子宫内膜异位症保守性手术治疗患者围术期整体护理分析

Perioperative holistic nursing analysis for endometriosis patients with conservative surgery

目的探究对保守性手术治疗子宫内膜异位症患者实施围术期整体护理的效果。方法将接受保守性手术治疗的120例子宫内膜异位症患者随机分为实验组和对照组,各60例,对照组围术期给予常规护理,实验组给予整体护理。比较2组患者的住院时间、并发症、复发率、护理满意度以及护理前后SAS、SDS及QOL评分。结果实验组患者住院时间为(7.05±1.50)d,并发症率为5.00%,复发率为1.67%,均优于对照组,差异有统计学意义(P<0.05);护理前,2组患者的SAS、SDS及QOL评分无显著差异(P>0.05);护理后,实验组患者的SAS、SDS评分均较对照组显著降低,且QOL评分较对照组显著升高,差异均有统计学意义(P<0.05);实验组护理满意度为95.00%,显著高于对照组,差异有统计学意义(P<0.05)。结论对保守性手术治疗子宫内膜异位症患者实施围术期整体护理,能够显著降低住院时间、并发症、复发率,改善患者的心理状况及生活质量,提高患者的护理满意度。

Objective To explore effect of perioperative holistic nursing for endometriosis patients with conservative surgery. Methods A total of 120 endometrial endometriosis patients with conservative surgery were randomly divided into experimental and control groups, with 60 cases in each group. Patients in the control group received routine perioperative care, and the experimental group were treated with holistic nursing. Hospital stay, complications and recurrence rate and care satisfaction of patients in two groups were compared. And SAS, SDS and QOL score before and after nursing were compared. Results The length of stay for patients in the experimental group was （7.05 ± 1.50） d, complications rate was 5.00% , the recurrence rate was 1.67%, which were bet- ter than that in the control group, and the difference was statistically significant （P 〈 0.05 ）. There were no significant differences in SAS, SDS and QOL score before nursing （ P 〉 0.05 ）. After treatment, SAS, SDS scores in the experimental group were significantly lower in the control group, QOL score was significantly higher than that in the control group, the differences were statistically significant （ P 〈 0.05 ）. Nursing satisfaction in the experimental group was 95.00% , which was significantly higher than that in the control group, the difference was statistically significant （P 〈 0.05 ）. Conclusion Overall care for patients with endometriosis can significantly reduce hospitalization time, complications, recurrence rate, improve mental status and quality of life, and improve care satisfac- tion of patients.