宫颈机能不全行宫颈环扎术患者的护理观察

Nursing observation of cervical cerclage in patients with cervical incompetence

目的研究分析宫颈机能不全行宫颈环扎术患者的护理。方法选取本院收治的100例宫颈机能不全行宫颈环扎术患者为研究对象,对照组进行常规护理,实验组给予针对性护理干预措施,手术后做好预防感染及会阴护理,关注患者子宫收缩及阴道出血情况,在用药过程中查看患者是否发生心率失常等不良反应,手术前需及时与患者进行沟通,消除患者焦虑情绪。比较分析实验组与对照组患者的早产、感染发生情况及术后生活质量等临床指标。结果实验组患者中,早产例数为5例,对照组患者中,早产例数为11例。实验组与对照组患者的早产率分别为10.0%与22.0%,差异具有统计学意义(P<0.05)。对照组患者的躯体职能评分为(62.12±3.21)分,实验组躯体职能评分为(71.30±3.32)分,差异具有统计学意义(P<0.05)。对照组与实验组患者的角色职能评分分别为(53.20±4.98)分与(64.54±5.20)分,差异具有统计学意义(P<0.05)。对照组患者的社会职能评分为(62.35±2.43)分显著低于实验组社会职能评分为(70.80±3.20)分,差异具有统计学意义(P<0.05)。实验组患者的生活质量总分为(67.43±4.78),对照组患者生活质量总分为(58.43±3.56),差异具有统计学意义(P<0.05)。结论宫颈机能不全行宫颈环扎术患者中应用相应的护理干预措施,可显著提高患者预后效果,帮助患者尽快恢复健康,预防感染或早产发生,具有临床推广的意义。

Objective To study and analyze the nursing of patients with cervical insufficiency undergoing cerclage. Methods 100 patients withcervical incompetence in our hospital were selected as the subjects of cervical cerclage, the control group was given routine nursing, the experimentalgroup was given targeted nursing intervention, after the operation, the infection and perineum nursing were done well, the patients＇ uterine contractionand vaginal bleeding were paid attention to, and the patients were examined during the drug use. No adverse reactions such as arrhythmia occur. Beforesurgery, we need to communicate with patients in time to eliminate anxiety. The preterm delivery, infection and postoperative quality of life were comparedbetween the experimental group and the control group. Results In the experimental group, the number of preterm delivery was 5, while in thecontrol group, the number of premature delivery was 11. The rates of premature delivery in the experimental group and the control group were 10.0%and 22.0%, respectively, and the difference was statistically significant （P〈0.05）. The score of the body function of the control group was （62.12±3.21）,and the score of the body function in the experimental group was （71.30±3.32）, with a statistical difference （P〈0.05）. The score of role function in thecontrol group and the experimental group was （53.20±4.98） and （64.54±5.20） respectively, the difference was statistically significant （P〈0.05）. Thescore of the social function of the control group was （62.35±2.43） scores, which was significantly lower than that of the experimental group （70.80±3.20）, and the difference was statistically significant （P〈0.05）. The total score of quality of life in the experimental group was （67.43±4.78）, and the totalscore of quality of life in the control group was （58.43±3.56）, which was statistically significant （P〈0.05）. Conclusion The application of correspondingnursing intervention in cervical cerclage patients with cervical incompetence can significantly improve the prognosis of the patients, help thepatients recover their health as soon as possible, prevent infection or preterm birth, which has the significance of clinical popularization.