腹腔镜下子宫肌瘤剔除术中精细化手术护理配合实施效果分析  

Analysis of the Implementation Effect of Refined Surgical Nursing Cooperation in Laparoscopic Myomectomy

作　　者：尚震月 盛珍 李志萍 SHANG Zhenyue;SHENG Zhen;LI Zhiping(Department of Surgery,The First Affiliated Hospital of Zhengzhou University,Zhengzhou Henan 450000,China)

机构地区：[1]郑州大学第一附属医院手术部,河南郑州450000

出　　处：《临床研究》2024年第9期153-156,共4页Clinical Research

摘　　要：目的分析腹腔镜下子宫肌瘤剔除术中精细化手术护理配合实施效果。方法将郑州大学第一附属医院2021年2月至2023年2月子宫肌瘤患者(86例)作为研究对象,依据区间随机法将其分为对照组、研究组,各纳入43例。对照组围术期行常规手术护理配合,研究组则在常规手术护理基础上实施围术期行精细化手术护理配合。比较两组术后恢复指标,术后并发症发生情况,护理前后舒适度评分(GCQ)及护理前后负性情绪评分[焦虑自评量表(SAS)、抑郁自评量表(SDS)]。结果研究组住院、首次下床活动、术后排气、胃肠道功能恢复时间均短于对照组,差异有统计学意义(P<0.05);研究组围术期并发症发生率(6.98%)低于对照组(23.26%),差异有统计学意义(P<0.05);护理前组间各项GCQ评分对比差异无统计学意义(P>0.05),护理后研究组各项GCQ评分均明显升高,且研究组分值高于对照组,差异有统计学意义(P<0.05);护理前两组负性情绪评分对比差异无统计学意义(P>0.05),护理后研究组SAS、SDS评分均明显降低,且研究组低于对照组,差异有统计学意义(P<0.05)。结论在腹腔镜下子宫肌瘤剔除术中配合精细化手术护理可促进术后康复,有效预防术后并发症、提升围术期舒适度、改善负性情绪评分,值得应用。Objective To analyze the implementation effect of refined surgical nursing cooperation in laparoscopic myomectomy.Methods A total of 86 patients with uterine fibroids treated at The First Affiliated Hospital of Zhengzhou University from February 2021 to February 2023 were selected as the research subjects.They were divided into a control group and a study group according to the interval random method,with 43 cases in each group.The control group received routine perioperative surgical nursing cooperation,while the study group received refined perioperative surgical nursing cooperation on top of routine nursing.Postoperative recovery indicators,incidence of postoperative complications,pre-and general comfort questionnaire(GCQ),and pre-and post-nursing negative emotion scores[Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)]were compared between the two groups.Results The study group had shorter hospital stays,earlier first ambulation,shorter postoperative exhaust time,and faster gastrointestinal function recovery compared to the control group,with statistically significant differences(P<0.05).The incidence of perioperative complications in the study group(6.98%)was lower than that in the control group(23.26%),with statistically significant differences(P<0.05).There was no statistically significant difference in GCQ scores between the groups before nursing(P>0.05).After nursing,the GCQ scores in the study group were significantly higher,and the scores were higher than those in the control group,with statistically significant differences(P<0.05).There was no statistically significant difference in negative emotion scores between the two groups before nursing(P>0.05).After nursing,the SAS and SDS scores in the study group were significantly lower,and the scores were lower than those in the control group,with statistically significant differences(P<0.05).Conclusion Refined surgical nursing cooperation in laparoscopic myomectomy can promote postoperative recovery,effectively prevent postoperative compli

关 键 词：腹腔镜下子宫肌瘤剔除术 子宫肌瘤 精细化手术护理配合 常规手术护理配合 

分 类 号：R473.71[医药卫生—护理学]