综合专案护理在子宫肌瘤患者中的应用

Application of comprehensive project nursing in patients with uterine fibroids

目的探讨综合专案护理在子宫肌瘤患者中的应用价值。方法选取2019年7月—2021年6月南阳市某医院收治的98例子宫肌瘤患者,采用随机数字表法分为观察组与对照组,每组49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综合专案护理。比较2组患者胃肠道功能恢复时间、术后恢复情况、并发症发生情况及干预前后的睡眠质量。结果观察组患者自主排气、肠鸣音及进食恢复时间短于对照组,差异均有统计学意义(P<0.05)。观察组患者住院时间、下床活动时间短于对照组,差异有统计学意义(P<0.05)。2组患者干预后匹兹堡睡眠质量指数(PSQI)评分低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05)。2组患者并发症发生率比较,差异无统计学意义(χ^(2)=0.136,P=0.712)。结论综合专案护理应用于子宫肌瘤患者护理中,能加快患者术后恢复,缩短胃肠道功能恢复时间,改善患者睡眠质量,降低并发症发生风险。

Objective To explore the application value of comprehensive project nursing in patients with uterine fibroids.Methods Ninety-eight patients with uterine fibroids admitted to a hospital in Nanyang City from July 2019 to June 2021 were selected and divided into observation and control groups using the random number table method,with 49 cases in each group.Patients in the control group received conventional care,and patients in the observation group were given comprehensive project care on the basis of the control group.The recovery time of gastrointestinal function,postoperative recovery,complications and sleep quality before and after intervention were compared between the 2 groups.Results The recovery time of voluntary exhaustion,bowel sounds,and feeding was shorter in the observation group than in the control group,and the difference was statistically significant(P<0.05).The PSQI scores of patients in the two groups were lower than those before the intervention,and lower in the observation group than in the control group,with statistically significant(P<0.05).The differences were not statistically significant(χ^(2)=0.136,P=0.712)when comparing the complication rates of patients in the two groups.Conclusion Comprehensive project care applied to patients with uterine fibroids can accelerate postoperative rehabilitation,shorten the gastrointestinal recovery time,improve their sleep quality,and has a low risk of complications.