围手术期人文关怀结合舒适康复对人工流产者焦虑情绪、疼痛程度的影响

The influence of humanistic care combined with comfortable rehabilitation during perioperative period of women with induced abortion on their anxiety and pain degree

目的:探讨人文关怀结合围手术期舒适康复策略对人工流产手术妇女焦虑、疼痛程度及满意度的影响。方法:选取2018年7月-2019年7月于本院计划生育门诊接受人工流产手术的96例妇女作为研究对象,将其随机分为观察组和对照组各48例,对照组给予围手术期舒适康复策略方法,观察组给予人文关怀结合围手术期舒适康复策略。通过焦虑自评量表(SAS)、语言描述评分法(VRS)、自制问卷调查,观察并比较两组干预前后的焦虑情绪、疼痛程度及对临床服务工作的满意度。结果:两组妇女年龄、停经时间、孕周、手术原因、文化程度等比较无差异(P>0.05)。干预前两组妇女SAS评分无差异(P>0.05);干预后,两组SAS评分均降低且观察组SAS评分(32.5±9.7分)低于对照组(45.7±10.4分),观察组VRS疼痛强度II^III级占比(18.8%)小于对照组(39.6%)(均P<0.05)。服务满意度观察组(93.8%)高于对照组(75.0%)(P<0.05)。结论:对人工流产术妇女采用人文关怀结合围手术期舒适康复策略能更好地缓解受术妇女的焦虑情绪,有效减轻疼痛程度,促进术后恢复。

Objective: To explore the influence of humanistic care combined with comfortable rehabilitation during perioperative period of women with induced abortion on their anxiety and pain degree. Methods: 96 women who had received artificial abortion from July 2018 to July 2019 were selected and were randomly divided into observation group and control group(48 cases in each group). The women in the control group were given comfortable nursing method and the women in the observation group were given humanistic care combined with comfortable nursing. Through self-rating anxiety scale(SAS), VRS, and self-made questionnaire, the anxiety, pain degree and satisfaction of women before and after nursing intervention were observed and compared between the two groups. Results: There were no significant different in age, amenorrhea time, gestational weeks, operation reason, education level, and other of women between the two groups(P>0.05). There was no significant difference in SAS scores of women before intervention between the two groups(P>0.05). After intervention, the SAS scores of women in the two groups had decreased, and the SAS scores of women in the observation group was 32.5±9.7 points, which was significant lower than that(45.7±10.4 points) of women the control group(P<0.05). The proportion of women with II-III class of pain intensity by VRS in the observation group was 18.8%, which was significant lower than that(39.6%) of women in the control group(P<0.05). The service satisfaction of women in the observation group was 93.8%, which was significant higher than that(75.0%) of women in the control group(P<0.05). Conclusion: The combination of humanistic care and comfortable nursing for women after artificial abortion can relieve their anxiety, reduce their degree of pain, and promote their postoperative recovery.