介入栓塞联合灌注化疗治疗瘢痕妊娠的护理配合

Nursing Cooperation of Interventional Embolization Combined with Chemotherapy in the Treatment of Scar Pregnancy

目的:探讨介入栓塞联合灌注化学治疗(化疗)治疗瘢痕妊娠的护理效果。方法:选择笔者单位2013年3月~2015年12月间收治的200例瘢痕妊娠且接受介入手术治疗患者资料,通过数字表法随机进行分组。研究组:100例,行子宫动脉栓塞术+动脉灌注甲氨蝶呤治疗+系统护理;对照组:100例,在研究组治疗基础之上+常规护理。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)对患者焦虑、抑郁情况以及不良反应发生情况、护理满意度进行对比分析。结果:护理前,SAS、SDS评分组间比较无差异(P>0.05);经护理干预后,研究组SAS、SDS评分则优于对照组,组间统计学比较有差异(P<0.05);研究组患者护理满意度为100.0%(100/100),对照组为86%(86/100),统计学差异明显(χ~2=16.337,P<0.05);且该组不良反应发生率为20.0%,明显低于对照组51.0%,统计分析结果有明显差异(P<0.05)。结论:系统护理干预在介入栓塞联合灌注化疗治疗瘢痕妊娠中既全面改善患者负性心理,还可以全面降低术后并发症发生率,并对提高临床治疗效果具有积极的促进作用。

Objective：To investigate the nursing effect of interventional embolization combined with chemotherapy in the treatment of scar pregnancy.Methods：The data of 200 patients with scar pregnancy who were treated in our hospital from March 2013 to December 2015 in were selected as the research materials.Study Group：100 cases,uterine artery embolization ＋ arterial infusion of methotrexate treatment ＋ system nursing;control group：100 cases in the study group on the basis of conventional nursing care.The self rating Anxiety Scale （SAS） and the self rating Depression Scale （SDS） were used to analyze the anxiety,depression,the incidence of adverse reactions and nursing satisfaction.Results：The nursing of two groups of patients before SAS and SDS scores had no difference （P 〉 0.05）;after the nursing intervention,patients in the study group,SAS,SDS evaluation is significantly better than the control group （P 〈 0.05）;the study group patients satisfaction was 100% （100/100）,the control group was 86% （86/100）,was significantly different （x2 =16.337,P 〈0.05）;and the incidence rate of adverse reactions was 20%,significantly lower than the control group 51%,the statistical analysis results there were significant differences （P 〈 0.05）.Conclusion：Systematic nursing intervention in interventional embolization combined with chemotherapy in the treatmnent of scar pregnancy can improve patients with various negative psychological,can also reduce the incidence of postoperative complications,and has a positive effect on improving clinical curative effect.