循证护理在腹腔镜下子宫肌瘤切除术患者中的应用

Study of the application of evidence-based nursing model in patients who conducted hysteromyomectomy under laparoscopy

目的:探讨循证护理模式在腹腔镜下子宫肌瘤切除术后患者中的应用效果。方法:将63例腹腔镜下子宫肌瘤切除术后的患者随机分为对照组(33例)和实验组(30例),对照组患者术后给予常规临床护理,实验组在此基础上术后给予循证护理,分别在患者入院时和出院时用抑郁自评量表(SDS)及焦虑自评量表(SAS)对两组患者的抑郁和焦虑情况进行评价。结果:出院时,对照组的SDS和SAS评分分别为47.21±9.823分和49.06±10.983分,与入院时比较,差异均有统计学意义(t=5.020,P<0.01)、(t=6.104,P<0.01);实验组的SDS和SAS评分分别为(39.70±7.715)分和(40.60±7.204)分,与入院时比较,差异也有统计学意义(t=9.148,P<0.01)、(t=11.278,P<0.01)。出院时,两组SDS评分和SAS评分差异有统计学意义(P<0.01),实验组的SDS和SAS评分降低幅度均大于对照组。结论:循证护理模式可有效改善腹腔镜下子宫肌瘤切除术患者的抑郁和焦虑情绪,促进患者的预后。

Objective:To explore the application effect of evidence-based nursing model in patients who conducted hysteromyomectomy under laparoscopy.Methods:Sixty-three patients who conducted hysteromyomectomy under laparoscopy were randomly divided into control group(n=33)and experimental group(n=30).The patients in control group were given routine nursing and the patients in experimental group were given evidence-based nursing.All the patients were measured the depression and anxiety with SDS and SAS when they were admitted to hospital and out of hospital.Results:After the intervention,SDS and SAS of control group was 47.21±9.823(t=5.020,P<0.01)and 49.06±10.983(t=6.104,P<0.01),respectively;SDA and SAS of experimental group was 39.70±7.715(t=9.148,P<0.01)and 40.60±7.204(t=11.278,P<0.01).After the intervention,there was a significant differences of SDS between the two groups,the SAS also had a significant differences(P<0.01).Conclusions:The evidence-based nursing model can improve the negative emotion of the patients who conducted hysteromyomectomy under laparoscopy and promote the recovery of patients.