The Effects of A Self-Prepared Medicinal Solution of Huangbai and Kushen Combined with Psychological Care on Postpartum Perineal Incisions

Abstract

Medicinal solution steam washing is a common clinical treatment for the management of various skin diseases and wound infections. According to traditional Chinese medicine, the lack of healing of infected incisions is often attributed to excessive intraoperative blood loss, resulting in an imbalance of Qi and Blood, meridian obstruction, blood stasis, and the accumulation of dryness, heat, and turbid Qi at the affected area. Therefore, detoxification washing of the affected area with medicinal solutions promotes healing and is clinically recommended. Based on this premise, a self-prepared medicinal solution using cold-natured Chinese medicinal herbs, such as Huangbai, Kushen, and Pugongying, was used to promote the healing of postpartum perineal incisions in women. The aim of this study was to determine the effects of a self-prepared medicinal solution combined with psychological care on the healing of postpartum perineal incisions. Eighty parturient women who underwent spontaneous delivery with a mediolateral episiotomy at our hospital from August 2020 to August 2021 were enrolled in the study. The parturient women were divided into control and observation groups using a random number table, with 40 patients per group. The control group received conventional treatment and nursing intervention. The observation group received intervention with self-prepared medicinal liquid fumigation using Huangbai and Kushen, combined with psychological care. Pain perception, incision healing time, and the psychological status of the two groups were compared. After 3 days of nursing, the visual analog scale (VAS) scores in the observation group were significantly lower than the scores in the control group (P <0.05). The VAS scores in the observation group were also significantly lower than the scores in the control group after nursing (P <0.05). The healing time of the incision in the observation group was significantly shorter than the healing time in the control group (P <0.05). After nursing, the self-rating anxiety scores and self-rating depression scores in the observation group were significantly lower than the scores in the control group (P <0.05). Compared to routine treatment and nursing interventions, the combined application of self-prepared medicinal solution steam washing and psychological care promotes the healing of postpartum perineal incisions, alleviates pain in the incision area, and improves negative emotional states in parturient women.