Effect of psychological nursing intervention combined with acupressure on postoperative recovery of women after cesarean section

doi:10.12998/wjcc.v12.i21.4527

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World Journal of Clinical Cases

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Retrospective Study

World J Clin Cases. Jul 26, 2024; 12(21): 4527-4535
Published online Jul 26, 2024. doi: 10.12998/wjcc.v12.i21.4527

Effect of psychological nursing intervention combined with acupressure on postoperative recovery of women after cesarean section

Xing-Ying Liu, Xiao-Bo Chen, You-Liang Wen, Xiao-Ping Guo, Xiao-Bin Zhou

Xing-Ying Liu, Xiao-Bo Chen, Xiao-Ping Guo, Department of Rehabilitation Medicine, Second Affiliated Hospital of Gannan Medical University, Ganzhou 341000, Jiangxi Province, China

You-Liang Wen, Rehabilitation Therapy Teaching and Research Office, Rehabilitation College of Gannan Medical University, Ganzhou 341000, Jiangxi Province, China

Xiao-Bin Zhou, Dermatology and Plastic Surgery Department, First Affiliated Hospital of Gannan Medical University, Ganzhou 341000, Jiangxi Province, China

Author contributions: Liu XY performed the study conceptualization and design, statistical analysis, and manuscript preparation; Liu XY, Chen XB and Wen YL contributed to data acquisition; Liu XY, Guo XP and Zhou XB contributed to data quality assessment; Liu XY contributed to data interpretation; Liu XY drafted the initial manuscript; Liu XY reviewed and revised the paper; all authors have read and agreed to the published version of the manuscript.

Institutional review board statement: This study was approved by the Ethic Committee of Second Affiliated Hospital of Gannan Medical University.

Informed consent statement: The requirement of informed consent was waived by the Medical Ethics Committee of the Hospital due to the retrospective nature of the study and the absence of any risk.

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

Data sharing statement: The data analyzed in this study is available from the corresponding author upon reasonable request.

Corresponding author: Xiao-Bin Zhou, MS, Doctor, Dermatology and Plastic Surgery Department, First Affiliated Hospital of Gannan Medical University, NO. 23 Qingnian Road, Zhanggong District, Ganzhou 341000, Jiangxi Province, China. 15879735187@163.com

Received: March 12, 2024
Revised: May 9, 2024
Accepted: June 13, 2024
Published online: July 26, 2024
Processing time: 111 Days and 9.7 Hours

Abstract

BACKGROUND

Psychological intervention nursing (PIN) has been considered to have a curative effect on cesarean section (CS) postoperative recovery. However, the therapeutic mechanisms remain obscure.

AIM

To explore the effects of PIN combined with acupressure massage on CS postoperative recovery.

METHODS

A retrospective study was conducted on 150 pregnant women admitted to an obstetrics department between January 2020 and January 2023. The control group (CG) received acupressure therapy (n = 73), and the intervention group (IG) received acupressure therapy and PIN therapy (n = 77). Postoperative recovery time was assessed by anal-exhausting, defecation, bed activity, breastfeeding, and hospital stay times. Adverse effects, including infection, bleeding, limb numbness, intrauterine hematoma, urinary retention, and venous thromboembolism, were recorded. the pain visual analogue scale (VAS) was used to evaluate the degree of pain. Anxiety and depression status were qualitatively assessed using the self-rating anxiety scale (SAS), self-rating depression scale (SDS), and Edinburgh postpartum depression scale (EPDS). The Pittsburgh sleep quality index (PSQI) was used to compare sleep quality between the groups.

RESULTS

The baseline data and SAS, SDS, EPDS, and PSQI scores did not significantly differ before CS (P > 0.05) and neither did complication rates between the two groups after CS (P > 0.05). However, anal-exhausting, defecation, waking up, breastfeeding, and hospitalization times were significantly shorter for participants in the IG than those for participants in the CG (P < 0.05). The VAS, SAS, SDS, EPDS, and PSQI scores of the IG were significantly lower than those of the CG (P < 0.05).

CONCLUSION

PIN, combined with acupressure massage, effectively promotes maternal recovery, reduces post-CS pain, and improves postoperative negative emotions and sleeping quality.

Keywords: Psychological intervention nursing; Acupressure massage; Cesarean section; Negative emotions; Sleep quality

Core Tip: The combination of acupressure and psychological care can significantly promote early recovery after cesarean delivery. This comprehensive intervention can effectively reduce pain after cesarean delivery and is beneficial in alleviating negative postpartum emotions and enhancing the psychological state of patients. Following the comprehensive intervention, the quality of maternal sleep is markedly enhanced, facilitating the promotion of physical recovery and health.