优质护理服务干预对异位妊娠腹腔镜术后肩痛者影响.docVIP

优质护理服务干预对异位妊娠腹腔镜术后肩痛者的影响 　　【摘要】 目的：探讨优质护理服务方法及其对异位妊娠腹腔镜术后肩痛的干预效果。方法：选取2013年1-12月行腹腔镜手术治疗的异位妊娠病例150例为研究组，实施优质护理服务干预；选取2012年1-12月病例150例为对照组，采用常规妇产科护理方法。结果：研究组异位妊娠患者腹腔镜手术后肩痛发生率为13.3%，显著低于对照组52.7%的发生率；疼痛程度方面，研究组患者轻、中、重度的发生比例均显著低于对照组，差异具有统计学意义（P0.01）。研究组患者满意度为97.3%，显著高于对照组的81.3%，差异具有统计学意义（P0.01）。结论：优质护理对有效预防异位妊娠患者腹腔镜手术后肩痛发生和减轻肩痛程度、提高患者满意度具有重要价值。 　　【关键词】 优质护理； 异位妊娠； 腹腔镜手术； 肩痛 　　【Abstract】 Objective： To investigate quality care intervention methods and the effect for ectopic pregnancy with shoulder pain after laparoscopic surgery.Method： 150 cases of ectopic pregnancy patients treated by laparoscopic surgery from January 2013 to December 2013 were set as the study group， were given quality care intervention； 150 cases between January 2012 to December 2012 were set as the control group， were given conventional obstetrics and gynecology nursing.Result：The incidence of ectopic pregnancy in patients with shoulder pain after laparoscopic surgery of the study groupwas 13.3%，significantly lower than the rate of 52.7% of the control group.Aspects of pain，proportion occurred rate of mild，moderate，severe of the study group were significantly lower than the control group，comparison with statistical significance between the data（P0.01）.Patient satisfaction of the study group was 97.3%，significantly higher than the 81.3% of the control group，compared with statistical significance between the data（P0.01）.Conclusion：The quality care is of great value for the effective prevention of the occurrence of ectopic pregnancy in patients with shoulder pain and reduce the degree of shoulder pain after laparoscopic surgery and improve patient satisfaction. 　　【Key words】 Quality care； Ectopic pregnancy； Laparoscopic surgery； Shoulder pain 　　肩部疼痛是异位妊娠患者经腹腔镜手术后常见并发症，一般发生在术后1～3 d，有些患者的肩部疼痛度甚至超出切口的疼痛度，应受到广泛重视[1]。优质护理是卫生部提出的一项改善医疗服务水平的活动[2]，本院自2013年开始实施优质护理服务，现对相关护理方法和应用效果进行比较分析，希望为腹腔镜手术后异位妊娠妊娠患者肩痛问题的解决提供有利的临床支持。 　　1 资料与方法 　　1.1 一般资料 选取2013年1-12月行腹腔镜手术治疗的异位妊娠病例150例为研究组，年龄18～48岁；选取2012年1-12月病例150例