Effect of comfort care combined with family participatory care during the perioperative period of cesarean section in obstetrics and gynecology.

Abstract

Objective: To explore the effects of comfort care and family participatory care during the perioperative period of cesarean section in obstetrics and gynecology.

Methods: This single-center, randomized controlled trial assigned 90 cesarean women to two groups: control (conventional perioperative care) and observation (comfort and family participatory care). The primary outcome measures included maternal pain [Visual Analog Scale (VAS)], anxiety [Self-Rating Anxiety Scale (SAS)], and depression [Self-Rating Depression Scale (SDS)]. Secondary outcomes included mean arterial pressure and heart rate, adrenaline and cortisol levels, lactation onset time, 24-h postpartum lactation volume, off-bed activity time, anal defecation time, and hospital stay, as well as evaluating maternal self-care ability [Exercise of Self-Care Agency Scale (ESCA)], maternal complications, and maternal satisfaction with nursing assessed using a satisfaction questionnaire at discharge.

Results: The observation group possessed lower VAS at 24, 48, and 72 h postoperatively, and SAS and SDS scores postoperatively, lower mean arterial pressure, heart rate, and adrenaline and cortisol levels, higher scores of self-care skills, self-care responsibility, self-concept, and self-care health knowledge, shorter times to lactation onset, off-bed activity, anal defecation, and hospital stay, greater 24-h postpartum lactation volume, lower incidence rate of complications (4.44% vs 24.44%), and higher nursing satisfaction (97.78% vs 84.22%) compared with the control group (all P < 0.05).

Conclusion: During the perioperative period of cesarean section, comfort care and family participatory care can effectively alleviate postoperative pain, reduce anxiety and depression, improve stress responses, enhance maternal self-care ability and nursing satisfaction, and decrease the incidence of complications.