二胎剖宫产产妇术后活动性疼痛的护理评估和管理

[摘要] Abstract：Objective To investigate the nursing assessment and management of postoperative movement-related pain after cesarean section in second birth parturient women. Methods 〓Totally 60 second birth parturient women undergoing cesarean section were assigned to the control group(n=30)and the observation group(n=30). Both two groups received postoperative pain control after cesarean section. In the observation group, the numeric rating scale(NRS)on pain and functional activity scale(FAS)was performed to assess the postoperative movement-related pain, and related nursing interventions were carried out. The FAS and NRS score of parturient women in a resting state and in a functional activity state were observed. The self-made questionnaire was used to investigate the pain-related information in parturient women. Results 〓The FAS level in the observation group was lower than that of controls at 24 hours after cesarean section(P<0.01). Parturient women in the observation group had a lower NRS score compared with that of controls in resting and functional activity state(P<0.01). There were less parturient women with medium or severe pain in the observation group than that in the control group(P<0.01). The breast feeding of Parturient women in the observation group were less influenced by postoperative pain(P<0.01). Conclusion 〓it is necessary to perform nursing assessment and management on postoperative movement-related pain after cesarean section, so as to improve the quality of pain control in second birth parturient women.

[学科分类] 护理学

[关键词] 二胎;剖宫产;功能性活动;活动性疼痛;护理评估;疼痛管理