围术期护理干预和常规护理对子宫肌瘤切除术患者应用效果对比

Comparison the Effect of Perioperative Nursing Intervention and Usual Care for Myomectomy

目的:比较围术期护理干预和常规护理措施对子宫肌瘤切除术患者的应用效果。方法:选取2011-2013年笔者所在医院收治的50例择期行子宫肌瘤切除术的患者,随机分为观察组和对照组,其中对照组25例,给予常规护理措施,观察组25例,在对照组常规护理的基础上给予围术期护理,观察并比较两组患者的满意度、术中一般情况及不良反应发生情况。结果:观察组满意度为92%,对照组满意度为72%,差异有统计学意义(P<0.05);观察组采用围术期护理干预,手术时间、术后下床活动时间、胃肠道功能恢复情况及住院天数均明显少于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为4%,对照组并发症发生率为12%,差异有统计学意义(P<0.05)。结论:围术期护理干预用于子宫肌瘤切除术疗效好,术后并发症发生率低,值得在临床上予以推广。

Objective：To compare the effect of perioperative nursing intervention and usual care for hysteromyomectomy.Method：50 patients with selective hysteromyomectomy from 2011 to 2013 in our hospital were randomly divided into observation group and control group,25 patients in each group.Control group received routine care measures.On the basis of the control group,observation group received perioperative nursing intervention,observing and comparing the patients’ satisfaction,general surgery and adverse events of two groups.Result：The patients’ satisfaction of observation group was 92%,control group was 72%, the difference was statistically significant（P〈0.05）.The operative time,postoperative ambulation,gastrointestinal road functional recovery and hospital stay of observation group were significantly less than control group,the differences were statistically significant（P〈0.05）.The complication rate of observation group was 4%, control group was 12%,the difference was statistically significant（P〈0.05）.Conclusion：Perioperative nursing intervention for myomectomy has good efficacy,low incidence of postoperative complications,is worth to be promoted in clinical practice.