观察渐进式护理应用于老年全子宫切除患者临床效果.docVIP

观察渐进式护理应用于老年全子宫切除患者临床效果 　　【摘要】 目的 观察老年全子宫切除患者采取渐进式护理干预的临床效果。方法 96例行全子宫切除术老年患者， 随机分为对照组和护理组， 每组48例。对照组采用常规护理， 护理组采用渐进式护理。分析两组术后尿管拔除、下床时间、视觉模拟评分法（VAS）评分、焦虑自评量表（SAS）评分、抑郁自评量表（SDS）评分、并发症率与满意度。结果 护理组术后尿管拔除、下床时间、VAS评分、SAS评分、SDS评分分别为（2.25±0.78）d、（2.53±0.59）d、（4.25±0.82）分、（53.23±6.38）分、（49.72±5.81）分；对照组分别为（3.04±0.65）d、（3.63±0.73）d、（6.01±1.17）分、（59.82±4.38）分、（52.37±4.33）分， 两组比较差异具有统计学意义（P0.05）。护理组1例（2.08%）并发症发生， 对照组7例（14.58%）并发症发生；护理组48例满意， 满意度为100.00%， 对照组39例满意， 满意度为81.25%， 两组患者并发症发生率及满意度比较差异具有统计学意义（P0.05）。结论 对全子宫切除老年患者采用渐进式护理临床效果显著。 　　【关键词】 渐进式护理；老年；全子宫切除术；临床效果 　　DOI：10.14163/j.cnki.11-5547/r.2018.05.083 　　【Abstract】 Objective To observe the clinical effect of progressive nursing for senile patients with total hysterectomy. Methods A total of 96 senile patients with total hysterectomy were randomly divided into control group and nursing group， with 48 cases in each group. The control group received conventional nursing， and the nursing group received progressive nursing. Analysis were made on postoperative catheter extubation， off-bed time， visual analogue scale （VAS） score， self-rating anxiety scale （SAS） score， self-rating depression scale （SDS） score， complication rate and satisfaction between the two groups. Results The nursing group had postoperative catheter extubation， off-bed time， VAS score， SAS score and SDS score respectively as （2.25±0.78） d， （2.53±0.59） d， （4.25±0.82） points， （53.23±6.38） points and （49.72±5.81） points， which were （3.04±0.65） d， （3.63±0.73） d， （6.01±1.17） points， （59.82±4.38） points and （52.37±4.33） points in the control group， and their difference was statistically significant （P0.05）. The nursing group had 1 case （2.08%） with complications， which was 7 cases （14.58%） in the control group. The nursing group had 48 satisfied cases， with satisfaction degree as 100.00%， while the control group had 39 satisfied cases， with satisfaction degree as 81.25%. Both groups had statistically significant difference in incidence of complications and sa