Author/Editor		Višić, Uroš; Stopar Pintarič, Tatjana; Blajić, Iva; Albreht, Tit; Lučovnik, Miha
Title		Vpliv multimodalne analgezije na samostojnost otročnic pri osebni higieni, skrbi za novorojenčka in dojenja po carskem rezu
Translated title		Influence of multimodal analgesia on maternal independent personal hygiene, newborn care and breastfeeding after cesarean delivery
Type		članek
Vol. and No.		Letnik 56, št. 3
Publication year		2022
Volume		str. 194-199
ISSN		1318-2951 - Obzornik zdravstvene nege : strokovno glasilo Zveze društev medicinskih sester in zdravstvenih tehnikov Slovenije
Language		slv
Abstract		Uvod: Namen raziskave je bil ugotoviti, ali lahko z uvedbo multimodalne analgezije po carskem rezu zmanjšamo odmerke opioidov in pospešimo pooperativno okrevanje.Metode: V retrospektivni kohortni raziskavi sta bili primerjani dve skupini: eksperimentalna (po uvedbi novega analgetičnega režima) in kontrolna skupina (pred uvedbo novega analgetičnega režima). Opazovana je bila sposobnost samostojne osebne higiene porodnice, skrb za novorojenčka po carskem rezu in čas od operacije do prvega podoja. Pri statistični analizi je bil uporabljen test hi-kvadrat in Mann-Whitneyjev U-test. Rezultati: V skupino z quadratus lumborum blokom in v kontrolno skupino smo vključili po 58 otročnic. Po uvedbi multimodalnega analgetičnega režima je večji delež otročnic samostojno skrbel za osebno higieno po šestih urah po carskem rezu (44 (76 %) otročnic v skupini quadratus lumborum blok in nobena v skupini opioidne analgezije). Po dvanajstih urah se je delež pri skrbi za osebno higieno v skupini, v kateri smo lajšali bolečino z opioidno analgezijo, nekoliko popravil 55 (95 %) v prvi skupini in v drugi skupini 28 (48 %, p < 0,001). Prvi podoj po carskem rezu je bil v prvi uri po operaciji pogostejši pri kontrolni skupini (19 otročnic pri quadratus lumborum bloku (33 %) in 32 otročnic z opioidno analgezijo (55 %, p = 0,02), po dveh urah razlik ga niso zaznali. Diskusija in zaključek: Z multimodalnim analgetičnim načinom pripomoremo k hitrejšemu samostojnemu izvajanju negovalnih aktivnosti otročnice, ki ji omogočajo hitrejšo prilagoditev na novo življenjsko vlogo.Introduction: The objective of the study was to evaluate whether introducing multimodal analgesics after caesarean delivery can reduce doses of opioids and speed up post-operative recovery. Methods: We performed a retrospective cohort study comparing two groups: experimental (after introducing a new analgesics regime) and control group (before introducing a. new analgesics regime) We observed patients' ability to independently care for personal hygiene, care for the newborn after cesarean delivery and time from the operation to the first attemot to breastfeed. Chi-square test and Mann-Whitney U test were used as part of the statistical methods for comparison. Results: Quadratus lumborum block group included 58 patients. After the introduction of the multimodal analgesic regimen, a higher proportion of patients took care of their personal hygiene after 6 hours after cesarean section (44 (76%) patients in the group of quadratus lumborum block and 0 in the group of opioid analgesia). After 12 hours, the share of personal hygiene care in the group where pain was relieved with opioid analgesia slightly improved (55 (95%) in the first group and 28 in the control group (48%, p < 0.001). The first attempt to breastfeed after cesarean section was more frequent in the first hour after surgery in the control group (19 patients in group of quadratus lumborum block (33%) and 32 patients in group with opioid analgesia (55%, p = 0.02). After two hours no differences were detected. Discussion and conclusion: Multimodal analgesic approach after caesarean delivery allows women to start independently caring for themselves and their newborns quicker, which can help them to adapt to their new role faster.
Keywords		bolečina porod negovalne intervencije analgezija pain childbirth nursing interventions analgesia breastfeeding