规范化护理在子宫切除盆腔淋巴结清扫治疗子宫内膜癌中的应用分析

Standardized nursing care in hysterectomy and pelvic lymph node cleaning for endometrial carcinoma

目的探讨规范化护理在子宫切除盆腔淋巴结清扫治疗子宫内膜癌中的应用效果。方法选取2015年5月至2016年5月在本院进行治疗的子宫内膜癌患者98例，随机分为干预组与对照组，各49例。对照组采用常规护理方案，干预组给予改良的规范化护理干预。采用SF-36生命质量表对两组患者的生活质量水平进行评分并比较；采用自拟满意度问卷收集两组患者对护理工作满意度并统计比较。结果除社会功能和活力两个维度外，对照组中生理功能（79．82±3．47），心理功能（72．07±4．80），肌体疼痛（68．47±4．92），总体健康（57．47±4．57），情感功能（58．02±3．47），心理护理（48．41±3．82）；干预组中生理功能（83．16±2．89），心理功能（78．19±4．45），肌体疼痛（78．53±3．85），总体健康（64．43±4．36），情感功能（62．08±4．28），心理护理（61．22±4．36），干预组在各维度得分均明显高于对照组（均P〈0．05）；干预组总满意率97．96％，对照组75．51％，差异有统计学意义（P〈0．05）。结论针对采用子宫切除并盆腔淋巴结清扫治疗的子宫内膜癌患者采用规范化护理干预，促进了患者术后生命质量的恢复，有效提高了手术治疗效果，并改善了患者对护理工作的满意程度，推进了医患关系的良性发展，值得临床推广应用。

Objective To explore the effect of standardized nursing care in hysterectomy and pelvic lymph node cleaning for endometrial carcinoma. Methods 98 patients with endometrial carcinoma treated at our hospital from May, 2015 to May, 2016 were randomly divided into an intervention group （n = 49） and a control group （n = 49）. The control group were routinely cared and the intervention group were intervened by standardized nursing care. The life quality of the patients in the two groups were scored and compared by SF- 36 quality of life questionnaire. The satisfaction of the two groups was compared with the self-made satisfaction questionnaire. Results The scores of physiological function, psychological function, body pain, general health, emotional function, and psychological care were （ 79.82±3.47 ）, （ 72.07±4.80 ）, （ 68.47±4.92 ）, （ 57.47±4.57 ）, （ 58.02±3.47 ）, and （ 48.41±3.82 ） in the control group and were （ 83.16±2.89 ）, （ 78.19±4.45 ）, （ 78.53±3.85 ）, （ 64.43±4.36 ） , （ 62.08±4.28 ） , and （ 61.22±4.36 ） in the intervention group （all P 〈0.05）. The overall satisfaction rate was 97.96% in the intervention group and was 75.51% in the control group, with a statistical difference （P〈0.05）. Conclusions Standardized nursing care in hysterectomy and pelvic lymph node cleaning for endometrial carcinoma can improve the patients＇ postoperative life quality and physician-patient relationship, so it is worth being clinically generalized.