医护一体化护理在妇科手术患者中的应用效果  

Application effects of integrated nursing care in gynecological surgery patients

作　　者：徐小丹[1] XU Xiaodan(Department of Gynecology of the First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000 Henan,China)

机构地区：[1]河南科技大学第一附属医院妇科,河南洛阳471000

出　　处：《中国民康医学》2022年第5期184-186,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察医护一体化护理在妇科手术患者中的应用效果。方法:回顾性分析2018年3月至2020年3月该院收治的88例妇科腹腔镜手术患者的临床资料,根据护理方法不同将患者分为对照组和观察组各44例。对照组给予常规围术期护理,观察组在对照组基础上给予医护一体化护理。比较两组康复指标水平、感染相关指标[体温、白细胞计数、血清降钙素原(PCT)]水平、应激反应指标[C反应蛋白(CRP)、皮质醇(Cor)、去甲肾上腺素(NE)]水平和护理满意度。结果:观察组术后肠鸣音恢复时间、首次下床活动时间、住院时间均短于对照组;术后24 h,两组感染相关指标和应激反应指标水平均升高,但观察组患者体温、白细胞计数及血清PCT、CRP、Cor、NE水平均低于对照组,且护理满意度高于对照组,差异有统计学意义(P<0.05)。结论:医护一体化护理用于妇科手术患者中能够促进患者术后快速康复,减少感染和应激反应的发生,提升护理满意度,效果优于常规护理。Objective:To observe application effects of integrated nursing care in gynecological surgery patients.Methods:The clinical data of 88 gynecological laparoscopic patients admitted to our hospital from March 2018 to March 2020 were retrospectively analyzed.According to different nursing methods,these patients were divided into control group and observation group,44 cases in each.The control group was given routine perioperative nursing,while the observation group was given integrated nursing care on the basis of that of the control group.The recovery indicator levels,the infection-related indicator levels[body temperature,white blood cell count,serum procalcitonin(PCT)],the stress response indicator levels[C-reactive protein(CRP),cortisol(Cor),norepinephrine(NE)]and the nursing satisfaction were compared between the two groups.Results:The postoperative bowel sounds recovery time,the time to get out of bed and the hospitalization time in the observation group were shorter than those in the control group.24 hours after the surgery,the levels of infection-related indicators and the stress response indicator s in both groups increased.The body temperature,the white blood cell count and the serum PCT,CRP,Cor,and NE levels of the observation group were lower than those of the control group;the nursing satisfaction was higher than that of the control group;and the differences were statistically significant(P<0.05).Conclusions:The integrated nursing care for the gynecological surgery patients can promote rapid postoperative recovery,reduce the occurrence of infections and the stress response,and improve the patients’satisfaction.Moreover,it is superior to the routine nursing.

关 键 词：医护一体化护理 妇科手术 腹腔镜 康复 应激反应 

分 类 号：R713[医药卫生—妇产科学]