循证护理在输卵管异位妊娠术后的应用

Application of Evidence-based Nursing after the Laparoscopic Tubal Ectopic Pregnancy Operation

目的研究对于输卵管异位妊娠腹腔镜手术治疗过程中实施循证护理干预措施的应用效果。方法将该院于2014年3月—2015年3月间收治的28例输卵管异位妊娠患者,划分为常规组,为其提供一般围手术期护理服务措施,于2015年4月—2016年4月收治的28例患者,划分为干预组,运用循证护理服务措施,观察两组患者术后出现并发症情况,了解患者干预前后心理焦虑表现,总结患者对于护理服务满意度评价及术后胃肠道功能恢复、离床活动及住院时间等。结果常规组患者出现术后并发症表现为42.86%,干预组发生率为10.71%,干预组发生率较低(P<0.05)。常规组患者术后肠道蠕动恢复、离床、住院时间等用时均多于干预组(P<0.05)。常规组患者对于临床护理服务满意度为67.86%,干预组满意度为96.43%,干预组满意度较高(P<0.05)。两组患者干预前焦虑评分结果差异无统计学意义(P>0.05);经护理干预后,常规组焦虑评分高于干预组(P<0.05)。结论对于腹腔镜治疗异位妊娠的患者提供循证护理服务,大部分患者术后并发症出现较少,且患者主诉对于护理服务表示满意,干预后心理焦虑情绪得到有效改善,患者术后胃肠道蠕动、离床及住院用时均较短。

Objective To research the application effect of evidence-based nursing after the laparoscopic tubal ectopic pregnancy operation. Methods 28 cases of patients with tubal ectopic pregnancy admitted and treated in our hospital from March 2014 to March 2015 were selected as the routine group and adopted the general nursing service measures during the perioperative period, 28 cases of patients admitted and treated in our hospital from April 2015 to April 2016 were selected as the intervention group and adopted the evidence-based nursing service measures, and the complications after operation, mental anxiety manifestations before and after intervention of the two groups were observed, and the satisfactory degree of nursing service of patients, postoperative gastroenteric function recovery and time to get out of bed and length of stay of patients were summarized. Results The incidence rate of complications and in the intervention group was lower than that in the routine group（10.71% vs 42.86%）（P〈0.05）, the postoperative intestinal tract movement recovery, time to get out of bed and length of stay in the routine group were more than those in the intervention group （P〈0.05）, the satisfactory degree of clinical nursing service in the routine group was lower than that in the intervention group （67.86% vs 96.43%）, and the difference in the anxiety score between the two groups before intervention had no statistical significance （P〉0.05）, after the nursing intervention, the anxiety score in the routine group was higher than that in the intervention group （P〈0.05）. Conclusion The evidence-based nursing service for patients with laparoscopic tubal ectopic pregnancy operation can reduce the postoperative complications and can improve the nursing service sat- isfactory degree and effectively improve the mental anxiety emotion after intervention with short postoperative gastroen- teric function recovery and time to get out of bed and length of stay.