护理干预对广泛全子宫切除和盆腔淋巴清扫术后患者腹胀的影响

Effect of Nursing Intervention on Abdominal Distension of Patients After Radical Hysterectomy and Pelvic Lymphadenectomy

目的探讨护理干预对广泛全子宫切除术+盆腔淋巴结清扫术后患者腹胀的影响。方法选择我院行广泛全子宫切除+盆腔淋巴结清扫术患者76例,随机均分为两组。对照组行常规护理,干预组采取护理干预,比较两组患者的术后腹胀发生率,以及对临床护理服务质量的评分和满意度。结果干预组的无腹胀比例显著高于对照组,轻度腹胀比例显著低于对照组(P<0.05)。干预组患者对围手术期护理服务质量相关指标的评分均显著高于对照组(P<0.05)。干预组的护理满意度为95.78%,显著高于对照组的78.95%(P<0.05)。结论对接受广泛全子宫切除术+盆腔淋巴结清扫术的患者,在常规护理基础上实施全面细致的围手术期护理干预,可降低术后腹胀发生率,提高患者的护理满意度。

Objective To explore the effect of nursing intervention on abdominal distension of patients after radical hysterectomy and pelvic lymphadenectomy. Methods 76 cases of patients with radical hysterectomy and pelvic lymphadenectomy in our hospital were randomly divided into two groups equally. The control group received routine nursing, while the intervention group received nursing intervention. The incidence of postoperative abdominal distension, and patients＇ scores to nursing service quality and satisfaction degree were compared between two groups. Results The proportion of patients without abdominal distension in intervention group was significantly higher than that of control group, and the proportion of patients with mild abdominal distension of intervention group was significantly lower than those in control group （P〈0.05）. The scores to indicators of nursing service quality of patients in intervention group were significantly higher than those in control group （P〈0.05）. The satisfaction degree to nursing of intervention group was 95.78%, significantly higher than 78.95% of control group （P〈0.05）. Conclusions On the basis of routine nursing, comprehensive and meticulous nursing intervention during perioperative period can reduce the incidence of postoperative abdominal distension, and improve patients＇ satisfaction degree to nursing.