Mindfulness Meditation Combined with eCASH-Based Nursing for Cesarean Section in Preeclampsia: A Retrospective Study on Perioperative Pain and Recovery

Objective: To evaluate the effects of mindfulness meditation combined with eCASH-based nursing on perioperative pain and early recovery in patients with preeclampsia undergoing cesarean section. Methods: This retrospective study included 107 patients with preeclampsia who underwent cesarean section. According to the perioperative nursing intervention received, patients were assigned to a control group (n=53, conventional nursing) or a treatment group (n=54, conventional care plus mindfulness meditation and eCASH-based nursing). Outcomes included postoperative recovery indicators (time to first flatus, first bowel movement, and lactation onset), sleep quality (PSQI), pain intensity (NRS), comfort (GCQ), anxiety and depression (HAMA, HAMD), self-management ability (GESE, AHSMSRS), complication rates, and patient satisfaction. Results: Compared with the control group, the treatment group demonstrated shorter times to first flatus, bowel movement, and lactation (P< 0.05). Post-intervention PSQI and NRS scores decreased and GCQ scores increased in both groups, with greater improvements in the treatment group (P< 0.05). Anxiety and depression scores were significantly reduced in both groups, with larger reductions in the treatment group (P< 0.05). Self-management scores improved significantly, particularly in the treatment group (P< 0.05). The complication rate was lower in the treatment group (7.41% vs. 22.64%, P< 0.05), and patient satisfaction was higher (96.30% vs. 77.36%, P< 0.05). Conclusion: In this retrospective study, mindfulness meditation combined with eCASH-based nursing was associated with improved perioperative pain control, psychological status, early recovery, and patient satisfaction in preeclamptic women undergoing cesarean section. These findings are exploratory and warrant prospective validation.