循证护理在妇科腹腔镜术后肩背痛中的应用(1)
[摘要]目的 探讨循证护理在妇科腹腔镜术后肩背痛中的应用效果。方法 选取2014年7月～2016年7月我院实施腹腔镜手术的70例妇科患者的临床资料进行分析，按照患者手术时间分为对照组和护理组，每组35例，对照组给予常规护理方法，护理组在实施常规护理的基础上给予循证护理，比较两组患者术后疼痛情况、焦虑(SAS)、抑郁(SDS)评分以及患者护理满意度。结果 治疗后，护理组患者的疼痛率显著低于对照组，差异有统计学意义(P<0.05)。护理组的护理满意率的显著高于对照组，差异有统计学意义(P<0.05)。护理组患者的焦虑、抑郁程度轻于对照组，差异有统计学意义(P<0.05)，且护理组的SAS、SDS评分低于对照组，差异有统计学意义(P<0.05)。结论 循证护理干预在妇科腹腔镜术后肩背痛中疗效显著。
[关键词]循证护理；妇科腹腔镜术；肩背痛；应用
[中图分类号] R473 [文献标识码] A [文章编号] 1674-4721(2018)5(b)-0158-03
Application of evidence based nursing in patients with shoulder and back pain after gynecological laparoscopic surgery
ZHANG Ping
Department of Nursing，Jiujiang Maternal and Child Health Care Hospital，Jiangxi Province，Jiujiang 332000，China
[Abstract]Objective To investigate the effect of evidence-based nursing on postoperative shoulder and back pain after gynecological laparoscopic surgery.Methods The clinical data of 70 gynecological patients who underwent laparoscopic surgery in our hospital from July 2014 to July 2016 were analyzed.According to the operation time，the patients were divided into control group and nursing group，35 cases in each group.The control group was given conventional nursing methods，and the nursing group was given evidence-based nursing on the basis of conventional nursing.The postoperative pain，anxiety (SAS)，depression (SDS) scores and patient satisfaction were compared between the two groups.Results After treatment，the pain rate in nursing group was significantly lower than that in control group，the difference was statistically significant (P<0.05).The nursing satisfaction rate of the nursing group was significantly higher than that of the control group，the difference was statistically significant (P<0.05).The degree of anxiety and depression in nursing group was lower than that in control group，and the difference was statistically significant (P<0.05)，and SAS and SDS scores in nursing group were lower than those in control group， and the difference was statistically significant (P<0.05).Conclusion Evidence-based nursing intervention is effective in shoulder and back pain after gynecological laparoscopy.
[Key words]Evidence-basednursing；Gynecological laparoscopy；Shoulder blade；Application
對于一些女性来说，妇科疾病威胁到患者身体健康，严重影响其正常生活，给患者本人及家属带来了极大的困扰。妇科腹腔镜手术是指以最小的创伤达到治愈效果，腹腔镜手术作为一种正确的医学治疗方法，在治疗妇科患者中可显著减轻患者治疗疼痛感，具有显著的疗效，但仍然会有一部分患者术后出现疼痛现象，且持续时间较长，给患者带来极大的困扰，影响其正常生活，降低家庭幸福度。正确的治疗方式与有效的护理干预相结合，可减少患者病痛，显著提高生活质量。因此，为开展循证护理工作，提高护理质量和水平，选取我院70例实施腹腔镜手术的妇科患者的一般临床资料，对其进行研究，探讨循证护理在妇科腹腔镜术后肩背痛中的应用效果。并取得了一定的成就，现将结果报道如下。, 百拇医药(张萍)
[关键词]循证护理；妇科腹腔镜术；肩背痛；应用
[中图分类号] R473 [文献标识码] A [文章编号] 1674-4721(2018)5(b)-0158-03
Application of evidence based nursing in patients with shoulder and back pain after gynecological laparoscopic surgery
ZHANG Ping
Department of Nursing，Jiujiang Maternal and Child Health Care Hospital，Jiangxi Province，Jiujiang 332000，China
[Abstract]Objective To investigate the effect of evidence-based nursing on postoperative shoulder and back pain after gynecological laparoscopic surgery.Methods The clinical data of 70 gynecological patients who underwent laparoscopic surgery in our hospital from July 2014 to July 2016 were analyzed.According to the operation time，the patients were divided into control group and nursing group，35 cases in each group.The control group was given conventional nursing methods，and the nursing group was given evidence-based nursing on the basis of conventional nursing.The postoperative pain，anxiety (SAS)，depression (SDS) scores and patient satisfaction were compared between the two groups.Results After treatment，the pain rate in nursing group was significantly lower than that in control group，the difference was statistically significant (P<0.05).The nursing satisfaction rate of the nursing group was significantly higher than that of the control group，the difference was statistically significant (P<0.05).The degree of anxiety and depression in nursing group was lower than that in control group，and the difference was statistically significant (P<0.05)，and SAS and SDS scores in nursing group were lower than those in control group， and the difference was statistically significant (P<0.05).Conclusion Evidence-based nursing intervention is effective in shoulder and back pain after gynecological laparoscopy.
[Key words]Evidence-basednursing；Gynecological laparoscopy；Shoulder blade；Application
對于一些女性来说，妇科疾病威胁到患者身体健康，严重影响其正常生活，给患者本人及家属带来了极大的困扰。妇科腹腔镜手术是指以最小的创伤达到治愈效果，腹腔镜手术作为一种正确的医学治疗方法，在治疗妇科患者中可显著减轻患者治疗疼痛感，具有显著的疗效，但仍然会有一部分患者术后出现疼痛现象，且持续时间较长，给患者带来极大的困扰，影响其正常生活，降低家庭幸福度。正确的治疗方式与有效的护理干预相结合，可减少患者病痛，显著提高生活质量。因此，为开展循证护理工作，提高护理质量和水平，选取我院70例实施腹腔镜手术的妇科患者的一般临床资料，对其进行研究，探讨循证护理在妇科腹腔镜术后肩背痛中的应用效果。并取得了一定的成就，现将结果报道如下。, 百拇医药(张萍)