三干预用于剖宫产产妇术的RCT研究

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Randomized Controlled Trial of the“Three-Prevention”Intervention on Postoperative SleepQuality and Comfort in Women Undergoing Cesarean Section

ZHANGPeihua，SHI Qiaowei，XUYunfeng，DINGQionglan，YAN Jingjia （ Jinjiang Hospital/Shanghai Sixth People's Hospital Fujian Branch，Jinjiang 3622Oo，China）

AbstractObjective：Toevaluatetheefectof the“Thre-Prevention”（San-Yu-Xian）interventiononpostoperative sleepquality andcomfort in women undergoing cesareansection.Methods：Arandomized controlled trial was conducted in40O women who underwentcesarean sectionat Jinjiang Hospital fromJune2O24 to June2O25.Patientswererandomlyassgnedtoanobservation group（ n=200 ）and a control group（ n=200 ）. The control group received routine perioperative anesthesia and nursing care， whereasteobservationgroupreceivedthe“Thre-Prevention”interventionfor7dayspostoperatively.Theincidenceofpostoperativehypothermiaandshivering，theseverityofpostoperativenauseaandvomiting（PONV），needforescuemedications，4-our painscore（VAS），durationofanalgesia，postoperativesleepdisorder（POSD）score，postoperativecomfortscoreandPitsburgh Sleep Quality Index（PSQI）score were compared betwen groups.Results：Compared with thecontrol group，theobservation group showed significantlylower incidenesofhypothermia andshivering，improvedPONVgradesandfewercasesrequiringrescueantiemetic administration（ P<0.05 ）.The observation group had lower 24-hour VAS and POSD scores（ P<0.05 ），longer analgesia maintenance time，and higher comfort scores（ P<0.05 ）. After nursing intervention，PSQI scores in the observation group were significantly lower than those in the control group（ P<0.05 ）.Conclusion：The“Three-Prevention”intervention can effectively reduce postoperativediscomfortanddversephyiologicalreactions，elievepostoperativepain，andsignificantlyimprovesleqality and overall comfort in women undergoing cesarean section.

KeywordsCesarean section；Postoperativecare;；Sleepquality； Comfort；“Three-Prevention”intervention;Pain management; Sleep disorder

中图分类号：R338.63 文献标识码：A doi：10.3969/j.issn.2095-7130.2025.08.034

剖宫产术作为解决难产和高危妊娠的有效手段，在产科中被广泛应用，其应用率逐渐增高[1]。（剩余4765字）