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本文引用的文献

1
Prevalence of Cesarean Section Among Nurses: Predictors and Effect on Exclusive Breastfeeding.护士剖宫产的患病率:预测因素及其对纯母乳喂养的影响。
SAGE Open Nurs. 2023 Dec 17;9:23779608231214214. doi: 10.1177/23779608231214214. eCollection 2023 Jan-Dec.
2
Development on pain management after cesarean section: A bibliometric analysis.剖宫产术后疼痛管理的研究进展:一项文献计量分析。
Asian J Surg. 2023 Sep;46(9):3802-3803. doi: 10.1016/j.asjsur.2023.03.113. Epub 2023 Apr 15.
3
The risk factors and nursing countermeasures of sepsis after cesarean section: a retrospective analysis.剖宫产术后发生脓毒症的危险因素及护理对策:回顾性分析。
BMC Pregnancy Childbirth. 2022 Sep 9;22(1):696. doi: 10.1186/s12884-022-04982-8.
4
Effects of simulation problem-based learning based on Peplau's Interpersonal Relationship Model for cesarean section maternity nursing on communication skills, communication attitudes and team efficacy.基于佩普劳人际关系模式的剖宫产产妇护理模拟问题学习对沟通技巧、沟通态度和团队效能的影响。
Nurse Educ Today. 2022 Jun;113:105373. doi: 10.1016/j.nedt.2022.105373. Epub 2022 Apr 19.
5
Breastfeeding after a cesarean section: A literature review.剖宫产术后母乳喂养:文献综述。
Midwifery. 2021 Dec;103:103117. doi: 10.1016/j.midw.2021.103117. Epub 2021 Aug 14.
6
The Clinical Efficacy and Safety of Enhanced Recovery After Surgery for Cesarean Section: A Systematic Review and Meta-Analysis of Randomized Controlled Trials and Observational Studies.剖宫产术后加速康复的临床疗效与安全性:一项对随机对照试验和观察性研究的系统评价与荟萃分析
Front Med (Lausanne). 2021 Aug 2;8:694385. doi: 10.3389/fmed.2021.694385. eCollection 2021.
7
Maternal perceptions of cesarean birth care: A qualitative study to inform ERAS guideline development.产妇对剖宫产护理的认知:一项为 ERAS 指南制定提供信息的定性研究。
Birth. 2021 Dec;48(4):550-557. doi: 10.1111/birt.12561. Epub 2021 Jun 16.
8
An exploration of the breastfeeding behaviors of women after cesarean section: A qualitative study.剖宫产术后女性母乳喂养行为的探索:一项质性研究。
Int J Nurs Sci. 2020 Jul 20;7(4):419-426. doi: 10.1016/j.ijnss.2020.07.008. eCollection 2020 Oct 10.
9
The Effect of Nursing Care Based on Comfort Theory on Women's Postpartum Comfort Levels After Caesarean Sections.基于舒适理论的护理对剖宫产术后女性产后舒适度的影响。
Int J Nurs Knowl. 2017 Jul;28(3):138-144. doi: 10.1111/2047-3095.12122. Epub 2015 Nov 25.
10
A systematic review of the effectiveness of warming interventions for women undergoing cesarean section.剖宫产术产妇保温干预措施有效性的系统评价
Worldviews Evid Based Nurs. 2014 Dec;11(6):383-93. doi: 10.1111/wvn.12067. Epub 2014 Sep 30.

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.

DOI:10.1371/journal.pone.0324292
PMID:40522936
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12169547/
Abstract

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.

摘要

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。