|
|
|
| Effectiveness of Bian stone warming and ironing combined with aromatherapy on postpartum urinary retention among lying-in women with painless delivery |
| XU Jie1, QI Qi1, LI Huiwen1, LOU Mengxiao1, CHEN Li1, XU Junmiao2
|
1. Department of Obstetrics, Hangzhou Women's Hospital, Hangzhou, Zhejiang 310000, China;
2. Hangzhou Women's Hospital, Hangzhou, Zhejiang 310000, China |
|
|
|
|
Abstract Objective To evaluate the effectiveness of Bian stone warming and ironing combined with aromatherapy on postpartum urinary retention among lying-in women with painless delivery, so as to provide the reference for preventing postpartum urinary retention after painless delivery. Methods Lying-in women who underwent painless delivery in the Hangzhou Women' s Hospital were randomly assigned into the intervention and control group. Participants in the intervention group were given Bian stone warming and ironing combined with essential oil aromatherapy, while participants in the control group were given routine nursing care. The first postpartum urination and urinary retention were recorded, nursing satisfaction was investigated using Newcastle Satisfaction with Nursing Scale, the quality of life was evaluated using The World Health Organization Quality of Life-BREF, and these indicators were compared between the two groups. Results There were 92 participants in the intervention group, with a mean age of (26.51±1.31) years and mean gestational age of (38.11±0.55) weeks, and 86 participants in the control group, with a mean age of (26.61±1.24) years and mean gestational age of (38.28±0.72) weeks. There was no statistically significant difference in the general data between the two groups (P>0.05). The time of first urination in the intervention group was shorter than that in the control group [(2.91±1.02) h vs. (3.76±1.68) h], the first postpartum urine volume was more than that in the control group [(160.56±21.03) mL vs. (142.43±18.42) mL], the residual urine volume of the bladder after the first urination was less than that in the control group [(73.20±17.03) mL vs. (85.46±20.24) mL], the incidence of urinary retention was lower than that in the control group (3.26% vs. 10.47%), nursing satisfaction was higher than that in the control group, and the increase in scores of all dimensions of quality of life was greater than that in the control group, with statistically significant differences (all P<0.05). Conclusion Bian stone warming and ironing therapy combined with aromatherapy may effectively reduce the incidence of postpartum urinary retention, and improve nursing satisfaction and quality of life among lying-in women after painless delivery.
|
|
Received: 03 July 2023
Revised: 07 August 2023
Published: 06 September 2023
|
|
|
|
|
|
[1] 潘程瑶,杨圆圆,郑晶晶.艾盐包穴位热熨联合盆底肌训练对初产妇无痛分娩产后尿潴留的预防效果[J].中国医药导报,2023,20(2):80-83.
[2] 郭学齐,兰晓红,吕清媛.产后尿潴留风险评分系统的建立及验证[J].预防医学,2018,30(10):1064-1067.
[3] AVONDSTONDT A M,HIDALGO R J,SALAMON C G.Intrapartum risk factors for postpartum urinary retention:a case-control study[J].Int Urogynecol J,2020,31(11):2395-2398.
[4] 庞艳,林芳初,李嫒,等.产后尿潴留发病危险因素Meta分析[J].护理学报,2020,27(20):1-6.
[5] 李三妹. 中医情志护理与个性化护理在产后尿潴留中的应用[J].光明中医,2020,35(24):3989-3991.
[6] 沈肖. 硬膜外分娩镇痛对母儿围生结局影响的临床研究[D].南京:东南大学,2018.
[7] 田宇瑛. 新砭石疗法的临床研究与应用现状[J].中国中医基础医学杂志,2010,16(11):1036-1039.
[8] 王荣华,张艳,张倍倍,等.芳香疗法的应用现状[J].全科护理,2018,16(35):4368-4370.
[9] 中华医学会妇产科学分会产科学组.孕前和孕期保健指南(2018)[J].中华妇产科杂志,2018,53(1):7-13.
[10] 中华人民共和国国家中医药管理局.中医病证诊断疗效标准:ZY/T 001.1~001.9—94[S].南京:南京大学出版社.
[11] 中国妇幼保健协会中医和中西医结合分会,中国妇幼保健协会助产士分会,浙江省针灸学会妇产科专业委员会,等.中医适宜技术在初产妇阴道分娩产后早期康复应用专家共识[J].国际中医中药杂志,2022,44(10):1081-1085.
[12] 谢洁,江燕,何梅珍.中药封包联合低频电子脉冲治疗仪治疗产后尿潴留的临床观察[J].中国民间疗法,2020,28(24):52-55.
[13] 李小军. 电热砭石温熨治疗肛肠术后尿潴留38例[J].中国针灸,2007,27(增刊1):19.
[14] 张田雨. 电针联合盆底肌功能训练治疗女性压力性尿失禁的临床观察[D].沈阳:辽宁中医药大学,2021.
[15] 王军,谢衡辉.中医温熨疗法与电热砭石仪[J].针灸临床杂志,2003,23(7):424-425.
[16] 何薇,刘晓蓓,尤敏.砭石穴位按摩在脑卒中上肢偏瘫患者中的应用效果[J].安徽医专学报,2023,22(3):147-149.
[17] 陈珊,龙玲慧,陆云,等.芳香疗法联合穴位贴敷护理对胃肠肿瘤患者化疗所致恶心呕吐的影响[J].齐鲁护理杂志,2023,29(9):110-113.
[18] 李莉. 自我放松体验配合疼痛干预对肛肠手术后疼痛和尿潴留的影响[J].医学新知,2019,29(5):574-576.
[19] 白来崧,何洁茹,吴佩茹.芳香疗法配合穴位按压对产程中初产妇心理状态、分娩结局的影响[J].光明中医,2021,36(2):297-299. |
|
|
|
