加速康复护理模式对腹腔镜辅助阴式子宫广泛切除术患者的康复效果研究  

Study on the Rehabilitation Effect of Accelerated Rehabilitation Nursing Mode on Laparoscopic Assisted Vaginal Hysterectomy

作　　者：伍丽霞[1] 王浩[1] 韦文君[1] 郑玉华[1] 肇丽杰[1] WU Lixia;WANG Hao;WEI Wenjun;ZHENG Yuhua;ZHAO Lijie(Foshan Woman and Children Hospital,Foshan 528000,China;不详)

机构地区：[1]广东省佛山市妇幼保健院,广东佛山528000

出　　处：《中国医学创新》2021年第11期91-94,共4页Medical Innovation of China

基　　金：佛山市科技创新项目(1920001000584)。

摘　　要：目的:探讨加速康复护理模式对腹腔镜辅助阴式子宫广泛切除术患者的康复效果。方法:选取2019年6月-2020年4月本院妇科因子宫颈癌(ⅠA~ⅡA期)行腹腔镜辅助阴式子宫广泛切除术患者60例为研究对象,将2019年6-11月使用传统护理模式护理的30例患者设为对照组,将2019年12月-2020年4月采用加速康复护理模式护理的30例患者设为研究组。比较两组患者的HAMA评分、NRS评分、并发症发生情况以及应激反应情况。结果:术后,研究组HAMA评分和NRS评分均低于对照组(P<0.05);研究组并发症发生率低于对照组(P<0.05);研究组麻醉诱导前、术后24 h的皮质醇和肾上腺素水平均低于对照组,差异均有统计学意义(P<0.05)。结论:与传统护理模式相比,加速康复护理模式应用在腹腔镜辅助阴式全子宫切除术患者中效果较为理想,可以改善患者的焦虑情绪,降低患者术后疼痛程度和并发症发生率,最大程度上减轻患者产生的应激反应,值得临床上大力推广。Objective:To explore the rehabilitation effect of accelerated rehabilitation nursing mode on patients with laparoscopic assisted vaginal hysterectomy.Method:From June 2019 to April 2020,60 patients with gynecological cervical cancer(ⅠA-ⅡA)underwent laparoscopic assisted vaginal hysterectomy were selected as the study subjects,30 patients who were treated with traditional nursing mode form June to November 2019 were taken as the control group,30 patients who were treated with new accelerated rehabilitation nursing mode from December 2019 to April 2020 were taken as the study group.The HAMA score,NRS score,complications and stress response of the two groups were compared.Result:After surgery,HAMA score and NRS score in the study group were lower than those in the control group(P<0.05).The complication rate in the study group was lower than that in the control group(P<0.05).The levels of cortisol and adrenaline in the study group before anesthesia induction and 24 h after surgery were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Compared with the traditional nursing mode,the accelerated rehabilitation nursing mode is more effective in laparoscopic assisted vaginal hysterectomy,which can improve anxiety and reduce the degree of postoperative pain,and the incidence of complications,the greatest extent to reduce the stress response produced by patients,is worthy of clinical promotion.

关 键 词：加速康复护理模式 腹腔镜 阴式子宫广泛切除术 

分 类 号：R473.73[医药卫生—护理学]