摘要
目的:探讨曼彻斯特疼痛管理模式(MPMM)结合赋能教育干预对剖宫产产妇的影响。方法:选择2022年10月—2023年10月于厦门大学附属妇女儿童医院收治的100例剖宫产产妇,根据干预方法的不同分为对照组和研究组,各50例。对照组采用常规干预,研究组采用MPMM结合赋能教育干预。比较两组术后疼痛程度、术后恢复情况、负性情绪、纯母乳喂养情况。结果:术后8 h、12 h、24 h,研究组静息和运动状态下疼痛数字评分法(NRS)评分均低于对照组,差异有统计学意义(P<0.05)。研究组下床活动时间早于对照组,差异有统计学意义(P<0.05)。干预后,研究组汉密顿焦虑量表(HAMA)评分、汉密顿抑郁量表(HAMD)评分均低于对照组,差异有统计学意义(P<0.05)。研究组泌乳始动时间短于对照组,纯母乳喂养率、母乳喂养自我效能简式量表(BSES-SF)评分高于对照组,差异有统计学意义(P<0.05)。结论:MPMM结合赋能教育干预能够减轻剖宫产产妇术后的疼痛,促进术后恢复,改善产妇负性情绪,提高纯母乳喂养率。
Objective:To explore the effect of Manchester pain management model(MPMM)combined with enabling education intervention on cesarean section parturient.Method:A total of 100 cases of cesarean section delivered in Women and Children's Hospital Affiliated to Xiamen University from October 2022 to October 2023 were selected,and divided into control group and study group according to different intervention methods,with 50 cases in each group.The control group was treated with routine intervention,and the study group was treated with MPMM combined with enabling education intervention.The degree of postoperative pain,postoperative recovery,negative emotion and exclusive breast-feeding were compared between the two groups.Result:At 8 h,12 h and 24 h after operation,the numerical rating scale(NRS)scores at rest and exercise of the study group were lower than those of the control group,and the differences were statistically significant(P<0.05).The time of getting out of bed in the study group was earlier than that in the control group,and the difference was statistically significant(P<0.05).After the intervention,the Hamilton anxiety scale(HAMA)scores and Hamilton depression scale(HAMD)scores in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).The lactation initiation time of the study group was shorter than that of the control group,and the exclusive breast-feeding rate and breast-feeding self-efficacy scale short form(BSES-SF)score of the study group were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion:MPMM combined with enabling education intervention can reduce pain after uterine labor,promote postoperative recovery,improve maternal negative emotions,and increase the rate of exclusive breast-feeding.
作者
许婉真
XU Wanzhen(Women and Children's Hospital Affiliated to Xiamen University,Xiamen 361026,China)
出处
《中外医学研究》
2024年第5期144-148,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
曼彻斯特疼痛管理模式
赋能教育
剖宫产
母乳喂养
Manchester pain management model
Enabling education
Caesarean section
Breast-feeding
