扁平化责任制精细化护理对腹腔镜子宫肌瘤剔除术患者的影响

Effects of fine nursing of flat responsibility system on patients undergoing laparoscopic myomectomy

目的探讨扁平化责任制精细化护理对腹腔镜子宫肌瘤剔除术患者的影响。方法选取2019年3月—2020年6月上饶市第五人民医院妇产科收治的86例子宫肌瘤剔除术后患者作为研究对象,按照随机数字表法将其分为研究组(n=43)与对照组(n=43)。研究组采用扁平化责任制的精细化护理,对照组采用常规护理。比较两组患者护理后排气时间、腹胀消失时间、下床活动时间、住院时间、护理后的护理质量差异、护理前后心理状况变化、护理后不良反应发生情况。结果研究组护理后的排气时间、腹胀消失时间、下床活动时间及住院时间均短于对照组,差异有统计学意义(P<0.05);研究组的健康教育、基础护理、并发症的预防、用药指导及疾病宣教等护理质量得分均高于对照组,差异有统计学意义(P<0.05);护理前两组患者抑郁自评量表(SDS)、焦虑自评量表(SAS)评分比较,差异无统计学意义(P>0.05),护理后研究组患者的SDS、SAS评分均高于对照组,差异有统计学意义(P<0.05);研究组的不良反应总发生率低于对照组,差异有统计学意义(P<0.05)。结论通过扁平化责任制精细化护理腹腔镜子宫肌瘤剔除术后患者,可有效促进患者恢复并缩短住院时间,改善患者不良心理情绪,减少患者不良反应的发生。

Objective To study the effects of fine nursing of flat responsibility system on patients with laparoscopic myomectomy.Methods A total of 86 patients undergoing myomectomy in Department of Obstetrics and Gynecology of Shangrao Fifth People′s Hospital from March 2019 to June 2020 were selected as the research subjects,and they were divided into study group(n=43)and control group(n=43)according to the random number table method.The study group applied fine nursing of flat responsibility system while control group was given regular nursing.The exhaust time,abdominal distension disappearance time,ambulation time,hospital stay,nursing quality after nursing,psychological status before and after nursing,occurrence of adverse reactions after nursing were compared between the two groups.Results After nursing,the exhaust time,abdominal distension disappearance time,ambulation time and hospital stay in study group were all shorter than those in control group,the differences were statistically significant(P<0.05).The nursing quality scores of health education,basic nursing,prevention of complications,medication guidance and disease education in study group were all higher than those in control group,the differences were statistically significant(P<0.05).Before nursing,there were no significant differences in the scores of self-rating depression scale(SDS)and self-rating anxiety scale(SAS)between the two groups(P>0.05).The scores of SDS and SAS after nursing in study group were higher than those in control group,the differences were statistically significant(P<0.05).The total incidence rate of adverse reactions in study group was lower than that in control group,the difference was statistically significant(P<0.05).Conclusion Fine nursing of flat responsibility system can effectively promote the recovery,shorten the hospital stay,improve the poor psychological emotions and reduce the occurrence of adverse reactions of patients undergoing laparoscopic myomectomy.