集束化护理在腹腔镜子宫全切除术患者中的应用效果  

Application effects of cluster nursing in patients with laparoscopic total hysterectomy

作　　者：许飞飞 XU Feifei(Department of Gynecology of Henan Hongli Hospital,Xinxiang 453400 Henan,China)

机构地区：[1]河南宏力医院妇科,河南新乡453400

出　　处：《中国民康医学》2024年第11期183-185,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察集束化护理在腹腔镜子宫全切除术患者中的应用效果。方法:选取2019年1月至2021年1月该院收治的60例腹腔镜子宫全切除术患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各30例。对照组实施常规护理,观察组在对照组基础上实施集束化护理。比较两组术后恢复时间(住院时间、首次排气时间、肠鸣音恢复时间),护理前后负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分、疼痛程度[视觉模拟评分法(VAS)]评分和并发症发生率。结果:观察组住院时间、首次排气时间、肠鸣音恢复时间均短于对照组,差异有统计学意义(P<0.05);护理后,两组SAS、SDS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组VAS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为3.33%(1/30),低于对照组的26.67%(8/30),差异有统计学意义(P<0.05)。结论:在常规护理基础上实施集束化护理可缩短腹腔镜子宫全切除术患者术后恢复时间,以及降低负性情绪评分、疼痛程度评分和并发症发生率的效果优于单纯常规护理效果。Objective:To observe application effects of cluster nursing in patients with laparoscopic total hysterectomy.Methods:A prospective study was conducted on 60 patients undergoing laparoscopic total hysterectomy admitted to the hospital from January 2019 to January 2021.According to the random number table method,they were divided into control group and observation group,30 cases in each group.The control group was given routine nursing,while observation group was given the cluster nursing on the basis of that of the control group.The postoperative recovery time(hospitalization time,first exhaust time,bowel sound recovery time),the negative emotion[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]score,the pain degree[visual analogue scale(VAS)]score before and after the nursing,and the incidence of complications were compared between the two groups.Results:The hospitalization time,the first exhaust time and the recovery time of bowel sounds in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the scores of SAS and SDS in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The scores of VAS in the two groups were lower than those before the nursing,that in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was 3.33%(1/30),which was lower than 26.67%(8/30)in the control group,and the difference was statistically significant(P<0.05).Conclusions:The cluster nursing on the basis of the routine nursing can shorten the postoperative recovery time of the patients undergoing laparoscopic total hysterectomy,and reduce the negative emotion scores,the pain scores and the incidence of complication s.Moreover,it is superior to single routine nursing.

关 键 词：腹腔镜子宫全切除术 集束化护理 负性情绪 疼痛 并发症 

分 类 号：R473.5[医药卫生—护理学]