肌肉放松训练干预对异位妊娠手术患者术后舒适指数的影响  

Impact of the muscle relaxation training for patients with ectopic pregnancies on their postoperative comfort index

作　　者：刘慧扬 周煜卓 金学勤[3] LIU Huiyang;ZHOU Yuzhuo;JIN Xueqin(School of Medicine,Jiangsu University,Zhenjiang,Jiangsu Province,212000;Huai'an Cancer Hospital,Jiangsu Province;Kunshan Hospital Affiliated to Jiangsu University)

机构地区：[1]江苏大学医学院,镇江212000 [2]江苏省淮安市肿瘤医院 [3]江苏大学附属昆山医院

出　　处：《中国计划生育学杂志》2024年第12期2827-2831,共5页Chinese Journal of Family Planning

摘　　要：目的:探讨术前肌肉放松训练对异位妊娠手术患者术后舒适指数的干预效果。方法:前瞻性将2020年3月-2022年7月拟于本院接受腹腔镜异位妊娠手术的142例患者纳为研究对象,随机数表法分为常规组(常规术后护理模式,n=71例)和训练组(常规术后护理基础上实施肌肉松弛训练模式,n=71例),持续干预14d。比较两组Kolcaba舒适状态量表(GCQ)、心理韧性量表(CD-RISC)以及一般自我效能感量表(GSES),检测两组术后卵泡刺激素(FSH)、血β-人绒毛膜促性腺激素(β-hCG)、雌二醇(E_(2))水平,统计术后并发症发生情况。结果:干预后,训练组的GCQ心理(24.27±3.14分)、生理(19.67±1.63分)、社会文化(22.97±2.86分)、环境(22.79±2.38分)得分均高于常规组(21.63±2.67分、17.82±1.47分、20.42±2.17分、19.67±1.76分),两组CD-RISC、GSES评分均较干预前有显著改善,且训练组(73.96±6.83分、27.85±3.27分)评分均高于常规组(67.14±6.53分、26.14±3.18分),两组血清FSH、β-hCG、E_(2)水平干预后均有所改善,且训练组干预7d、干预14d后FSH、β-hCG、E_(2)水平均低于常规组,训练组术后出现的切口感染、腹痛、阴道出血等发症发生率(4.2%)均低于常规组(14.1%)(均P<0.05)。结论:肌肉放松训练可有效提高异位妊娠患者术后的舒适度,更好改善性激素水平及心理状态,降低术后并发症发生。Objective:To explore the application effect of the muscle relaxation training for patients with ectopic pregnancies on their postoperative comfort index.Methods:In this prospective study,142 patients who had undergone laparoscopic ectopic pregnancy surgery in the hospital were included and were divided into two groups(71 cases in each group)by random number table from March 2020 to July 2022.The patients in the control group were given standard postoperative care for 14 days,and the patients in the study group were given muscle relaxation training combined with standard postoperative care.The scores of Kolcaba comfort questionnaire(GCQ),Connor-Davidson resilience scale(CD-RISC)and general self-efficacy scale(GSES)of the patients were compared between the two groups.The levels of follicle-stimulating hormone(FSH),β-human chorionic gonadotropin(β-HCG)and estradiol(E,)of the patients in the two groups were detected.The incidence of complications of the patients in the two groups was counted.Results:The scores of psychology(24.27±3.14 points),physiology(19.67±1.63 points),social culture(22.97±2.86 points)and environment(22.79±2.38 points)of GCQ of the patients in the study group after intervention were significantly higher than those(21.63±2.67 points,17.82±1.47 points,20.42±2.17 points and 19.67±1.76 points)of the patients in the control group.The CD-RISC and GSES scores of the patients in the two groups after intervention had increased significantly,and which(73.96±6.83 points and 27.85±3.27 points)of the patients in the study group were significantly higher than those(67.14±6.53 points and 26.14±3.18 points)of the patients in the control group.The levels of the serum FSH,β-HCG and E_(2) of the patients in the two groups after intervention had improved significantly.The levels of FSH,β-HCG and E_(2) of the patients in the study group in 7 days and in 14 days after intervention were significantly lower than those of the patients in the control group.The incidence of the incision infection,abdominal p

关 键 词：异位妊娠手术 肌肉松弛训练 舒适指数 心理状态 术后并发症 

分 类 号：R473.71[医药卫生—护理学]