Abstract:

Objective　To explore the effect of "humanoid figure" nursing mode in the perinatal period of parturients taking cesarean section. Methods　This study adopted the prospective randomized controlled study method. A total of 85 parturients who delivered by cesarean section in Women and Children's Hospital Affiliated to Xiamen University from March 2022 to August 2022 were selected as the study objects. After numbering, they were divided into a control group (42 cases) and an observation group (43 cases) according to the digital parity method. In the control group, there were 19 primiparae and 23 multiparae; they were (29.38±3.11) years old. In the observation group, there were 23 primiparae and 20 multiparae; they were (28.97±3.08) years old. The control group were intervened by the routine obstetric nursing mode, and the observation group by the "humanoid figure" nursing mode. The postpartum rehabilitation indicators, uterine involution, pain degrees, and postpartum complications of the two groups were compared. t, χ², and rank sum tests were applied. Results　The amount of postpartum hemorrhage in the observation group was lower than that in the control group [(567.38±64.18) ml vs. (694.72±80.66) ml], with a statistical difference (t=8.064, P<0.05). The time of postpartum hemorrhage, the time of first milk secretion, the time of incision healing, and the total hospital stay in the observation group were all shorter than those in the control group [(3.97±0.56) d vs. (4.45±0.69) d, (27.34±5.25) h vs. (31.19±6.74) h, (5.18±0.76) d vs. (5.97±0.85) d, (7.22±1.09) d vs. (8.65±1.21) d], with statistical difference (t=3.525, 2.955, 4.520, and 5.728; all P<0.05). There were no statistical differences in the heights of uterine descent 24 h after delivery and at discharge between the two groups (both P>0.05); the height of uterine descent 72 h after delivery in the observation group was higher than that in the control group [(1.56±0.34) cm vs. (1.22±0.37) cm; t=4.413, P<0.05]. After the intervention, the pain degree of the observation group was significantly lower than that of the control group (Z=-2.065, P<0.05). The incidence of postpartum complications in the observation group was lower than that in the control group [4.7% (2/43) vs. 21.4% (9/42)], with a statistical difference (χ²=3.924, P<0.05). Conclusion　The application of "humanoid figure" nursing mode in the perinatal period of parturients taking cesarean section has significant effect, is helpful to promote postpartum recovery, and can relieve pain and reduce the risk of complications.

Key words:

Cesarean section, "Humanoid figure" nursing mode, Postpartum rehabilitation, Complications

摘要：

目的　探讨“人形图”护理模式在剖宫产产妇围生期的应用效果。方法　本研究采用前瞻性随机对照研究方法。选取2022年3月至8月在厦门大学附属妇女儿童医院行剖宫产分娩的85例产妇为研究对象，编号后按照数字奇偶法分为对照组（42例）和观察组（43例）。对照组中初产妇19例，经产妇23例，年龄（29.38±3.11）岁，按照产科常规护理模式干预；观察组中初产妇23例，经产妇20例，年龄（28.97±3.08）岁，实施“人形图”护理模式干预。采用t检验、χ²检验或秩和检验进行统计比较。结果　观察组产妇产后出血量［（567.38±64.18）ml比（694.72±80.66）ml，t=8.064］少于对照组（P<0.05），产后出血时间［（3.97±0.56）d比（4.45±0.69）d，t=3.525］、首次乳液分泌时间［（27.34±5.25）h比（31.19±6.74）h，t=2.955］、切口愈合时间［（5.18±0.76）d比（5.97±0.85）d，t=4.520］、总住院时间［（7.22±1.09）d比（8.65±1.21）d，t=5.728］均短于对照组，差异有统计学意义（均P<0.05）。两组产妇产后24 h、出院时的子宫下降高度比较差异均无统计学意义（均P>0.05），但观察组产后72 h的子宫下降高度［（1.56±0.34）cm比（1.22±0.37）cm］高于对照组（t=4.413，P<0.05）。干预后，观察组产妇疼痛程度显著低于对照组，差异有统计学意义（Z=-2.065，P<0.05）。观察组产妇产后并发症发生率为4.7%（2/43），对照组产妇产后并发症发生率为21.4%（9/42），二者比较差异有统计学意义（χ²=3.924，P<0.05）。结论　“人形图”护理模式在剖宫产产妇围生期的应用效果显著，有助于促进产后康复，缓解疼痛，降低并发症的发生风险。

关键词:

剖宫产, “人形图”护理模式, 产后康复, 并发症