护理干预对促进妇科腹腔镜术后胃肠蠕动功能恢复的体会.docVIP

护理干预对促进妇科腹腔镜术后胃肠蠕动功能恢复的体会 　　[摘要] 目的 探讨护理干预方法促进妇科腹腔镜术后胃肠蠕动功能恢复的临床效果。 方法 选取2012年10月～2014年12月因妇科病行腹腔镜手术患者110例，随机分为观察组55例及对照组55例。对照组采用常规护理方法，观察组采用个体化护理干预方法。观察两组患者术后腹胀、胃肠蠕动开始时间、肠鸣音恢复时间、 肛门自行排气时间，并对护理满意度情况进行比较。 结果 观察组患者腹胀发生率为5.46%，明显低于对照组的21.82%，两组比较，差异具有统计学意义（P0.05）。观察组患者肠鸣音恢复时间、胃肠蠕动开始时间和肛门自行排气时间皆短于对照组（P0.05）。观察组护理满意率为94.54%，明显高于对照组的76.37%，两组比较，差异具有统计学意义（P0.05）。 结论 对妇科腹腔镜术后患者采用护理干预方法，可以减少患者腹胀情况，促进胃肠蠕动功能恢复，值得临床推广应用。 　　[关键词] 护理干预；腹腔镜手术；胃肠蠕动功能；恢复 　　[中图分类号] R473.71 [文献标识码] B [文章编号] 2095-0616（2015）20-86-03 　　Experience of nursing intervention to promote functional recovery of gastrointestinal motility after laparoscopic surgery in gynecology 　　LI Changjiang AN Zhen 　　Department of Obstetrics and Gynecology， No.1 Branch of Huaian First Peoples Hospital， Huaian 223002， China 　　[Abstract] Objective To explore the clinical effect of nursing intervention to promote functional recovery of gastrointestinal motility after laparoscopic surgery in gynecology. Methods 110 cases of gynecological diseases underwent laparoscopic operation from October 2012 to December 2014 were all collected， and were randomly divided into observation group and control group with 55 cases in each group. The control group used conventional nursing method， the observation group used the individual nursing intervention method. The postoperative abdominal distention， bowel sound recovery time， gastrointestinal peristalsis start time， anus exhaust time， and nursing satisfaction of patients in the two groups were all observed and compared. Results The incidence of abdominal distension of patients in the observation group was 5.46%，which was significantly lower than the control group of 21.82%，the difference was significant between the two groups（P0.05）.The bowel sound recovery time，gastrointestinal peristalsis start time and anus exhaust time of patients in the observation group were earlier than those in the control group，the difference were significant between the two groups（P0.05）. The nursing satisfa