腹腔镜下子宫悬吊术结合阴道前后壁修补术治疗重度子宫脱垂合并阴道后壁肠疝围手术期管理对策  

Study on perioperative nursing strategy of laparoscopic uterine suspension combined with anterior and posterior vaginal wall repair for severe uterine prolapse combined with posterior vaginal wall intestinal hernia

作　　者：赵薇 岳小雯 Zhao Wei;Yue Xiaowen(Department of Obstetrics and Gynecology,Fuyang Women's and Children's Hospital,Fuyang 236000,China)

机构地区：[1]安徽省阜阳市妇女儿童医院妇科,236000

出　　处：《中华疝和腹壁外科杂志（电子版）》2021年第3期267-271,共5页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探究腹腔镜下子宫悬吊术结合阴道前后壁修补术治疗重度子宫脱垂合并阴道后壁肠疝围手术期管理对策。方法采用方便抽样方法从2019年2月至2020年2月阜阳市妇女儿童医院行腹腔镜下子宫悬吊术结合阴道前后壁修补术治疗的重度子宫脱垂合并阴道后壁肠疝患者60例作为研究对象,通过软件产生自动序列号,将序列号放入密封的信封中,按照进入研究的先后顺序由患者盲抽,进而将入选病例随机分为2组,2组患者病例数都是30例,分别为对照组及试验组。对照组给予常规护理,试验组给予围手术期护理干预,对比2组患者医从性、生活质量、社会功能情况。结果试验组医从性较对照组高(P<0.05)。干预后,对照组及试验组PFDI-20、UDI-6、CARDI-8、POPDI-6评分均较干预前低(P<0.05),且试验组PFDI-20、UDI-6、CARDI-8、POPDI-6评分均较对照组低(P<0.05)。干预后,试验组NOSIE量表与对照组差异较大,总消极因素评分较对照组低,总积极因素评分较对照组高(P<0.05)。结论围手术期干预应用于重度子宫脱垂合并阴道后壁肠疝围手术期管理中,能够提高患者医从性,提高生活质量,积极面对生活,值得推广。Objective To explore the perioperative nursing strategy of laparoscopic uterine suspension combined with anterior and posterior vaginal wall repair in the treatment of severe uterine prolapse combined with posterior vaginal wall intestinal hernia.Methods A total of 60 patients with severe uterine prolapse complicated by posterior vaginal hernia who were treated by laparoscopic uterine suspension combined with anterior and posterior vaginal wall repair in Fuyang Women's and Children's Hospital from February 2019 to August 2020 were selected as study subjects.Automatic serial numbers were generated by software and put into sealed envelopes.The serial numbers were taken from the patients according to the order of entry into the study,and the selected patients were randomly divided into two groups.Routine nursing was given to the control group and perioperative nursing intervention was given to the experimental group.Compliance,quality of life,and social functionwere compared between the two groups.Results The medical compliance of the experimental group was higher than that of the control group(P<0.05).After intervention,PFDI-20,UDI-6,CARDI-8 and POPDI-6 scores of the control group and the experimental group were all lower than those before intervention(P<0.05),and PFDI-20,UDI-6,CARDI-8 and POPDI-6 scores of the experimental group were all lower than those of the control group(P<0.05).After intervention,the NOSIE scale of the experimental group was significantly different from that of the control group.The score of total negative factors was lower than that of the control group,while the score of total positive factors was higher than the control group(P<0.05).Conclusion The application of perioperative nursing intervention in the perioperative nursing of severe uterine prolapse combined with intestinal hernia in the posterior wall of vagina can improve the medical compliance of patients,improve the quality of life and actively facing life,and it is worthy of promotion.

关 键 词：围手术期护理 子宫脱垂 阴道后壁肠疝 医从性 生活质量 并发症 

分 类 号：R713[医药卫生—妇产科学]