舒适护理在腹腔镜子宫切除术围术期中的应用研究

Application research of comfort care in the perioperative period of laparoscopic hysterectomy

目的 探讨舒适护理对腹腔镜子宫切除术围术期患者的护理效果. 方法 将72例行腹腔镜子宫切除术的患者采用随机数字表法分为观察组和对照组,各36例.两组均给予常规围术期护理,观察组患者在此基础上给予舒适护理,于手术前后、患者焦虑自评量表、抑郁自评量表评分,比较两组应激反应发生情况及护理满意度.结果 手术后两组焦虑自评量表与抑郁自评量表评分均较手术前显著下降（P〈0.01）,观察组较对照组下降更显著（P〈0.01）.观察组应激反应发生率为13.9%,对照组为47.2%,观察组显著低于对照组（P〈0.01）.观察组满意率为94.4%,对照组为77.8%,观察组显著高于对照组（P〈0.05）.结论 对腹腔镜子宫切除术患者实施围术期舒适护理有助于稳定患者的心理状态,提高患者的舒适感,降低应激反应发生率,提高护理满意度.

Objective To explore the effect of comfort care in the perioperative period of laparoscopic hysterectomy.Methods Seventy-two patients undergoing laparoscopic hysterectomy were assigned to observation and control group of 36 ones each.Both groups received perioperative nursing care, observation group was plus comfort care on this basis, the Self-rating Anxiety Scale （SAS） and Self-rating Depression Scale （SDS） score as well as stress reaction and satisfaction to nursing were compared between 2 groups before and after operation.Results After operation the SAS and SDS scores of both groups lowered more significantly compared with pre-operation （P〈0.01） and so did those in observation than in control group （P〈0.01）.The incidence of stress reactions was respectively 13.9% in observation and 47.2% in control group and the former significantly lower than the latter （P〈0.01）.Satisfaction rate was respectively 94.4% in observation and 77.8% in control group and the former significantly higher than the latter （P〈0.05）.Conclusion Comfort care in the perioperative period of laparoscopic hysterectomy could stabilize patients＇ mental state, boost patients＇ comfort sense, lower the incidence of stress reactions, and boost satisfaction to nursing.