循证医学管理措施在腹腔镜子宫肌瘤切除患者围手术期中的应用

Application of Evidence-based Medicine Management Measures in Patients with Laparoscopic Myomectomy in Perioperative Period

目的:探讨循证医学管理措施在腹腔镜子宫肌瘤切除患者围手术期中的应用。方法:选取2019年1月—2020年5月河南科技大学第一附属医院收治的腹腔镜子宫肌瘤切除围手术期患者87例。采用随机数字表法分为研究组(44例)和比对组(43例),比对组采取常规护理模式,研究组采取循证护理管理模式。观察两组患者的心理健康及并发症情况。结果:干预后,两组患者汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分均降低,且研究组明显低于比对组,差异有统计学意义(P<0.05)。研究组腹痛、感染、尿潴留等情况显著低于对比组,差异有统计学意义(P<0.05)。结论:给予循证医学管理措施干预腹腔镜子宫肌瘤围手术期患者可有效促进患者心理健康,减少并发症发生情况,促进康复。

Objective: To explore the application of evidence-based medicine management measures in the perioperative period of patients with laparoscopic myomectomy. Methods: A total of 87 patients who were admitted to the hospital during the perioperative period of laparoscopic myomectomy were selected from January 2019 to May 2020. With the random number table method,they were divided into study group(44 cases) and comparison group(43 cases). The comparison group adopted the conventional nursing mode, and the study group adopted the evidence-based nursing management mode. The mental health and complications of the two groups of patients were monitored. Results: After the intervention, the HAMA and HAMD scores of the two groups reduced, and the study group was significantly lower than the comparison group(P<0.05). The conditions of abdominal pain, infection and urinary retention in the study group were significantly lower than those in the control group(P<0.05). Conclusion: Evidence-based medical management measures in patients with perioperative laparoscopic myomectomy can effectively promote patients’ mental health, reduce complications, and promote recovery.