基于目标管理理论的护理干预策略联合穴位敷贴对剖宫产患者术后疼痛和恢复的影响*

作者：李婷婷1,2，陈 青1，符艳艳1，王小亮1，王 莹1，刘 智1，周 启1，刘秀梅2

单位：1.湖南中医药大学第一附属医院，湖南 长沙 410007； 2.湖南中医药大学护理学院，湖南 长沙 410208

引用：引用：李婷婷，陈青，符艳艳，王小亮，王莹，刘智，周启，刘秀梅.基于目标管理理论的护理干预策略联合穴位敷贴对剖宫产患者术后疼痛和恢复的影响[J].中医药民报,2026,32(1):140-144.

DOI：10.13862/j.cn43-1446/r.2026.01.024

PDF： 下载PDF

摘要：

目的：探讨基于目标管理理论的护理干预措施联合穴位敷贴对剖宫产患者术后疼痛和恢复的影响。方法：将94例初产妇作为研究对象，根据随机数字表法将其分为对照组和干预组，每组47例。对照组采用常规护理干预及镇痛方案，干预组在对照组的基础上给予基于目标管理理论的护理干预策略联合穴位敷贴。对比两组产妇的术后疼痛情况、负性情绪评估量表评分、分娩情况、镇痛药物使用情况等。结果：两组产妇术后的疼痛评分均随着时间延长呈下降趋势（P<0.05），且护理干预方式与时间存在交互效应（P<0.05）；两组产妇疼痛评分总体比较，差异有统计学意义（P<0.05），干预组产妇术后的疼痛评分低于对照组（P<0.05）。干预组产妇术后24 h、48 h症状自评量表（SCL-90）评分、焦虑自评量表（SAS）评分、抑郁自评量表（SDS）评分均低于对照组（P<0.05）；干预组产妇术后24 h内的镇痛药物用量少于对照组（P<0.05），术后肠鸣音恢复时间、首次肛门排气时间及首次排便时间均短于对照组（P<0.05）；两组不良反应发生率比较，差异无统计学意义（P>0.05）。结论：基于目标管理理论的护理干预措施联合穴位敷贴能有效减轻剖宫产患者术后疼痛，缓解不良情绪，减少止痛药物的应用，降低产妇的不良反应发生率。

关键词：剖宫产；目标管理理论；穴位敷贴；护理干预

Abstract：

Objective: To explore the effect of nursing intervention measures combined with acupoint application based on the management by objectives (MBO) theory on postoperative pain and recovery in cesarean section patients. Methods: Ninety-four primiparas undergoing cesarean section were selected and randomly divided into a control group and an intervention group using a random number table, with 47 cases in each group. The control group received routine nursing intervention and analgesia. The intervention group received an MBO-based nursing intervention strategy combined with acupoint application in addition to the control group's regimen. Postoperative pain, negative emotion assessment scale scores, delivery-related outcomes, and analgesic drug use were compared between the two groups. Results: Postoperative pain scores in both groups showed a decreasing trend over time (P<0.05), with a significant interaction effect between nursing intervention method and time (P<0.05). There was a statistically significant overall difference in pain scores between the two groups (P<0.05), with the intervention group having lower postoperative pain scores than the control group (P<0.05). Scores on the Symptom Checklist-90 (SCL-90), Self-Rating Anxiety Scale (SAS), and Self-Rating Depression Scale (SDS) at 24 h and 48 h postoperatively were lower in the intervention group than in the control group (P<0.05). The dosage of analgesic drugs within 24 h postoperatively was lower in the intervention group (P<0.05), and the times to bowel sound recovery, first anal exhaust, and first defecation were shorter than in the control group (P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05). Conclusion: Nursing intervention measures combined with acupoint application based on the MBO theory can effectively alleviate postoperative pain, mitigate negative emotions, reduce analgesic drug use, and lower the incidence of adverse reactions in cesarean section patients.

Key words：cesarean section; management by objectives theory; acupoint application; nursing intervention

发布时间：2026-01-30

点击量：0