追踪护理联合心理弹性训练对子宫肌瘤剔除术后患者康复的影响

Effects of follow-up nursing combined with mental resilience training on recovery of patients undergoing hysteromyomectomy

目的探讨追踪护理模式联合心理弹性训练对子宫肌瘤剔除术(LM)患者康复效果的影响。方法前瞻性选取2017年1月至2020年1月间大连市中心医院收治的行LM的480例患者,采用随机数字表法分为观察组和对照组,每组240例。对照组患者采用常规干预,观察组患者采用追踪护理模式联合心理弹性训练,比较两组患者的手术相关指标、生活质量、心理状态及并发症。结果观察组患者肛门排气时间、下床活动时间及住院时间均短于对照组,差异均有统计学意义(均P<0.05)。干预后,两组患者活力、情感职能、心理健康、生理机能、生理职能、躯体疼痛、一般健康状况评分及总分均高于干预前,且观察组均高于对照组,差异均有统计学意义(均P<0.05)。干预后,两组患者HAMD和HAMA评分均低于干预前,CD-RISC评分高于干预前;且观察组HAMD和HAMA评分低于对照组,CD-RISC评分高于对照组,差异均有统计学意义(均P<0.05)。观察组患者围术期并发症总发生率为8.3%,低于对照组的17.1%,差异有统计学意义(均P<0.05)。结论追踪护理模式联合心理弹性训练可优化子宫肌瘤剔除术患者的手术相关指标,改善负性情绪和心理弹性,提高生活质量,降低术后并发症发生率。

Objective To explore the application effect of follow-up nursing combined with mental resilience training on the rehabilitation of patients undergoing laparoscopic myomectomy.Methods A total of 480 patients undergoing laparoscopic myomectomy were prospectively selected at Dalian Central Hospital from January2017 to January 2020.They were categorized into an observation group and a control group with 240 patients in each group.The observation group received follow-up nursing combined with mental resilience training and the control group received conventional intervention.Time markers were collected,short form 36-item health survey(SF-36)scale score for quality of life,Hamilton depression scale(HAMD)score,Hamilton anxiety scale(HAMA)score and Connor-Davidson resilience scale(CD-RISC)score for mental state were compared,and complications were recorded.Results The time to anal exhaust,time to out-of-bed activities and length of hospital stay were significantly shorter in the observation group than in the control group(all P<0.05).Scores of SF-36 vitality,emotional function,mental health,physiological function,physiological function and physical pain,general health scores and overall score were significantly higher in the two groups after the intervention than those before the intervention(all P<0.05).After the intervention,scores of SF-36 vitality,emotional function,mental health,physiological function,physiological function,physical pain,general health scores and overall score were significantly higher in observation group than those in control group(all P<0.05).After the intervention,HAMD and HAMA scores were significantly lower in the two groups than those before the intervention(all P<0.05),and CD-RISC score was significantly higher than those before the intervention(P<0.05).After the intervention,the scores of HAMD and HAMA were significantly lower in the observation group than those in the control group(all P<0.05),and the CD-RISC score was significantly higher than those in the control group(P<0.05).The overall incidence of complications was 8.3%in the observation group,which was significantly lower than 17.1%of the control group(P<0.05).Conclusion Follow-up nursing combined with mental resilience training can shorten the time indexes,improve negative emotions and quality of life,and reduce the incidence of postoperative complications in patients undergoing laparoscopic myomectomy.