人文医疗在阴式全子宫切除术联合阴道后壁修补术治疗子宫脱垂合并肠疝患者中的应用  

Application efficacy of humanistic medicine in treatment of patients with uterine prolapse and intestinal hernia by total vaginal hysterectomy combined with posterior vaginal wall repair

作　　者：戴文娟 陆建红 李加芬 Dai Wenjuan;Lu Jianhong;Li Jiafen(Department of Obstetrics and Gynecology,Tianchang Hospital of Traditional Chinese Medicine,Tianchang 239300,China)

机构地区：[1]安徽省天长市中医院妇产科,239300

出　　处：《中华疝和腹壁外科杂志（电子版）》2021年第1期71-75,共5页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探究人文医疗在阴式全子宫切除术联合阴道后壁修补术治疗老年子宫脱垂合并肠疝(阴道后壁膨出)患者中的应用效果。方法选择2018年1月至2019年12月期间天长市中医院收治子宫脱垂合并肠疝患者120例作为研究对象。全部入选病例均行阴式全子宫切除术联合阴道后壁修补术治疗,采用随机数字表法将病例分为对照组和观察组,各60例。对照组给予常规护理,观察组给予人文医疗护理。对比2组患者中文版知觉压力量表(CPSS)评分、抑郁自评量表(SDS)、焦虑自评量表(SAS)评分、心理弹性量表-简表(RS-14)、护理服务满意度、皮质醇(Cor)、心率及平均动脉压。结果护理前,2组CPSS、SDS、SAS及RS-14评分组间比较的差异无统计学意义(P>0.05);护理7 d后,2组CPSS、SDS、SAS及RS-14评分均较护理前降低,且观察组均低于对照组,差异有统计学意义(P<0.05)。观察组患者的满意度(96.67%)较对照组高(80.00%),差异有统计学意义(P<0.05)。观察组手术结束时2组患者的Cor、心率及平均动脉压较对照组低,差异有统计学意义(P<0.05)。结论人文医疗应用于子宫脱垂合并肠疝患者护理中,能够改善其不良情绪,缓解心理压力,减少手术的应激反应,提高患者对护理满意度。Objective To explore the efficacy of humanistic medicine in the treatment of patients with uterine prolapse and intestinal hernia(posterior vaginal wall bulging)by total vaginal hysterectomy combined with posterior vaginal wall Repair.Methods A total of 120 patients with uterine prolapse complicated by intestinal hernia admitted to Tianchang Hospital of Traditional Chinese Medicine from August 2017 to August 2019 were selected as study subjects.All the included patients were treated with total vaginal hysterectomy combined with vaginal wall repair.The patients were divided into two equal groups using the random number table method,named the control group(n=60,receiving routine care)and the observation group(n=60,receiving humanistic medicine care).Chinese version of perceived stress scale(CPSS),Self-rating depression scale(SDS),self-rating anxiety scale(SAS),mental resilience scale(RS-14),satisfaction with nursing services,cortisol(Cor),heart rate,mean arterial pressure were compared between the two groups.Results Before nursing,there was no significant difference in CPSS,SDS,SAS,RS-14 ratings between the two groups(P>0.05).After 7 days of nursing,CPSS,SDS,SAS and RS-14 scores of the two groups were all lower than those before nursing,and the observation group was lower than the control group(P<0.05).The satisfaction of the observation group was higher than that of the control group(96.67%vs.80.00%,χ^(2)=4.043,P=0.044).At the end of operation,Cor,heart rate and mean arterial pressure in the observation group were lower than those in the control group(P<0.05).Conclusion The application humanistic medicine in the treatment of patients with uterine prolapse and intestinal hernia can improve their bad mood,relieve psychological pressure,reduce the stress response of surgery,and improve the satisfaction of patients with nursing.

关 键 词：人文医疗 阴式全子宫切除术 阴道后壁修补术 子宫脱垂 肠疝 护理满意度 不良情绪 

分 类 号：R473.71[医药卫生—护理学]