妇科患者腹腔镜术后并症预防及护理探讨.docVIP

妇科患者腹腔镜术后并症预防及护理探讨 　　[摘要] 目的 探讨妇科患者腹腔镜术后并发症的预防及护理措施。方法 选取该院2012年12月―2013年11月收治的100例妇科腹腔镜患者为研究对象，采用随机对照的方法分为观察和对照组，每组50例，对照组采用常规护理，观察组为预防术后并发症的发生采用循证护理，比较两组的护理效果。 结果 观察组术后疼痛评分显著低于的对照组，并发症、住院时间显著少于对照组（P0.05）。观察组在心理护理、服务态度、健康教育等方面的护理满意度显著高于对照组（P0.05）。 结论 循证护理能够有效减少妇科腹腔镜术后并发症的发生，提高患者的护理满意度。 　　[关键词] 妇科腹腔镜；术后并发症；循证护理 　　[中图分类号] R473.71 [文献标识码] A [文章编号] 1674-0742（2014）06（b）-0152-02 　　[Abstract] Objective To investigate the prevention and nursing measures for complications of gynecological patients after laparoscopic surgery. Methods 100 cases of gynecological laparoscopic patients admitted in our hospital from December， 2012 to November， 2013 were selected as the subjects， and they were divided into observation group and control group by a randomized control method， with 50 cases in each group. The control group was treated with routine nursing care， and the observation group was treated with evidence-based nursing for preventing the incidence of postoperative complications. The nursing effects were compared between the two groups. Results The postoperative pain score of the observation group was significantly lower than that of the control group， complications and hospitalization time were obviously less than those of the control group（P0.05）. The nursing satisfaction in the aspects of psychological nursing， service attitude and health education of the observation group was significantly higher than that of the control group （P0.05）. Conclusion The evidence-based nursing can effectively reduce the incidence of complications after gynecologic laparoscopic surgery and improve the nursing satisfaction of patients. 　　[Key words] Gynecological laparoscopy； Postoperative complications； Evidence-based nursing 　　腹腔镜已经逐渐取代传统的开腹手术，成为手术治疗的一种趋势。但妇科腹腔镜的患者术后存在一定的并发症，如：恶心、呕吐、腹胀及肩痛等，对手术的疗效和患者的康复造成了影响。循证护理是将科研结论与临床检验、患者的价值、愿望以及实际情况向结合，以有价值的、可信的科学研究结果为证据，并将其作为临床护理决策的依据的过程[1]。为探讨妇科患者腹腔镜术后并发症的预防及护理措施，该院2011年3月―2013年3月在收治的50例妇科腹腔镜患者术后采用循证护理，有效预防了并发症的发生，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　1