合干预显著改善了术后疼痛控制，加速了生理恢复，并提高了对护理服务的总体满意度。该模式可能为临床剖宫产术后康复管理提供一种有效的新方法。
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