A Study on the Effects of Esketamine Combined with Comprehensive Nursing Intervention on Postoperative Pain, Postpartum Depression, and Quality of Life in Women Undergoing Cesarean Section.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Accounts of Chemical Research Pub Date : 2024-10-01
Mei Jiang, Jing Xu
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引用次数: 0

Abstract

Objective: The objective of this study was to investigate and analyze the effects of esketamine combined with comprehensive nursing intervention on postoperative pain, postpartum depression, and quality of life in women undergoing cesarean section.

Methods: This study included 140 parturients who underwent cesarean section in The Second Hospital of Dalian Medical University (from May 2021 to May 2022). The participants were divided into two groups: the control group and the study group, based on random allocation. The control group received traditional treatment and routine nursing care, while the study group received esketamine combined with comprehensive nursing intervention. Postoperative pain, postpartum depression, and quality of life were assessed using the Visual Analog Scale (VAS), Edinburgh Postnatal Depression Scale (EPDS), and SF-36 questionnaire, respectively.

Results: The two groups had no significant differences in baseline data (P > .05). The postoperative VAS scores of the study group (1.86 ± 0.65) were lower than those of the control group (3.04 ± 0.79) (P < .05). The postoperative EPDS scores of the study group (5.23 ± 1.07) were lower than those of the control group (8.11 ± 1.84) (P < .05). The postoperative physiological recovery of the study group was superior to that of the control group (P < .05). The postoperative SF-36 scores of the study group were higher than those of the control group (P < .05).

Practical implications: The combined use of esketamine and comprehensive nursing in cesarean sections offers practical benefits for patient care. Notably, it leads to reduced postoperative pain, as indicated by lower VAS scores, promising improved satisfaction for parturients. The intervention also demonstrates a positive impact on postpartum mental health, with lower EPDS scores suggesting potential benefits in alleviating depression. Moreover, the observed accelerated physiological recovery in the study group, along with shorter hospital stays, signifies efficiency gains in healthcare delivery. This not only optimizes resource utilization but also contributes to an enhanced overall recovery experience for women undergoing cesarean sections.

Conclusion: The application of esketamine combined with comprehensive nursing intervention after cesarean section has a positive impact on the pain relief, postpartum depression, and quality of life of parturients. This study provides new insights and guidance for clinical practice, potentially enhancing the postoperative experience of women undergoing cesarean section. These findings furnish healthcare professionals with valuable insights and guidance, fostering a nuanced and improved standard of care in obstetric practices.

一项关于艾司西他敏与综合护理干预相结合对剖腹产妇女术后疼痛、产后抑郁和生活质量的影响的研究。
研究目的本研究的目的是调查和分析艾司氯胺酮联合综合护理干预对剖宫产产妇术后疼痛、产后抑郁和生活质量的影响:本研究纳入大连医科大学附属第二医院(2021 年 5 月至 2022 年 5 月)140 名接受剖宫产手术的产妇。根据随机分配法将参与者分为两组:对照组和研究组。对照组接受传统治疗和常规护理,研究组接受艾司氯胺酮联合综合护理干预。分别采用视觉模拟量表(VAS)、爱丁堡产后抑郁量表(EPDS)和 SF-36 问卷对术后疼痛、产后抑郁和生活质量进行评估:结果:两组基线数据无明显差异(P>0.05)。研究组的术后 VAS 评分(1.86 ± 0.65)低于对照组(3.04 ± 0.79)(P < .05)。研究组术后 EPDS 评分(5.23 ± 1.07)低于对照组(8.11 ± 1.84)(P < .05)。研究组的术后生理恢复优于对照组(P < .05)。研究组术后 SF-36 评分高于对照组(P < .05):实际意义:在剖腹产手术中联合使用艾司氯胺酮和综合护理可为患者护理带来实际益处。值得注意的是,它能减轻术后疼痛,这体现在较低的 VAS 评分上,有望提高产妇的满意度。该干预措施还对产后心理健康产生了积极影响,EPDS 评分的降低表明该措施在缓解抑郁方面具有潜在益处。此外,观察到研究组的生理恢复加快,住院时间缩短,这标志着医疗保健服务效率的提高。这不仅优化了资源利用,还有助于提高剖腹产妇女的整体恢复体验:结论:在剖宫产术后应用艾司氯胺酮并结合综合护理干预,对缓解疼痛、产后抑郁和提高产妇生活质量有积极影响。这项研究为临床实践提供了新的见解和指导,有可能改善剖腹产妇女的术后体验。这些发现为医护人员提供了宝贵的见解和指导,促进了产科护理标准的细化和改进。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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