以细节为中心的手术室护理路径在腹腔镜子宫全切除术患者中的应用研究  

Application of Detail Centered Operating Room Nursing Pathway in Patients Undergoing Laparoscopic Hysterectomy

作　　者：马悦嫦 李蝶蓉 伍惠仪 陈庆群 MA Yue-chang;LI Die-rong;WU Hui-yi(Operation room,Jiangmen peoples hospital of Guangdong,Jiangmen,Guangdong 529000)

机构地区：[1]广东省江门市人民医院手术室,广东江门529000

出　　处：《中国伤残医学》2022年第24期49-52,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：探讨以细节为中心的手术室护理路径对腹腔镜子宫全切除术患者中术后康复及精神状态的影响。方法:选择我院2018年1月-2020年12月拟行腹腔镜子宫全切除术的子宫肌瘤患者80例,按随机数字表法分为2组,各40例。对照组实施常规护理,观察组实施以细节为中心的手术室护理路径。比较2组术后康复相关指标、精神状态[汉密尔顿焦虑评分量表(HAMA)、汉密尔顿抑郁评分量表(HAMD评分)]、术后并发症情况及生存质量[诺丁汉健康量表(NHP)评分],并调查患者对护理工作的满意度。结果:观察组术后排气时间为(21.05±3.66)小时、留置尿管时间为(16.73±2.51)小时、住院时间为(6.82±1.13)天,分别短于对照组的(26.31±5.85)小时、(18.54±3.69)小时、(9.67±2.04)天,有统计学差异(P<0.05);观察组干预7天后HAMA、HAMD评分、NHP量表中躯体活动、精力、疼痛、睡眠、社会生活、情感反应评分及并发症发生率均低于对照组,有统计学差异(P<0.05);观察组护理总满意度为97.50%,高于对照组的77.50%,有统计学差异(P<0.05)。结论:以细节为中心的手术室护理路径有助于缩短腹腔镜子宫全切术患者术后住院时间,并改善其精神状态及生存质量,减少并发症,提升患者满意度。To explore the effect of detail centered operating room nursing pathway on postoperative re-habilitation and mental state of patients with laparoscopic hysterectomy.Methods:From January 2018 to December 2020,80 patients with hysteromyoma who planned to undergo laparoscopic hysterectomy in our hospital were random-ly divided into two groups with 40 cases in each group.The control group received routine nursing,while the observa-tion group received detail centered nursing in the operating room.The postoperative rehabilitation related indicators,mental status Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD),postoperative complications and quality of life Nottingham Health Scale(NHP)scores were compared between the two groups,and the pa-tients satisfaction with nursing work was investigated.Results:The postoperative exhaust time(21.05±3.66)h,indwelling catheter time(16.73±2.51)H and hospitalization time(6.82±1.13)d in the observation group were shorter than those in the control group(26.31±5.85)h,(18.54±3.69)H and(9.67±2.04)d,with significant difference(P<0.05);The HAMA,HAMD scores,physical activity,energy,pain,sleep,social life,emotional response scores and the incidence of complications in the observation group were significantly lower than those in the control group 7 days after intervention(P<0.05);The total nursing satisfaction of the observation group(77.50%)was higher than that of the control group(77.50%),with statistical difference(P<0.05).Conclusion:The detail centered nursing path in the operating room is helpful to shorten the postoperative hospitaliza-tion time of patients undergoing laparoscopic hysterectomy,improve their mental state and quality of life,reduce com-plications and improve patient satisfaction.

关 键 词：腹腔镜子宫全切除术 手术室护理路径 康复 精神状态 生存质量 并发症 

分 类 号：R472.3[医药卫生—护理学]