腹腔镜全子宫切除加双侧输卵管切除术围术期敏感风险指标多维干预效果  

Effect of multidimensional intervention based on the perioperative sensitive risk indicators for patients with laparoscopic total hysterectomy and bilateral salpingectomy

作　　者：吴志慧 杨若奇 夏琴 WU Zhihui;YANG Ruoqi;XIA Qin(Mengcheng County Second People's Hospital,Bozhou,Anhui Province,233500;Bozhou People's Hospital)

机构地区：[1]安徽省蒙城县第二人民医院,233500 [2]安徽省亳州市人民医院

出　　处：《中国计划生育学杂志》2025年第2期311-315,共5页Chinese Journal of Family Planning

基　　金：安徽省重点研究和开发项目(201904a07020012)。

摘　　要：目的:探究基于敏感风险指标的多维干预在腹腔镜全子宫切除加双侧输卵管切除术围术期的应用效果。方法:随机数字表法将本院自2021年1月-2023年12月收治的92例患者分为观察组和对照组各46例。术前对照组接受常规护理干预,观察组接受基于敏感风险指标的多维干预,均干预至出院。比较两组术前焦虑和信息需求情况、疾病应对方式、并发症发生情况、护理满意度。结果:干预后,观察组焦虑量表(3.97±1.02分)、信息需要量表评分(0.89±0.24分)、回避(8.69±1.24分)、屈服评分(6.59±1.05分)均低于对照组(6.91±1.28分、2.28±1.01分、12.69±1.82分、9.78±1.17分),面对评分(27.15±4.57分)、护理满意度总分(94.15±4.68分)均高于对照组(24.11±5.01分、87.54±5.11分)(均P<0.05),并发症发生率(4.4%)与对照组(15.2%)无差异(P>0.05)。结论:腹腔镜全子宫切除+双侧输卵管切除术围术期敏感风险指标的多维干预,能有效降低患者术前焦虑症状及信息需求程度,提高患者护理积极性及护理满意度。Objective: To explore the application effect of multidimensional intervention based on the perioperative sensitive risk indicators for patients with laparoscopic total hysterectomy and bilateral salpingectomy. Methods: 92 patients who wanted laparoscopic total hysterectomy and bilateral salpingectomy in the hospital were selected and were divided into two groups(46 patients in each group) by the random number table method from January 2021 to December 2023. The patients in the control group received routine nursing interventions before surgery until discharged from hospital, while the patients in the observation group received the multidimensional intervention based on sensitive risk indicators before surgery until discharged from hospital. The situations of the preoperative, the anxiety information requirements, the disease coping style and the complications, and the nursing satisfaction of the patients were compared between the two groups. Results: After intervention, the scores of anxiety scale(3.97±1.02 points), information need scale(0.89±0.24 points), avoidance(8.69±1.24 points) and yield(6.59±1.05 points) of the patients in the observation group were significantly lower than those(6.91±1.28 points, 2.28±1.01 points, ±1.17 12.69±1.82 points and 9.78±1.17 points) of the patients in the control group. The facing score(27.15±4.57 points) and the nursing satisfaction score(94.15±4.68 points) of the patients in the observation group were significantly higher than those(24.11±5.01 points and 87.54±5.11 points) of the patients in the control group(all P<0.05). There was no significant difference in the incidence of complications(4.4% vs. 15.2%) of the patients between the two groups(P>0.05). Conclusion: The multidimensional intervention based on the perioperative sensitive risk indicators for the patients with laparoscopic total hysterectomy and bilateral salpingectomy can effectively reduce their preoperative anxiety symptoms and information requirements,and which can enhance their enthusiasm and sat

关 键 词：腹腔镜子宫切除术 双侧输卵管切除术 围术期 敏感风险指标多维干预 术前焦虑 护理满意度 

分 类 号：R47[医药卫生—护理学]