家属参与护理干预对子宫肌瘤患者的影响

Family Members to Participate in the Nursing Intervention of Patients With Uterine Fibroids

目的探究家属参与护理干预对子宫肌瘤患者影响。方法选取我院2015年9月—2017年1月收治的92例子宫肌瘤手术患者作为研究对象,以随机双盲法将患者进行分组,研究组(46例)患者实施家属参与式针对性护理干预,对照组(46例)患者实施常规护理干预,对比两组患者下床活动时间、肠鸣音恢复时间、住院时间、并发症情况、护理满意度,并采取视觉模拟疼痛评分(VAS)评估患者术后疼痛程度,焦虑自评(SAS)及抑郁自评(SDS)量表评估患者心理状态。结果研究组患者下床活动时间、肠鸣音恢复时间、住院时间均短于对照组,且患者VAS、SAS、SDS评分均优于对照组,P<0.05;研究组患者并发症率为2.17%,低于对照组的13.04%,护理满意率为97.83%,高于对照组的82.61%,差异具有统计学意义,P<0.05。结论家属参与式针对性护理干预在子宫肌瘤患者中的应用效果良好,患者恢复快,心理状态佳,疼痛轻,并发症率低,安全可靠。

Objective To explore the families involved in nursing intervention in patients with uterine fibroids. Methods 92 cases of uterine leiomyoma surgery patients in our hospital from September 2015 to January 2017 were taken as the research object, using random double blind method, patients were divided into two groups, study group （46 cases） was treated with families participation for nursing intervention, the control group （46 cases） was treated with routine nursing intervention, out of bed activity time, borborygmus recovery time, hospitalization time, complications, nursing satisfaction of patients between two groups were compared, and the pain visual analogue scale （VAS） was used in the assessment of postoperative pain degree, self rating anxiety （SAS） and self rating Depression Scale （SDS） were used in the assessment of patients psychological state. Results Out of bed activity time, bowel sound recovery time, length of hospital stay in study group patients were shorter than the control group, and VAS, SAS, SDS scores were better than control group, P 〈 0.05; complication rate in study group was 2.17%, lower than that of control group （13.04%）, nursing satisfaction rate was 97.83%, higher than that of control group （82.61%）, P 〈 0.05, the difference was statistically significant. Conclusion Families participatory targeted nursing intervention in patients with uterine fibroids can achieve good effect, patients can recover quickly and get ideal psychological state, the pain is light, the complication rate is low, and it is safe and reliable.