护理干预对腹腔镜下宫颈癌根治术患者的影响研究

Study on effect of nursing intervention for laparoscopic radical hysterectomy patients

目的研究护理干预用于腹腔镜下宫颈癌根治术患者中的效果。方法 68例宫颈癌患者,均在本院接受腹腔镜下宫颈癌根治术治疗,根据护理方法的不同将其分为对照组和观察组,每组34例。对照组患者采用常规围术期护理,观察组患者围术期采用护理干预。对比分析两组患者的护理效果。结果入院时,两组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较差异均无统计学意义(P>0.05);术后3 d,观察组患者的SAS、SDS评分[(43.8±5.4)、(42.1±5.6)分]均低于对照组[(49.6±6.7)、(50.5±6.9)分],差异均具有统计学意义(P<0.05)。观察组患者的首次排气时间、留置引流管时间、下床活动时间[(2.56±0.32)、(4.29±0.54)、(1.34±0.35)d]均短于对照组[(3.12±0.45)、(5.10±0.65)、(2.01±0.40)d],差异均具有统计学意义(P<0.05)。两组患者术后1 d视觉模拟评分法(VAS)评分比较差异无统计学意义(P>0.05),观察组患者术后3 d VAS评分[(2.19±0.12)分]低于对照组[(3.27±0.24)分],差异具有统计学意义(P<0.05)。观察组患者的护理满意度评分[(95.8±6.7)分]高于对照组[(88.1±8.6)分],差异具有统计学意义(P<0.05)。结论护理干预用于腹腔镜下宫颈癌根治术中有助于促进患者术后的早日康复,具有重要的临床应用价值。

Objective To study the effect of nursing intervention on laparoscopic radical hysterectomy patients. Methods A total of 68 cervical cancer patients all receiving laparoscopic radical hysterectomy for treatment were divided by different nursing methods in to control group and observation group, with 34 cases in each group. The control group received conventional perioperative nursing, and the observation group received perioperative nursing intervention. Nursing effect was compared in two groups. Results Both groups had no statistically significant difference in self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scor eat admission (P>0.05). In postoperative 3 d, the observation group had lower SAS and SDS score[ (43.8±5.4) and (42.1±5.6) points] than the control group[ (49.6±6.7) and (50.5±6.9) points ], and their difference had statistical significance (P<0.05). The observation group had shorter first exhaust time, indwelling drainage tube time, and off-bed activity time[ (2.56±0.32), (4.29±0.54) and (1.34±0.35) d] than the control group[(3.12±0.45), (5.10±0.65) and (2.01±0.40) d], and their difference had statistical significance (P<0.05). Both groups had no statistically significant difference in visual analogue scale (VAS) score of postoperative 1 d (P>0.05).The observation group had lower VAS score in postoperative 3 d[ (2.19±0.12) points] than the control group[(3.27±0.24) points], and the difference had statistical significance (P<0.05). The observation group had higher nursing satisfaction score[ (95.8±6.7) points] than the control group[ (88.1±8.6) points], and the difference had statistical significance (P<0.05). Conclusion Nursing intervention is helpful to promote postoperative early rehabilitation of laparoscopic radical hysterectomy patients, and it has great clinical application value.