摘要
目的分析全子宫切除术后影响患者认知水平的相关危险因素及针对性护理干预措施。方法选取我院2017年1—10月收治的80例择期全子宫切除术患者作为调查对象,通过统计学SPSS软件进行单因素和多因素分析,确定影响患者术后认知水平的相关因素,并提出相应干预措施。结果在本研究中,34例(42. 50%)患者术后认知水平差,logistic多因素分析显示,疼痛、外观变化和性生活质量为全子宫切除患者术后认知水平差存在的重要因素。结论全子宫切患者术后认知水平差的重要原因为疼痛、形体改变及性生活质量,护理人员应在术前评估患者认知水平,并针对性地拟定健康宣教及行为和心理支持策略,且应注意患者心理变化,为避免阶段性受环境影响,组织病友交流会,以提高患者治疗依从性和信心。
Objective To analyze the risk factors and the targeted nursing interventions that affect the cognitive level of patients after complicated hysterectomy. Methods A total of 80 cases of patients underwent elective complicated hysterectomy who were admitted to our hospital from January 2017 to October 2017 were selected as research subjects. The factors of postoperative cognitive level were determined by univariate analysis and multivariate analysis which were conducted in statistical SPSS. Therefore, corresponding intervention measures were proposed. Results In this study, a total of 34 patients（42. 50%） had poor postoperative cognitive status. Logistic multivariate analysis showed that pain, appearance changes, and quality of sexual life were important factors in postoperative cognitive deficits in patients under going complicated hysterectomy. Conclusion The main causes of postoperative cognitive deficit in patients with complicated hysterectomy are pain, physical changes and quality of sexual life. Nursing staff should assess the patient＇ s cognitive level before surgery as well as formulate health education and behavioral and psychological support strategies. At the same time, they should pay attention to thepatient＇ s psychological changes. In order to avoid the staged environmental impact, exchange meetings for patients should be organized to improve their compliance and confidence.
出处
《护理实践与研究》
2018年第21期13-14,共2页
Nursing Practice and Research
关键词
全子宫切除术
认知状态
护理干预
Hysterectomy
Cognitive status
Nursing intervention
