5A护理模式结合连续细致化护理在妊娠合并子宫肌瘤围术期中的应用  

Application of 5A Nursing Mode Combined with Continuous and Detailed Nursing in the Perioperative Period of Pregnancy Complicated with Uterine Fibroids

作　　者：李桃苹 黄庆慧 LI Taoping;HUANG Qinghui(Department of Obstetrics and Gynecology,Ningde Hospital Affiliated to Ningde Normal University,Ningde,Fujian Province,352100 China)

机构地区：[1]宁德师范学院附属宁德市医院妇产科,福建宁德352100

出　　处：《中外医疗》2022年第7期174-177,186,共5页China & Foreign Medical Treatment

摘　　要：目的分析5A护理模式结合连续细致化护理在妊娠合并子宫肌瘤围术期中的应用效果。方法随机选取该院2020年7月—2021年6月收治的80例妊娠合并子宫肌瘤患者,以不同围术期护理方法分组,实施常规护理模式患者归入对比组(n=40)、实施5A护理模式结合连续细致化护理模式患者归入研究组(n=40),对比评估应用效果及价值。结果与对比组(2.43±0.61)分、(2.58±0.54)分、(2.01±0.47)分、(2.24±0.41)分比较,研究组紧张(1.75±0.54)分、焦虑(1.83±0.49)分、恐惧(1.36±0.42)分以及悲观(1.78±0.36)分的评分均更低,差异有统计学意义(t=5.279、6.505、6.522、5.332,P<0.05);与对比组(20.00%)比较,研究组术后并发症发生率(5.00%)更低,差异有统计学意义(χ^(2)=4.114,P=0.043);与对比组(1.85±0.33)、(2.32±0.66)、(26.29±2.37)、(7.02±1.14)d比较,研究组体温复常时间(1.12±0.26)d、肛门排气时间(1.21±0.38)d、恶露排净时间(17.33±2.55)d以及平均住院时间(5.51±0.69)d均更短,差异有统计学意义(t=10.990、9.218、16.278、7.167,P<0.05);与对比组(18.23±1.78)分、(18.69±1.23)分、(18.26±1.33)分、(18.14±1.78)分、(18.37±1.66)分比较,研究组生理舒适度(22.05±2.14)分、生理独立性(23.51±2.67)分、心理支持(23.41±2.76)分、情感(23.51±2.93)分以及疼痛(23.09±2.81)分的评分均更高,差异有统计学意义(t=8.680、10.370、10.631、9.907、9.147,P<0.05);与对比组(80.00%)比较,研究组护理满意度(97.50%)更高,差异有统计学意义(χ^(2)=4.507,P=0.034)。结论在妊娠合并子宫肌瘤患者围术期,配合5A护理模式结合连续细致化护理,有助于明显缓解患者术前紧张、焦虑等不适情况,降低相关并发症发生率,促进术后恢复进程,同时,还可以显著提升早期恢复质量、护理满意度。Objective To analyze the application effect of 5A nursing mode combined with continuous and detailed nursing in the perioperative period of pregnancy complicated with uterine fibroids.Methods Randomly selected 80 patients with pregnancy complicated with hysteromyoma treated in the hospital from July 2020 to June 2021,they were divided into different groups according to perioperative nursing methods.Patients who implemented the conventional nursing model were classified into the control group(n=40),and those who adopted the 5A nursing model combined with the continuous and detailed nursing model were classified into the study group(n=40).Compared and evaluated application effects and value.Results Compared with the control group(2.43±0.61)points,(2.58±0.54)points,(2.01±0.47)points,(2.24±0.41)points,the study group'scores of nervous(1.75±0.54)points,anxiety(1.83±0.49)points,fear(1.36±0.42)points and pessimistic(1.78±0.36)points were lower,the difference was statistically significant(t=5.279,6.505,6.522,5.332,P<0.05).Compared with the control group(20.00%),the postoperative complication rate(5.00%)of the study group was lower,the difference was statistically significant(χ^(2)=4.114,P=0.043).Compared with the control group(1.85±0.33)d,(2.32±0.66)d,(26.29±2.37)d,(7.02±1.14)d,the study group's body temperature returned to normal time(1.12±0.26)d,anal exhaust time(1.21±0.38)d,loching time(17.33±2.55)d and average hospitalization time(5.51±0.69)d were shorter,the difference was statistically significant(t=10.990,9.218,16.278,7.167,P<0.05).Compared with the control group(18.23±1.78)points,(18.69±1.23)points,(18.26±1.33)points,(18.14±1.78)points,(18.37±1.66)points,the study group's scores of physiological comfort(22.05±2.14)points and physiological independence(23.51±2.67)points,psychological support(23.41±2.76)points,emotion(23.51±2.93)points and pain(23.09±2.81)points were higher,the difference was statistically significant(t=8.680,10.370,10631,9.907,9.147,P<0.05).Compared with the control grou

关 键 词：妊娠合并子宫肌瘤 5A护理 连续细致化护理 并发症 满意度 

分 类 号：R47[医药卫生—护理学]