腹腔镜孕前宫颈环扎术联合综合护理干预治疗宫颈机能不全中对患者情绪及生活质量的影响  

Effect of laparoscopic cervical cerclage combined with comprehensive nursing intervention on the mood and quality of life of the patients with cervical incompetence

作　　者：冯少谭[1] 董睿[1] 黎美金[1] Feng Shaotan;Dong Rui;Li Meijin(Department of Obstetrics,Dong guan People's Hospital,Guangdong Province,Dong guan 523000,China)

机构地区：[1]广东省东莞市人民医院产科,523000

出　　处：《国际护理学杂志》2019年第14期2197-2200,共4页international journal of nursing

摘　　要：目的探讨腹腔镜孕前宫颈环扎术联合综合护理干预治疗宫颈机能不全中对患者情绪及生活质量的影响.方法选取该院于2015年8月~2017年9月收治的实施孕前环扎术的宫颈机能不全患者33例作为研究组.选取同期孕中期进行环扎术的宫颈机能不全患者63例作为对照组.比较两组患者平均手术时间、住院时间及治疗前后的情绪变化、生活质量评分.结果研究组术后均未出现感染,对照组为14.28%(9/63),差异有统计学意义(P<0.05);研究组平均手术时间、住院时间均短于对照组,差异有统计学意义(均P<0.05);干预后,研究组焦虑自评量表(Self-rating Anxiety Sale,SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)评分降低程度,WHOQOL评分上升幅度均优于对照组,差异有统计学意义(均P<0.05).结论宫颈机能不全患者于孕前进行腹腔镜宫颈环扎术可提高手术成功率,联合综合护理干预,可有效缓解患者情绪,提高生活质量.Objective To discuss the influence of laparoscopic cervix cerclage combined with comprehensive nursing intervention on patientsˊmood and quality of life in cervical incompetence. Methods A total of 33 cases of cervical dysfunction patients who underwent pre-pregnancy cyclization from August 2015 to September 2017 were selected as the research group. A total of 63 cases of cervical dysfunction patients who underwent cyclization during the second trimester of the same period were selected as the control group. The average operation time, the time of hospitalization, the emotional changes before and after treatment, and the quality of life score of the two groups of patients were compared. Results No infection was found in the research group after operation, while that in the control group was 14. 28%(9/63), and the difference was statistically significant ( P<0. 05). The mean operation time and hospitalization time in the research group were shorter than those in the control group, and the differences were statistically significant (P<0. 05). After intervention, the decrease degree of Self-rating Anxiety Sale ( SAS) and Self-rating Depression Scale ( SDS) and increase degree of WHOQOL score were better than those of the control group, and the differences were statistically significant ( P<0. 05). Conclusions Laparoscopic cervical cerclage can improve the success rate of operation for patients with cervical insufficiency, and combined with comprehensive nursing intervention, it can effectively relieve patientsˊmood and improve their quality of life.

关 键 词：腹腔镜孕前宫颈环扎术 宫颈机能不全 综合护理干预 情绪 生活质量 

分 类 号：R473.71[医药卫生—护理学]