| Objectives:1.Based on the theory of "preventive treatment of disease",we set up a dynamic Chinese medicine nursing plan for the parturient,and find out effective nursing plan for preventing postpartum constipation by implementing the observation effect.2.Through the innovative application of "preventive treatment of disease" theory,it provides clinical basis for the prevention and cue of postpartum constipation in traditional Chinese medicine.Methods:According to the inclusion and exclusion criteria,135 cases of obstetric production in the Affiliated Hospital of Jiamusi College of Heilongjiang University Of Chinese Medicine from November 2017 to December were selected as the control experiment.They were divided into control group and intervention group according to maternal production time.In the control group,45 cases were treated by routine obstetric nursing,including diet nursing,life nursing and psychological nursing.A total of 90 patients in the intervention group were given individualized TCM nursing methods based on the theory of "preventive treatment" on the basis of routine nursing.The intervention group was divided into two sub-groups according to the duration of the intervention,each with 45 cases.Group A intervened for 10 days and Group B intervened for 20 days.The number of final studies was 43 in the control group,42 in intervention group A and 43 in intervention group B.SPSS20.0 software was used for statistical analysis,counting data was expressed with%,and the differences were compared with chi square test and Fisher test.The measurement data were expressed by X ±s,and the differences were compared with t test and t 'test,and the differences were compared by variance analysis among the two groups.All data were tested by bilateral test with a level of 0.05.There was no significant difference in the general data between the three groups(P>0.05).The incidence of constipation,the integral of constipation symptoms,the incidence of complications,the improvement of the final constipation and the intervention effect of different intervention were compared for 42 days after hospitalization and follow-up follow-up.Results:1.24 hours after postpartum,the constitution of high risk constipation of parturients was high(only a few people were flat and qualitative),the control group was 81.40%,the intervention group A was 88.10%,and the intervention group was 83.72% in the B group.By chi square test,there was no significant difference in the physical condition of high-risk constipation between the three groups before intervention(P>0.05),which was comparable to that of the 2 groups.2.42 days after postpartum,the incidence of maternal constipation in the two intervention groups was lower than that in the control group,and the difference between the three groups was statistically significant(P<0.05).The incidence of maternal constipation(19.05%)in the intervention group A was lower than that in the control group(34.88%),and the difference between the two groups was statistically significant(P<0.05).The incidence of maternal constipation in the intervention group B(9.30%)was lower than that in the control group(34.88%),and the difference between the two groups was statistically significant(P < 0.05).The incidence of maternal constipation in the intervention group B(9.30%)was lower than that in the intervention group A(19.05%),and the difference between the two groups was statistically significant(P<0.05).3.42 days after postpartum,the scores of constipation symptoms in the two intervention groups were lower than those in the control group,and the difference between the three groups was statistically significant(P<0.05).The scores of maternal constipation symptom score(2.743 ± 0.790)in the intervention group A were lower than those in the control group(3.309 ± 1.245),the difference between the two groups was statistically significant(P < 0.05).The score of maternal constipation symptom score(2.330 ±0.640)in the intervention group B was lower than that in the control group(3.309±1.245),and the difference between the two groups was statistically significant(P<0.05).The score of maternal constipation symptom score in the intervention group B(2.330±0.640)was lower than that in the intervention group A(2.743±0.790),the difference between the two groups was statistically significant(P<0.05).4.42 days after postpartum,the incidence of complications in the two intervention groups was lower than that in the control group,and the difference between the three groups was statistically significant(P<0.05).The incidence of maternal complications in the intervention group A(4.76%)was lower than that in the control group(18.60%),but the difference between the two groups was not statistically significant(P>0.05).Compared with the control group,the maternal complications in the intervention group B did not occur,and the difference was statistically significant(P<0.05).The incidence of maternal complications in the intervention group B(0.00%)was lower than that in the intervention group A(4.76%),but the difference between the two groups was statistically significant(P>0.05).5.42 days after postpartum,the high-risk constipation physical improvement rate of the two intervention groups was higher than that of the control group,and the difference between the three groups was statistically significant(P<0.05).Two comparisons were made: the rate of physical improvement of parturients with high-risk constipation in group A(51.35%)was higher than that in the control group(28.57%),and the difference between the two groups was statistically significant(P<0.05).The rate of physical improvement of parturient constipation at high risk(83.33%)in the intervention group B was higher than that in the control group(28.57%),and the difference between the two groups was statistically significant(P<0.05).The rate of physical improvement of parturients with high risk constipation in group B(83.33%)was higher r than that in group A(51.35%),and the difference between the two groups was statistically significant(P<0.05).Conclusions:The traditional Chinese medicine nursing method based on the theory of "cure the disease" is adopted.According to the different constitution of the parturient,the method of individualized diet medicine diet and foot medicine bath as the dominant method can obviously reduce the incidence of postpartum constipation,effectively control the clinical symptoms of postpartum constipation,reduce the occurrence of complications,and provide medical care for traditional Chinese medicine.It provides a clinical basis for the prevention and treatment of parturients' constipation. |
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