The application of refined nursing model in primiparous women undergoing cesarean section
精细化护理模式在剖宫产初产妇中的运用

摘要

目的 探究对剖宫产初产妇实施精细化护理模式的效果。方法 筛选我院2022年3月至2023年3月期间行剖宫产术初产妇进行分组研究，对全体94例随机划分成两组，每组平均47例。对照组采取常规护理，观察组采取精细化护理模式。基于术后疼痛程度、泌乳功能、情绪状态对两组进行综合评估。结果 术后6小时、12小时、24小时视觉模拟评分（VAS）对比，观察组相较对照组下降更明显（P＜0.05）。与对照组比较，观察组泌乳始动时间大幅减少，24小时泌乳量评分大幅升高（P＜0.05）。汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）对比，观察组相较对照组下降更明显（P＜0.05）。结论 对剖宫产初产妇实施精细化护理模式，可明显缓解术后疼痛，减轻负面情绪，促进泌乳功能改善。

Abstract

Objective: To explore the effect of implementing a refined nursing model for primiparous women undergoing cesarean section. Method: A grouping study was conducted on primiparous women who underwent cesarean section in our hospital from March 2022 to March 2023. All 94 cases were randomly divided into two groups, with an average of 47 cases in each group. The control group received routine care, while the observation group received refined care. Conduct a comprehensive evaluation of the two groups based on postoperative pain level, lactation function, and emotional status. The visual analogue scale (VAS) decreased more significantly in the observation group compared to the control group at 6 hours, 12 hours, and 24 hours after surgery (P<0.05). Compared with the control group, the observation group showed a significant reduction in lactation initiation time and a significant increase in 24-hour lactation volume score (P<0.05). The Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD) were compared, and the observation group showed a more significant decrease compared to the control group (P<0.05).
Conclusion  : Implementing a refined nursing model for primiparous women undergoing cesarean section can significantly alleviate postoperative pain, alleviate negative emotions, and promote improvement in lactation function.