换位思考护理对微创子宫肌瘤切除术患者 生活质量及满意度的影响

Effects of empathic nursing on quality of life and patient satisfaction in patients undergoing minimal-ly invasive hysteromyomectomy

目的探讨换位思考护理对行微创子宫肌瘤切除术患者生活质量及满意度的影响。方法选取2019年1月至2020年9月间中国人民解放军空军军医大学第一附属医院收治的行微创子宫肌瘤切除术的174例患者,采用随机数字表法分为观察组和对照组,每组87例。对照组患者采用常规护理,观察组患者在对照组基础上采用换位思考护理,比较两组患者抑郁、焦虑和生活质量评分及护理满意度。结果手术当日和术后24h,对照组患者焦虑和抑郁水平均高于干预前(P<0.05);手术当日、术后24h和出院时,观察组患者焦虑和抑郁水平均低于对照组,差异均有统计学意义(均P<0.05)。干预后,两组患者生活质量评分均较干预前升高,且观察组高于对照组,差异均有统计学意义(均P<0.05)。观察组患者护理满意度为97.7%,高于对照组患者的83.9%,差异有统计学意义(P<0.05)。结论换位思考护理可降低微创子宫肌瘤切除术患者的负性情绪,提高生活质量,改善护患关系,值得临床推广应用。

Objective To explore the effects of empathy nursing on quality of life and patient satis-faction in patients undergoing minimally invasive hysteromyomectomy.Methods A total of 174 patients who underwent minimally invasive hysterectomy were selected at The First Affiliated Hospital of Air Force Military Medical University from January 2019 to September 2020.The patients were divided into an obser-vation group and a control group with 87 patients in each group.The observation group received empathy nursing besides conventional nursing and the control group received conventional nursing.The scores of de-pression,anxiety and quality of life and nursing satisfaction were compared between the two groups.Results The self-rating depression scale(SDS),self-rating anxiety scale(SAS)levels were high in the control group on the day of surgery and at 24 h after the operation compared with those before the intervention(all P<0.05),and the SAS and SDS levels were lower in the observation group than in the control group on the day of surgery,at 24 h after the operation,and at discharge(all P<0.05).After the intervention,quality of life scores increased in the two groups compared with those before the intervention(all P<0.05),and the level of quality of life was higher in the observation group than in the conventional group(all P<0.05).The nursing satisfaction was 97.7%in the observation group which was significantly higher than 83.9%of the conventional group(P<0.05).Conclusion Empathy nursing can reduce negative emo-tions,improve quality of life and nurse-patient relationship in patients undergoing minimally invasive hysteromyomectomy.It is worthy of clinical application.