舒适护理在腹腔镜子宫肌瘤切除术患者中应用效果.docVIP

舒适护理在腹腔镜子宫肌瘤切除术患者中应用效果 　　[摘要] 目的 探讨舒适护理在腹腔镜子宫肌瘤切除术患者中的应用效果。 方法 回顾性分析辽宁中医药大学附属医院2015年1～11月收治的87例行腹腔镜子宫肌瘤切除术患者的临床资料。根据护理方法的不同将患者分为对照组（43例，常规护理）和观察组（44例，舒适护理）。比较两组患者手术指标（手术时间、术后下床时间及住院时间）、焦虑、抑郁评分及术后并发症发生率。 结果 观察组手术时间、术后下床时间及住院时间均短于对照组，差异均有统计学意义（均P 0.05）。护理后，观察组焦虑、抑郁自评量表评分均低于对照组，差异均有统计学意义（均P 0.05）。观察组术后并发症发生率（13.64%）低于对照组（30.23%），差异有统计学意义（χ2=28.411，P 0.05）。 结论 舒适护理可缩短子宫肌瘤患者手术时间、术后下床时间及住院时间，缓解不良情绪，减少并发症，提高护理质量。 　　[关键词] 舒适护理；子宫肌瘤；腹腔镜子宫肌瘤切除术；焦虑；抑郁；护理质量 　　[中图分类号] R737.33；R473.73 [文献标识码] A [文章编号] 1673-7210（2017）09（b）-0138-04 　　Application effect of comfort care in patients with laparoscopic hysteromyomectomy 　　ZHANG Jingxia 　　Rehabilitation Center， the First Affiliated Hospital of Liaoning University of Traditional Chinese Medicine， Liaoning Province， Shenyang 110032， China 　　[Abstract] Objective To investigate the application effect of comfort care in patients with laparoscopic hysteromyomectomy. Methods The clinical data of 87 patients underwent laparoscopic hysteromyomectomy admitted to the First Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from January to November 2015 was analyzed retrospectively. According to different nursing methods， the patients were divided into control group （43 cases， routine nursing） and observation group （44 cases， comfort care）. The operation indicators （operation time， postoperative leaving bed time， hospital stay）， scores of anxiety and depression， incidence of postoperative complications between the two groups were compared. Results The operation time， postoperative leaving bed time and hospital stay in the observation group was all shorter than those of control group， the differences were all statistically significant （P 0.05）. After nursing， the scores of self-rating anxiety scale and self-rating depression scale in the observation group were all lower than those of control group， the differences were all statistically significant （P 0.05）. The incidence of postoperative complications in the obse