循证护理在腹腔镜手术治疗卵巢肿瘤患者中的应用效果

Application effect of evidence-based treated by nursing in patients with ovarian tumor laparoscopic surgery

目的探讨循证护理在腹腔镜手术治疗卵巢肿瘤患者中的应用效果。方法选取本院妇科收治的行腹腔镜卵巢肿瘤切除术患者100例,随机分为常规组和循证组各50例。常规组接受常规护理,循证组采取循证护理。记录和比较2组患者下床活动时间、肛门排气时间、导尿管留置时间、住院时间和术后感染率、跌倒人数等治疗情况;入院时和出院时,匹兹堡睡眠质量(PSQI)量表评估患者睡眠质量,心理弹性量表(CD-RISC)评价患者心理状况,对比2组患者PSQI评分和CD-RISC评分,比较2组患者护理满意度。结果循证组患者下床活动时间、肛门排气时间、导尿管留置时间、住院时间、术后感染率和跌倒人数均显著低于常规组(P<0.05);2组患者出院时CD-RISC评分高于入院时(P<0.05),PSQI评分低于入院时(P<0.05);出院时,循证组患者CD-RISC评分显著高于常规组(P<0.05),PSQI评分显著低于常规组(P<0.05);循证组患者护理满意率94%显著高于常规组患者80%(P<0.05)。结论循证护理可显著加快卵巢肿瘤患者术后康复速度,有效缓解心理不良情绪,值得推广应用。

Objective To explore the application effect of evidence-based nursing in the treatment of ovarian cancer patients with laparoscopic operation. Methods A total of 100 cases trea- ted with laparoscopic ovarian tumor resection were randomly divided into conventional group with 50 cases and evidence-based group with 50 cases. Patients in the conventional group received routine care, and evidence-based group received evidence-based nursing. Ambulation time, anal exhaust time, indwelling catheter time, hospitalization time and postoperative infection rate, fall times were recorded and compared. Pittsburgh sleep quality （PSQI） scale was used to assess the quality of sleep in patients, psychological elastic scale （CD-RISC） to evaluate the psychological status of patients, PSQI score and CD-RISC score, care satisfaction of two groups were compared. Results The bed-off time, anal exhaust time, catheter indwelling time, hospital stay, postoperative infection rate and fail- ing times in the evidence-based group were significantly lower than that in the conventional group （P 〈 0.05）. The CD-RISC score of the two groups was higher and PSQI score was lower at discharge （P 〈 0.05）. At discharge, the CD-RISC score of the evidence-based group was significantly higher and the PSQI score was significantly lower than that of the conventional group （P 〈 0.05）. Satisfac- tion in evidence-based nursing group was significantly higher than that of conventional group （P 〈 0.05 ）. Conclusion Evidence-based nursing can significantly speed up the recovery of ovarian canc- er patients, and effectively alleviate the psychological negative emotions, so it is worth promoting.