贴羊膜的即时护理干预对剖腹产伤口疼痛和愈合的影响

Hanan Fawzy Elsayed, Mervat Gaber, Metwalli Zaghloul, Sahar Ali Osman
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摘要

背景:羊膜是胎盘的内层,环绕着胚胎并形成一个充满羊水的囊。目的:本研究旨在评估贴羊膜的即时护理干预对疼痛和剖宫产伤口愈合的影响。研究设计:采用准实验法(研究组/对照组)。研究地点研究在埃及开罗 Manshia Naser 的 Hawaa 中心产科进行。样本:有目的性地抽取了 60 名产妇。总样本平均分为两组:研究组(30 人)和对照组(30 人)。数据收集工具:使用三种工具收集数据:工具 (I):结构化访谈问卷:分为两部分,第一部分是人口特征,第二部分是孕产情况:第一部分:人口学特征,第二部分:产科病史。工具(II):REEDA 量表用于评估剖腹产伤口愈合情况。工具(三):产妇疼痛评估问卷包括两部分:第一部分第一部分:行为评分量表(定性疼痛评估);第二部分:视觉模拟量表(定量疼痛评估):视觉模拟量表(定量疼痛评估)。结果:本次研究显示,研究组产妇的伤口愈合情况和疼痛程度均有显著改善。结论本研究得出结论,与常规护理相比,在剖宫产伤口上使用羊膜可改善伤口愈合并降低疼痛程度,这支持了研究假设。 建议:本研究结果表明,在剖宫产伤口护理中使用羊膜是一种有效的干预措施,值得推荐给产妇。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of Immediate Nursing Intervention Regarding Applying Amniotic Membrane on Pain and Healing of Cesarean Wound
Background: Cesarean section (CS) is one of the most frequently performed major abdominal surgeries, the amniotic membrane is the inner layer of the placenta that surrounds the embryo and forms a sac filled with amniotic fluid. Aim: This research aims to evaluate the effect of immediate nursing intervention regarding applying amniotic membrane on pain and healing of cesarean wound. Research Design: A quasi-experimental (study /control group) was used in the study. Setting: The study was conducted at labor unit in Hawaa center, Manshia Naser, Cairo, Egypt. Sample: A purposive sample of 60 laboring women. The total sample divided into two groups equally; study group (30) and control group (30). Tools for data collection: Three tools were used to collect data; Tool (I): Structured interviewing questionnaire: which is divided into two parts Part 1: Demographic Characteristics, Part 2: Obstetric history. Tool (II) : REEDA scale was used to assess cesarean section wound healing. Tool (III): Laboring women pain assessment questionnaire include two parts: Part1: Behavioral rating scale (qualitative pain assessment), Part2: Visual analogue scale (quantitative pain assessment). Results : The current study revealed a highly statistically significant improvement in laboring women’ wound healing and decreases the pain level in the study group. Conclusion: The current study concluded that, the applying of amniotic membrane in cesarean section wound improve the healing and decrease level of pain more than routine care, which supports the research hypothesis Recommendations: the present study findings high light on applying of amniotic membrane in management of cesarean section wound is recommended as effective intervention among laboring women.
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