异位妊娠微创手术人性化护理效果评价  

The effect assessment of humanized nursing in the minimally invasive surgery for the ectopic pregnancy

作　　者：施雪萍[1] 张珂[2] 

机构地区：[1]浙江省长兴县妇幼保健院手术室,浙江长兴313100 [2]浙江大学医学院附属妇产科医院手术室,浙江杭州310006

出　　处：《中国现代医生》2013年第36期84-85,89,共3页China Modern Doctor

基　　金：浙江省医药卫生科技计划(2013ZHA008)

摘　　要：目的在对异位妊娠微创手术患者的护理过程中行人性化护理措施，观察并评价其临床疗效。方法选取我院2012年6月-2013年6月收治的168例异位妊娠患者。所有患者均行微创手术，并按知情同意和自主选择原则随机分为对照组和观察组。其中对照组行常规护理，观察组则在常规护理的基础上行人性化护理．比较两组患者的手术状态、并发症发生率、住院时长以及护理满意度。结果两组患者的手术状态具有显著性差异（P〈0．05）；两组患者的术后恢复情况即腹痛消失时间、肛门排气时间以及下床时间均明显缩短（P〈0．05）；两组患者的并发症发生率分别为8．33％和0．00％（X^2=7．3043，P〈0．05）；两组患者的住院时长分别为（11．65±1．33）d和（7．12±1．21）d（t=23．0609，P〈0．05）；两组患者的护理满意度分别为98．81％和86．90％（X^2=6．8050，P〈0．05）。结论人性化护理作为异位妊娠微创手术的重要组成，可有效地调节患者的手术状态、降低并发症的发生、缩短患者的住院时间，对提高患者的护理满意度具有重要意义，值得临床推广。Objective To explore the effect of the humanized nursing for the patients with the ectopic pregnancy and treated by the minimally invasive surgery, and to estimate the application value. Methods From June 2012 to June 2013, 184 cases of patients who had eetopic pregnancy were selected in our hospital. All of them were treated by the minimally invasive surgery, and they were were randomly divided into the control group and observation group according to the principle of informed consent and independent choice. The patients belonging to the control group were nusered by the conventional nursing scheme, while the ones in the observation group were nusered by the humanized nursing project in the base of routine nursing. In final, the patients operation state, the incidence of complications, the hospitalization time and the nursing satisfaction were compared and analyzed. Results The patients operation state in the observation group was better than that in the control group （P 〈0.05）. The abdominal pain disappeared time, exhaust time and bed time of the postoperative recovery time in the treatment group all exhibited markedly shorter than the control group （P〈0.05）. The incidence of complications between the control group and the observation group were 8.33%和 0.00%, respectively （X^2=7.3043,P〈0.05）. The hospitalization time were （11.65±1.33） d and （7.12±1.21） d for the control group and the observation group （t=23,0609, P〈0.05） was obtained. Patient satisfaction in the observation group was 98.81% and the control group was 86.90% satisfaction （X^2=6.8050,P〈0.05）. Conclusion The humanized nursing is an important approach to improve patients satisfaction with nursing care, which can effectively adjust the patient＇s surgical condition, reduce complications, shorten the hospitalization time of patients. It is of great significance to improve patients satisfaction with nursing care, and it is worth clinical promotion.

关 键 词：异位妊娠 微创手术 人性化护理 效果评价 

分 类 号：R473.71[医药卫生—护理学]