舒适护理在腹腔镜子宫肌瘤切除术患者中的应用效果1.docx

舒适护理在腹腔镜子宫肌瘤切除术患者中的应用效果[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。[中图分类号]R737.33；R473.73[文献标识码]A[文章编号]1673-7210（2017）09（b）-0138-04ApplicationeffectofcomfortcareinpatientswithlaparoscopichysteromyomectomyZHANGJingxiaRehabilitationCenter，theFirstAffiliatedHospitalofLiaoningUniversityofTraditionalChineseMedicine，LiaoningProvince，Shenyang110032，China[Abstract]ObjectiveToinvestigatetheapplicationeffectofcomfortcareinpatientswithlaparoscopichysteromyomectomy.MethodsTheclinicaldataof87patientsunderwentlaparoscopichysteromyomectomyadmittedtotheFirstAffiliatedHospitalofLiaoningUniversityofTraditionalChineseMedicinefromJanuarytoNovember2015wasanalyzedretrospectively.Accordingtodifferentnursingmethods，thepatientsweredividedintocontrolgroup（43cases，routinenursing）andobservationgroup（44cases，comfortcare）.Theoperationindicators（operationtime，postoperativeleavingbedtime，hospitalstay），scoresofanxietyanddepression，incidenceofpostoperativecomplicationsbetweenthetwogroupswerecompared.ResultsTheoperationtime，postoperativeleavingbedtimeandhospitalstayintheobservationgroupwasallshorterthanthoseofcontrolgroup，thedifferenceswereallstatisticallysignificant（P<0.05）.Afternursing，thescoresofself-ratinganxietyscaleandself-ratingdepressionscaleintheobservationgroupwerealllowerthanthoseofcontrolgroup，thedifferenceswereallstatisticallysignificant（P<0.05）.Theincidenceofpostoperativecomplicationsintheobservationgroup（13.64%）waslowerthanthatofcontrolgroup（30.23%），thedifferencewasstatisticallysignificant（χ2=28.411，P<0.05）.ConclusionComfortcarecaneffectivelyshortentheoperationtime，postoperativeleavingbedtime，hospitalstay，alleviatenegativeemotions，reduceincidenceofcomplication