持续性护理干预对妇科腹腔镜术后胃肠蠕动功能恢复及生活质量的影响

Influence of continuous nursing intervention on gastrointestinal motility functional recovery and patients＇ life quality after gynecology laparoscopic operation

目的探讨持续性护理干预对妇科腹腔镜术后患者胃肠蠕动功能恢复的影响效果。方法选择浙江省杭州市第一人民医院妇产科收治的168例妇科腹腔镜术后患者，随机分为两组，每组84例，予以持续性护理者纳入观察组，予以常规护理措施者纳入对照组，观察两组患者术后胃肠蠕动功能恢复情况、腹胀发生率、护理满意度以及生活质量改变情况。结果与对照组比较，观察组患者胃肠蠕动功能恢复的各项指标出现时间均较短，腹胀发生率亦较低，而护理满意度则明显较高，差异均具有统计学意义（P〈0．05）；住院期间，两组患者的各项生活质量领域比较，差异无统计学意义（P〉0．05）；出院6个月后，与对照组比较，观察组患者生活质量的运动和锻炼、人际间关系、营养、健康责任、自我实现、压力管理领域得分均较高，差异具有统计学意义（P〈0．05）。结论持续性护理可较好的促进妇科腹腔镜术后患者胃肠蠕动功能的恢复，缓解术后腹胀，提高护理满意度及患者的生活质量。

Objective To discuss the influence of continuous nursing intervention on gastrointestinal motility functional recovery and patients＇ life quality after gynecology laparoscopic operation. Methods A total of 168 cases having undergone gynecology laparoscopic operation in Department of Gynaecology and Obstetrics, Hangzhou First People＇s Hospital, Zhejiang province, were divided randomly into observation group and control group, each with 84 cases. Patients in the observation group were cared by continuous nursing, while those in the control group received routine nursing. After the surgery, gastrointestinal motility functional recovery status, incidence of abdominal distension, satisfaction degree towards nursing and change in quality of life in the two groups were compared. Results Compared with control group, patients in the observation group tended to have a shorter recovery time in gastrointestinal motility function, a low incidence rate of abdominal distension, and a high satisfaction degree towards nursing （P 〈： 0.05） ; during their hospital stay, the differences of life quality in the two groups showed no statistical significance （P 〉 0.05） ; 6 months after discharge, scores of patients in the observation group were all higher in the fields of sports, physical exercise, interpersonal relationship, nutrition, health responsibility, self-fulfillment and stress management （P 〈 0.05）. Conclusions Continuous nursing can relatively better improve gastrointestinal motility functional recovery after gynecology laparoscopic operation, decrease incidence of abdominal distension, increase patients＇ satisfaction degree towards nursing and their life