护理干预预防妇科腹腔镜手术的并发症及护理体会  

Nursing Experience of Complications in Nursing Intervention With Prevention of Gynecological Laparoscopic Operation

作　　者：尹玲玲[1] 

机构地区：[1]河北青县人民医院妇科,062650

出　　处：《中国卫生标准管理》2015年第3期221-223,共3页China Health Standard Management

摘　　要：目的采用护理干预对妇科腹腔镜手术患者进行相关并发症与护理观察研究。方法 120例患者采用随机数字法分为两组,观察组60例,对照组60例,对照组患者采用常规普通护理;观察组患者在此基础上实现护理干预,观察记录患者的术后排气时间、下床时间、术后尿量、下床活动时间和开始进食时间,问卷调查患者的护理满意度,观察两组患者并发症情况。结果对照组中有34例患者感觉非常满意,23例较为满意,其中3例表示不满意,满意率95.0%,而观察组患者对护理满意情况,其中非常满意41例,感觉较为满意19例,无不满意情况,满意率为100%,观察组护理满意度显著优于对照组,两组患者满意率比较差异具有统计学意义(P<0.05)。观察组组患者术后排气时间、下床时间和开始进食时间均显著低于对照组使用的时间,并且术后尿量也少于对照组,两组比较差异具有统计学意义(P<0.05)。对照组患者2例发生皮下气肿,2例发生低体温,4例发生肢体疼痛,2例发生肠黏连,患者并发症发生率为16.7%,而观察组患者仅1例发生肢体疼痛,1例发生肠黏连,患者并发症发生率为3.3%,观察组患者并发症发生率显著低于对照组,两组比较差异具有统计学意义(P<0.05)。结论通过护理干预可以有效提高妇科腹腔镜患者护理满意度,不仅提高了患者的术后恢复情况,而且降低了患者术后并发症情况。Objective To study of using nursing intervention related complications observation in nursing of patients with gynecologic laparoscopic operation. Methods 120 patients were randomly divided into two groups,the observation group of 60 cases,control group of 60 cases,control group patients by conventional nursing and observation group patients on the basis of this with the realization of nursing intervention. The patient＇s postoperative exhaust time,bed time,postoperative urine volume,time to ambulation and start eating time,nursing satisfaction questionnaire survey of patients were observed and recorded and two groups were observed in patients with complications. Results 34 patients were very satisfied,23 cases were satisfactory,3 cases of them expressed dissatisfaction,satisfaction rate of 95%in control group. While the patients in the observation group on nursing satisfaction,among them 41 patients were very satisfied,feel is satisfactory in 19 cases,no satisfaction,satisfaction rate of 100%. The observation group nursing satisfaction significantly was better than the control group,two groups of patients satisfaction with statistical y significant difference in prevalence （P〈0.05）. The exhaust time,bed time were observed after the group and began eating time were significantly lower than the control group use time,and the amount of urine after the operation was less than that in control group with significant differences between the two groups （P〈0.05）. Patients in the control group 2 cases of subcutaneous emphysema,2 cases occurred in low temperature,4 cases of limb pain,2 cases of intestinal adhesion,the incidence of complications was 16.7%. While the patients in the observation group and only 1 cases had limb pain,1 cases of intestinal adhesion,the incidence of complications was 3.3%. The observation group of patients with complications the incidence was significantly lower than the control group,with significant differences between the two groups （P〈0.05）. Conclusion The nursing intervent

关 键 词：护理干预 妇科 腹腔镜 并发症 

分 类 号：R473[医药卫生—护理学]