摘要
目的:观察快速康复护理在腹腔镜下子宫肌瘤剔除术患者围术期的应用效果。方法:选取2019年1月至2021年12月该院收治的156例腹腔镜下子宫肌瘤剔除术患者进行前瞻性研究,按照随机数字表法分为对照组和观察组各78例。对照组实施常规护理,观察组实施快速康复护理,比较两组围术期相关指标水平、术后疼痛程度[疼痛数字评分法(NRS)]评分、护理前后负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分和并发症发生率。结果:观察组肛门排气时间、下床活动时间及术后住院时间均短于对照组,差异有统计学意义(P<0.05);术后24、48 h,观察组NRS评分均低于对照组,差异有统计学意义(P<0.05);护理后,两组SAS和SDS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为1.28%,低于对照组的10.26%,差异有统计学意义(P<0.05)。结论:快速康复护理应用于腹腔镜下子宫肌瘤剔除术患者围术期,可缩短患者术后康复时间,减轻负性情绪,以及降低并发症发生率,效果优于常规护理。
Objective:To observe application effects of rapid rehabilitation nursing in perioperative patients undergoing laparoscopic myomectomy.Methods:156 patients with laparoscopic myomectomy who were admitted to our hospital from January 2019 to December 2021 were selected for the prospective study,and were divided into control group and observation group according to the random number table method,78 cases in each group.The control group received routine nursing,while the observation group was give the rapid rehabilitation nursing.The levels of the perioperative related indicators,the postoperative pain degree[numerical pain rating scale(NRS)],the negative emotion score[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],and the incidence of complications were compared between the two groups before and after the nursing.Results:The anal exhaust time,the out-of-bed activity time and the postoperative hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).24 and 48 hours after the surgery,the NRS score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).After the nursing,the SAS and SDS scores of the two groups were lower than those before the nursing,those of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was 1.28%,which was lower than 10.26%in the control group,and the difference was statistically significant(P<0.05).Conclusions:Rapid rehabilitation nursing for the perioperative patients undergoing laparoscopic myomectomy can shorten the postoperative recovery time,reduce the negative emotions,and reduce the incidence of complications.Moreover,it is superior to the routine nursing.
作者
王菲
WANG Fei(Department of Obstetrics and Gynecology of Guangshan County People’s Hospital,Xinyang 465450 Henan,China)
出处
《中国民康医学》
2022年第14期172-174,178,共4页
Medical Journal of Chinese People’s Health
