Effect of Comprehensive Nursing Intervention Under Internet-Based WeChat Platform Education on Postoperative Recovery of Puerperae Undergoing Cesarean Section

Abstract

Objective: To explore the effect of comprehensive nursing intervention under internet-based WeChat platform education on postoperative recovery of puerperae undergoing cesarean section (C-section).

Methods: A total of 96 patients undergoing C-section in our hospital from June 2018 to October 2021 were selected for the retrospective analysis and grouped according to the nursing intervention modes as follows: patients who received a routine nursing intervention were included in the control group, and patients who received comprehensive nursing intervention under internet-based WeChat platform education were included in the study group, with 48 cases each. After the intervention, the postoperative recovery of puerperae undergoing C-section and obstetrics nursing quality were scientifically assessed.

Results: No statistical differences in general data between the two groups were observed (P > 0.05). Compared with the control group, patients in the study group had obviously earlier initial time of lactation (P < 0.05), significantly higher breast milk amount within 48 h after delivery (P < 0.05), significantly earlier spontaneous urination time, anal exhaust time and off-bed activity time (P < 0.05), obviously better mastery of health knowledge (P < 0.05), and, in terms of SCL-90, remarkably lower total score, average total positive score, and the number of positive items and scores in dimensions, such as somatization, obsessive-compulsive, depression, anxiety, interpersonal sensibility, anger-hostility, phobic-anxiety, and paranoid ideation (P < 0.05). At discharge, 3 months, and 6 months of follow-up, patients in the study group obtained significantly higher scores on quality of life than the control group (P < 0.05).

Conclusion: In the nursing of puerperae undergoing C-section, comprehensive nursing intervention measures based on the internet-based WeChat platform education can effectively improve the early lactation, mastery of health knowledge, and adverse emotions of puerpera and promote their postoperative recovery.

Figure 1

Comparison of puerperae's early recovery after operation between the two groups ($\overline{x}$ ± s). Note: the horizontal axis indicated the evaluation dimensions, and the vertical axis indicated the time (h). The spontaneous urination time, anal exhaust time, and off-bed activity time of the control group were (4.66 ± 0.64), (8.57 ± 1.01), and (16.63 ± 3.18), respectively. The spontaneous urination time, anal exhaust time, and off-bed activity time of the study group were (2.28 ± 0.43), (6.05 ± 0.87), and (12.08 ± 2.56), respectively. ^∗indicated significant difference in spontaneous urination time between the two groups (t = 21.386, P < 0.001). ^∗∗indicated significant difference in the anal exhaust time between the two groups (t = 13.097, P < 0.001). ^∗∗∗indicated significant difference in off-bed activity time between the two groups (t = 7.722, P < 0.001).

Figure 2

Comparison of scores on mastery of health knowledge of puerperae between the two groups ($\overline{x}$ ± s). Note: the horizontal axis indicated the evaluation dimension, and the vertical axis indicated the score. The score on the mastery of health knowledge of the control group was (90.12 ± 4.85). The score on the mastery of health knowledge of the study group was (97.38 ± 2.55). ^∗indicated significant difference in scores on the mastery of health knowledge between the two groups (t = 9.179, P < 0.001).

Figure 3

Comparison of scores on puerperae's quality of life between the two groups ($\overline{x}$ ± s). Note: the horizontal axis indicated the time points, and the vertical axis indicated the score. At discharge, 3 months, and 6 months of follow-up, the scores on the quality of life of the control group were (40.07 ± 9.22), (55.64 ± 10.62), and (70.55 ± 11.05), respectively. At discharge, 3 months, and 6 months of follow-up, the scores on the quality of life of the study group were (47.86 ± 8.91), (64.45 ± 8.22), and (76.88 ± 10.54), respectively. ^∗indicates significant difference in scores on the quality of life at discharge between the two groups (t = 4.209, P < 0.001). ^∗∗indicates significant difference in scores on the quality of life at 3 months of follow-up between the two groups (t = 4.545, P < 0.001). ^∗∗∗indicates significant difference in scores on the quality of life at 6 months of follow-up between the two groups (t = 2.872, P=0.005).