摘要

目的 分析探究在剖宫产术后实施手术室临床护理路径的临床效果以及对应激反应和疼痛的影响。方法 于妇产科中选取76例剖宫产患者参与实验，对其基本资料进行分析后确认符合实验参与条件，并以两个小组的形式开展对照实验，即对照组、观察组，并分别使用常规护理、手术室临床护理路径，并比较两组患者的情绪状态及疼痛评分。结果 本次研究中对比了两组患者的焦虑和抑郁情绪，分别通过SAS（焦虑评估量表）、SDS（抑郁评估量表）工具进行评估，其中观察组患者在护理后其SAS、SDS评分分别为（32.5±2.6）分、（32.8±4.1）分，对照组分别为（36.8±2.4）分、（36.5±3.1）分，观察组SAS、SDS评分明显更低于对照组，（P＜0.05）。同时，还对两组患者的疼痛情况进行了评估比较，观察组的疼痛评分明显低于对照组，（P＜0.05）。结论 将手术室临床护理路径实施于剖宫产术后护理中能够有效改善患者应激反应，并可降低术后疼痛感。

关键词

剖宫产；手术室临床护理路径；术后应激反应；疼痛

Abstract

Objective: To analyze and explore the clinical effect of implementing the clinical nursing pathway in the operating room after cesarean section and its impact on stress response and pain.
Methods: 76 cesarean section patients were selected from the Department of Obstetrics and Gynecology to participate in the experiment, and their basic data were analyzed to confirm that they met the conditions for participating in the experiment. A controlled experiment was carried out in the form of two groups, namely, the control group and the observation group, and respectively Routine nursing and operating room clinical nursing pathways were used, and the emotional state and pain scores of the two groups were compared.
Results: In this study, the anxiety and depression emotions of the two groups of patients were compared, and were evaluated by SAS (Anxiety Assessment Scale) and SDS (Depression Assessment Scale) tools respectively. The SAS and SDS scores of the patients in the observation group after nursing (32.5±2.6) points and (32.8±4.1) points respectively, and (36.8±2.4) points and (36.5±3.1) points in the control group respectively. The SAS and SDS scores of the observation group were significantly lower than those of the control group, (P< 0.05). At the same time, the pain scores of the two groups were evaluated and compared, and the pain score of the observation group was significantly lower than that of the control group (P<0.05).
Conclusion  : Implementing the clinical nursing pathway in the operating room in post-cesarean section care can effectively improve the stress response of patients and reduce postoperative pain.

Key words

cesarean section; clinical nursing pathway in operating room; postoperative stress response; pain