以问题为导向的护理干预对腹腔镜妇科手术患者术后机体康复情况及生活质量的影响  

Effects of problem-oriented nursing intervention on postoperative body rehabilitation and quality of life in patients undergoing laparoscopic gynecological surgery

作　　者：冯琳娜 任颖 FENG Linna;REN Ying(Shangluo Traditional Chinese Medicine Hospital,Shangluo 726000,China)

机构地区：[1]商洛市中医医院,陕西商洛726000

出　　处：《临床医学研究与实践》2022年第26期157-159,共3页Clinical Research and Practice

摘　　要：目的 探讨以问题为导向的护理干预对腹腔镜妇科手术患者术后机体康复情况及生活质量的影响。方法 将2020年1月至2021年2月我院收治的100例腹腔镜妇科手术患者按入院顺序分为对照组(50例,常规护理)和观察组(50例,以问题为导向的护理干预)。比较两组的护理效果。结果 观察组的肠鸣音恢复时间、首次肛门排气时间、首次排便时间、下床活动时间及进食时间均短于对照组(P<0.05)。术后3、5 d,两组的视觉模拟评分量表(VAS)评分低于术后1 d,且观察组低于对照组(P<0.05)。护理后,两组的自我护理能力测定表(ESCA)、健康促进生活方式评定量表-Ⅱ(HPLP-Ⅱ)、世界卫生组织生存质量测定量表简表(WHOQOL-BREF)评分均高于护理前,且观察组高于对照组(P<0.05)。观察组的并发症总发生率低于对照组(P<0.05)。结论 以问题为导向的护理干预应用于腹腔镜妇科手术患者中可促进术后机体康复,缓解疼痛,改善自护能力及生活质量。Objective To explore the effects of problem-oriented nursing intervention on postoperative body rehabilitation and quality of life in patients undergoing laparoscopic gynecological surgery.Methods A total of 100 patients undergoing laparoscopic gynecological surgery admitted in our hospital from January 2020 to February 2021 were divided into control group(50 cases,routine nursing) and observation group(50 cases,problem-oriented nursing intervention) according to the order of admission.The nursing effects of the two groups were compared.Results The intestinal sound recovery time,first anal exhaust time,first defecation time,ambulation time and eating time in the observation group were shorter than those in the control group(P<0.05).At 3 and 5 d after operation,the Visualized Analogue Scale(VAS) score of the two groups was lower than that of at 1 d after operation,and that of the observation group was lower than the control group(P<0.05).After nursing,the Exercise of Self-Care Agency Scale(ESCA),Health Promoting Lifestyle Profile-Ⅱ(HPLP-Ⅱ) and World Health Organization Quality of Life BREF(WHOQOL-BREF) scores of the two groups were higher than those before nursing,and those of the observation group were higher than the control group(P <0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion The problem-oriented nursing intervention applied in patients undergoing laparoscopic gynecological surgery can promote postoperative body rehabilitation,relieve pain,improve self-care ability and quality of life.

关 键 词：以问题为导向的护理干预 腹腔镜妇科手术 生活质量 

分 类 号：R473.71[医药卫生—护理学]