多维度协同护理在完全性子宫纵隔患者术后快速康复中的应用效果  

Application effect of multi-dimensional collaborative nursing in rapid rehabilitation of patients after complete uterine septum surgery

作　　者：王秀梅 郎冉冉 刘梅 韩燕妮 何玉萍 WANG Xiumei;LANG Ranran;LIU Mei;HAN Yanni;HE Yuping(Gynecology and Obstetrics Department and Reproductive Medicine Center,the Second Affiliated Hospital of Air Force Military Medical University,Xi'an 710038,China)

机构地区：[1]空军军医大学第二附属医院妇产科生殖医学中心,陕西西安710038

出　　处：《临床医学研究与实践》2024年第23期151-154,共4页Clinical Research and Practice

摘　　要：目的探讨多维度协同护理在完全性子宫纵隔患者术后快速康复中的应用效果。方法选取2019年6月至2022年6月我院行宫腔镜子宫纵隔切除术(TCRS)的120例完全性子宫纵隔患者,以随机数字表法将其分为对照组和观察组,各60例。对照组行常规护理,观察组在对照组基础上行多维度协同护理。比较两组的护理效果。结果观察组的首次下床活动时间、首次排气时间、首次排便时间及住院时间均短于对照组(P<0.05)。护理24 h后,观察组的视觉模拟量表(VAS)评分低于对照组(P<0.05)。护理1个月后,观察组的生活质量综合评定问卷-74(GQOLI-74)各维度评分及总分均高于对照组(P<0.05)。观察组的并发症总发生率低于对照组(P<0.05)。结论多维度协同护理可促进完全性子宫纵隔患者术后快速康复,优化围术期指标,减轻术后疼痛程度,改善生活质量,降低并发症发生率。Objective To explore the application effect of multi-dimensional collaborative nursing in rapid rehabilitation of patients after complete uterine septum surgery.Methods A total of 120 patients with complete uterine septum who underwent transcervical resection of septum(TCRS)in our hospital from June 2019 to June 2022 were selected and divided into control group and observation group by random number table method,with 60 cases in each group.The control group was given routine nursing,and the observation group was given multi-dimensional collaborative nursing on the basis of the control group.The nursing effects of the two groups were compared.Results The first ambulation time,the first exhaust time,the first defecation time and hospitalization time in the observation group were shorter than those in the control group(P<0.05).After 24 h of nursing,the Visual Analogue Scale(VAS)score of the observation group was lower than that of the control group(P<0.05).After 1 month of nursing,the scores of each dimension and total score of Generic Quality of Life Inventory-74(GQOLI-74)in the observation group were higher than those in the control group(P<0.05).The total incidence of complications in the observation group was lower than in the control group(P<0.05).Conclusion Multi-dimensional collaborative nursing can promote the rapid recovery of patients after complete uterine septum surgery,optimize perioperative indicators,reduce the degree of postoperative pain,improve the quality of life,and decrease the incidence of complications.

关 键 词：完全性子宫纵隔 宫腔镜子宫纵隔切除术 多维度协同护理 

分 类 号：R473.71[医药卫生—护理学]