优化护理+术中保温在宫颈癌腹腔镜根治术患者中的应用效果

Application Effect of Optimized Nursing+Intraoperative Heat Preservation in Patients Undergoing Laparoscopic Radical Resection of Cervical Cancer

目的:探讨优化护理+术中保温在宫颈癌腹腔镜根治术患者中的应用效果。方法:选取2019年12月-2020年12月在笔者所在医院进行宫颈癌腹腔镜根治术的116例患者,按照随机数字法将其分为两组,每组58例。对照组应用常规护理,研究组应用优化护理+术中保温。比较两组SDS评分、SAS评分、免疫指标、并发症发生情况、护理满意度及生存质量。结果:研究组SDS、SAS评分均低于对照组,差异有统计学意义(P<0.05)。研究组CD3^(+)、CD4^(+)、CD4^(+)/CD8^(+)、Th1/Th2均高于对照组,CD8^(+)、TNF-α均低于对照组,差异有统计学意义(P<0.05)。研究组并发症发生率低于对照组,护理总满意度高于对照组,差异有统计学意义(P<0.05)。研究组生存质量评分高于对照组,差异有统计学意义(P<0.05)。研究组术中和术后核心温度均高于对照组,差异有统计学意义(P<0.05)。结论:优化护理+术中保温应用于宫颈癌腹腔镜根治术患者中,可有效改善患者不良心理状态及免疫功能,降低术后并发症发生率,提高护理满意度及生存质量,值得临床推广应用。

Objective:To explore the application effect of optimized nursing+intraoperative heat preservation in patients undergoing laparoscopic radical resection of cervical cancer.Method:A total of 116 patients who underwent laparoscopic radical resection of cervical cancer in our hospital from December 2019 to December 2020 were selected and divided into two groups according to random number method,with 58 patients in each group.The control group was given routine nursing,and the study group was given optimized nursing+intraoperative heat preservation.The SDS score,SAS score,immune index,incidence of complications,nursing satisfaction and quality of life were compared between the two groups.Result:SDS and SAS scores of the study group were lower than those of the control group,and the differences were statistically significant(P<0.05).CD3^(+),CD4^(+),CD4^(+)/CD8^(+)and Th1/Th2 in the study group were higher than those in the control group,while CD8^(+)and TNF-αwere lower than those in the control group,the differences were statistically significant(P<0.05).The incidence of complications in the study group was lower than that in the control group,and the total nursing satisfaction was higher than that in the control group,the differences were statistically significant(P<0.05).The quality of life score of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).The intraoperative and postoperative core temperature of the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion:The application of optimized nursing+intraoperative heat preservation in patients with laparoscopic radical resection of cervical cancer can effectively improve patients’adverse psychological state and immune function,reduce the incidence of postoperative complications,improve nursing satisfaction and quality of life,which is worthy of clinical application.