共享决策联合六步沟通法对妇科腹腔镜手术患者术后胃肠道功能恢复的影响  

Effect of shared decision making combined with six-step communication on postoperative gastrointestinal function recovery in patients undergoing gynecological laparoscopic surgery

作　　者：赖海燕 Lai Hai-yan(Outpatient Department,Huichang People's Hospital,Ganzhou 342600,Jiangxi,China)

机构地区：[1]会昌县人民医院门诊部,江西赣州342600

出　　处：《四川生理科学杂志》2024年第12期2744-2747,共4页

摘　　要：目的:观察共享决策联合六步沟通法对妇科腹腔镜手术患者术后胃肠道功能恢复的影响。方法:选取我院2022年1月-2023年12月妇科腹腔镜手术患者82例,按随机数字表法随机分为对照组(41例,六步沟通法干预)和观察组(41例,六步沟通法联合共享决策干预),观察患者手术恢复情况、生活质量、不良反应发生率以及护理满意度。结果:观察组肠鸣音恢复、自主排气、首次排便、首次下床时间短于对照组(P<0.05);干预后,观察组健康调查简表(SF-36)各指标评分明显高于对照组(P<0.05);观察组不良反应发生率低于对照组,护理满意度高于对照组(P<0.05)。结论:共享决策联合六步沟通法对促进妇科腹腔镜手术患者术后胃肠道功能恢复具有重要作用,可改善患者生活质量,减少不良反应发生风险,提高护理满意度。Objective:To observe the effect of shared decision making combined with six-step communication on postoperative gastrointestinal function recovery in patients undergoing gynecological laparoscopic surgery.Methods:Eighty-two patients who underwent gynecological laparoscopic surgery in the hospital from January 2022 to December 2023 were selected,and divided into control group(41 cases,six-step communication intervention)and observation group(41 cases,six-step communication combined with shared decision making intervention)using a table of random numbers.Postoperative recovery,quality of life,incidence of adverse reactions,and nursing satisfaction were observed.Results:Compared with the control group,the observation group showed reductions in recovery time of bowel sounds,time of spontaneous exhaust,time of first bowel movement,and first ambulation time(P<0.05).After intervention,the 36-Item Short Form Health Survey(SF-36)scores of the observation group were significantly higher than those of the control group(P<0.05).The incidence of adverse reactions in the observation group was lower and nursing satisfaction rate in the observation group was higher compared with the control group(P<0.05).Conclusion:Shared decision making combined with six-step communication plays an important role in promoting postoperative gastrointestinal function recovery in patients undergoing gynecological laparoscopic surgery.Moreover,it can improve the quality of life,reduce the risk of adverse reactions,and increase nursing satisfaction.

关 键 词：共享决策 六步沟通法 腹腔镜手术 胃肠道功能 

分 类 号：R656[医药卫生—外科学]