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系统护理对子宫肌瘤术后病人治疗效果的影响(1)
http://www.100md.com 2020年4月15日 《中外医疗》 202011
     [摘要] 目的 闡述子宫肌瘤患者术后辅以系统护理干预的具体措施及对治疗效果的影响。方法 该次研究时间设定在2016年1月—2019年6月,研究对象方便选择于该院接受手术治疗的子宫肌瘤患者62例,参照患者手术时间先后分为观察组与对照组,对照组患者辅以常规护理,观察组患者辅以系统护理,记录并比较两组患者临床相关指标,评估并分析各组患者护理前后疼痛感、心态、睡眠质量,计算各组患者术后出现并发症的概率。结果 观察组患者术后首次排气时间(2.94±1.05)d、下床时间(23.13±2.06)h、切口愈合时间(29.11±2.58)d、肠功能恢复时间(11.04±1.86)d、总住院时间(30.08±3.05)d均明显低于对照组(t=8.101、15.240、18.020、13.030、17.230,P<0.05)。两组患者未经护理前,痛感、心态、睡眠质量等评分均差异无统计学意义(P>0.05),经护理干预后,观察组VAS评分(2.87±1.04)分、SAS评分(2.91±0.39)分、SDS评分(3.02±0.16)分均低于对照组,PSQI评分(93.22±2.01)分高于对照组,差异有统计学意义(t=8.490、8.650、8.970、7.890,P<0.05)。另外,观察组患者术后发生并发症的概率相较对照组更低。结论 以手术方法治疗子宫肌瘤期间辅以系统护理干预可以强化治疗质量,加速患者恢复,预防并发症,值得应用。

    [关键词] 系统护理;子宫肌瘤;术后;治疗效果;影响

    [Abstract] Objective To elaborate the specific measures of postoperative patients with uterine fibroids supplemented with systemic nursing interventions and their effects on the treatment effect. Methods The study time was set from January 2016 to June 2019. The study subjects conveniently selected 62 patients with uterine fibroids undergoing surgical treatment in our hospital. They were divided into observation group,control group,and control group according to the operation time of the patients. The patients were supplemented with routine nursing,the observation group was supplemented with system nursing,and the clinically relevant indicators of the two groups of patients were recorded and compared. The pain,mentality,and sleep quality of each group of patients were evaluated and analyzed,and the postoperative complications probability of each group of patients were calculated. Results The first exhaust time (2.94±1.05) days,the time to get out of bed (23.13±2.06) hours,the incision healing time (29.11±2.58)days,the bowel function recovery time (11.04±1.86) days,and the total hospital stay in the observation group Time(30.08±3.05)d was significantly lower than that of the control group (t=8.110,15.240,18.020, 13.030,17.230,P<0.05). Before the two groups of patients,there were no statistically significant differences in scores on pain,mood,and sleep quality. After nursing intervention,the observation group had a VAS score (2.87±1.04)points,a SAS score (2.91±0.39)points,and an SDS score (3.02±0.16)points,lower than the control group,and the PSQI score (93.22±2.01)points was higher than the control group (t=8.490,8.650,8.970,7.890,P<0.05). In addition,the probability of complications in the observation group was lower than that in the control group. Conclusion The combined use of systemic nursing intervention during the surgical treatment of uterine fibroids can enhance the quality of treatment,accelerate patient recovery and prevent complications,which is worth applying., 百拇医药(杨丽萍)
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