子宫脱垂在腹腔镜下腹直肌悬吊加阴道前后壁修补的护理研究

Nursing care for patients with uterine prolapse during laparoscopic uterine suspension and anterior and posterior colporrhaphy

目的总结对子宫脱垂疾病患者实施腹腔镜下腹直肌悬吊结合阴道前后壁修补术治疗的护理要点。方法 2015年6月—2016年1月收治108例子宫脱垂患者,按照随机数字表法将患者划分为普通组54例与研究组(54例),两组患者均接受腹腔镜下腹直肌悬吊结合阴道前后壁修补术治疗,普通组患者采用术期一般护理服务流程,研究组患者采用围手术期早期护理干预措施,评价两组患者干预前后心理焦虑评分及满意度调查结果,评估护理质量评价。结果研究组患者满意度优于普通组(P<0.05)。干预前,普通组与研究组患者心理焦虑评分比较差异无统计学意义(P>0.05)。干预后,研究组患者焦虑评分优于普通组(P<0.05)。普通组患者对于临床提供的术前准备、心理护理、出院指导、病情观察等护理质量评分均低于研究组(P<0.05)。结论护士为子宫脱垂疾病接受腹腔镜下子宫体腹直肌外悬吊术结合阴道前后壁修补术治疗患者提供围手术期早期护理干预服务,可有效改善患者心理焦虑情绪,提高护理质量评分,提高满意度。

Objective To summarize the key points of nursing care for patients with uterine prolapse during laparoscopic uterine suspension and anterior and posterior colporrhaphy. Methods A total of 108 patients with uterine prolapse treated from June 2015 to January 2016 in Liyang People＇s Hospital were randomly divided into the conventional nursing group and early nursing intervention group,with 54 cases in each group. Both groups received laparoscopic uterine suspension and anterior and posterior colporrhaphy. Self-Rating Anxiety Scale（ SAS） score,clinical satisfaction,and nursing quality of the two groups were evaluated. Results The clinical satisfaction level of the early nursing intervention group was higher than that of the conventional nursing group（ P〈0. 05）. Before the intervention,the SAS scores between the two groups were not statistically different（ P〈0. 05）,but after intervention,the SAS score of the early nursing intervention group was higher than that of the conventional nursing group（ P〈0. 05）. The scores of nursing quality in terms of preoperative preparation,mental nursing,discharge instruction,and clinical observation in the conventional nursing group was lower than the scores in the early nursing intervention group（ P〈0. 05）. Conclusion During laparoscopic uterine suspension and anterior and posterior colporrhaphy,early nursing intervention can effectively relieve patient＇s anxiety,improve nursing quality,and increase clinical satisfaction.