加速康复护理对宫腔镜检查术患者护理效果观察

Nursing Effect of Accelerated Rehabilitation Nursing on Patients Undergoing Hysteroscopy

目的:探讨宫腔镜检查术患者采用加速康复护理,对患者的疼痛程度和应激反应指标的影响。方法:选取本院2015年3月-2016年2月入住本院行宫腔镜检查术患者134例作为主要观察对象,采用随机数字表法将患者分为观察组和对照组,各67例。观察组采用常规护理基础上加速康复护理,对照组采用常规护理。对比两组术后各时间段的疼痛评分(Prince-Henry评分)、护理前后应激反应指标、康复情况及并发症发生情况。结果:术后15 min及之后各时段比较,观察组的Prince-Henry评分均明显低于对照组,差异均有统计学意义(P<0.05)。两组护理前皮质醇、肾上腺素、血红蛋白水平比较,差异均无统计学意义(P>0.05)。护理后,观察组皮质醇、肾上腺素均明显低于对照组,而血红蛋白水平高于对照组,差异均有统计学意义(P<0.05)。观察组下地活动时间、排便时间和并发症发生率均低于对照组,差异均有统计学意义(P<0.05)。结论:宫腔镜检查术患者采用加速康复护理模式能够降低患者疼痛感觉,减轻应激反应,促进术后康复,避免术后并发症,具有一定的借鉴意义。

Objective:To explore the effect of accelerated rehabilitation nursing on pain degree and stress response index of hysteroscopy patients.Method:From March 2015 to February 2016,134 patients with hysteroscopy in our hospital were selected as the subjects.They were divided into observation group and control group by random number table method,67 cases in each group.The observation group was given accelerated rehabilitation nursing on the basis of routine nursing,and the control group was given routine nursing.The pain score(Prince- Henry score)at each postoperative period,index of stress response before and after nursing,rehabilitation and complications were compared between the two groups.Result:The Prince-Henry scores in the observation group were significantly lower than those in the control group after 15 min and each period after that(P<0.05).There were no significant differences in before nursing cortisol,adrenaline and hemoglobin levels between two groups (P>0.05).After nursing,the levels of cortisol and adrenaline in the observation group were significantly lower than those in the control group(P<0.05).While the hemoglobin level in the observation group was higher than that in the control group(P<0.05).The time of floor movement,time of defecation and incidence of complications in the observation group were lower than those in the control group(P<0.05).Conclusion:The application of accelerated rehabilitation nursing in patients undergoing hysteroscopy can reduce pain,relieve stress reaction, promote postoperative rehabilitation and avoid postoperative complications.It has a certain reference significance.