基于OEC的护理干预对腹腔镜下子宫肌瘤剔除术患者生活及睡眠质量的影响

Influence of Nursing Intervention Based on OEC for Life and Sleep Quality of Patients with Laparoscopic Myomectomy

目的:探究基于全面质量管理法(OEC)的护理干预在腹腔镜下子宫肌瘤剔除术患者中的护理效果。方法:选取2019年1月至2019年12月厦门市中医院收治的子宫肌瘤剔除术患者160例作为研究对象,按照入院时间分为对照组和观察组,每组80例。对照组进行常规护理,观察组进行基于OEC的护理干预。比较2组护理前后的生命质量、睡眠质量、情绪变化和术后恢复状况。结果:护理前2组的生命质量综合评定问卷(GQOL-74)评分及匹兹堡睡眠质量指数(PSQI)评分比较,差异无统计学意义(P>0.05),护理后观察组的GQOL-74评分显著高于对照组,PSQI评分显著低于对照组,差异有统计学意义(均P<0.05)。护理前,护理后观察组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组,差异有统计学意义(均P<0.05)。观察组体温转复时间、肛门排气时间、住院时间、恶露干净时间低于对照组,差异有统计学意义(均P<0.05)。结论:基于OEC的护理干预可有效提高子宫肌瘤剔除术患者的生命质量和睡眠质量,护理效果显著,同时还可消除不良情绪,加快术后康复,获得患者认可与信任,值得在临床中推广应用。

Objective:To explore the nursing effect of nursing intervention based on Overall Everyone Everything Everyday Control Clear(OEC)in patients with laparoscopic myomectomy.Methods:A total of 160 patients with myomectomy treated in Xiamen Hospital of traditional Chinese medicine from January 2019 to December 2019 were selected as the research objects.They were divided into control group and observation group according to the admission time,with 80 cases in each group.The control group received routine nursing,and the observation group received nursing intervention based on OEC.The quality of life,sleep quality,emotional changes and postoperative recovery of the two groups were compared before and after nursing.Results:There was no significant difference in Generic Quality LifeInventory-74(GQOL-74)score and Pittsburgh Sleep Quality Index(PSQI)score between the two groups before nursing(P>0.05).After nursing,the GQOL-74 score of the observation group was significantly higher than that of the control group,and the PSQI score was significantly lower than that of the control group(Ps<0.05).Before and after nursing,the scores of Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)in the observation group were lower than those in the control group(Ps<0.05).The temperature recovery time,anal exhaust time,hospitalization time and lochia cleaning time in the observation group were lower than those in the control group(Ps<0.05).Conclusion:The nursing intervention based on OEC can effectively improve the quality of life and sleep quality of patients undergoing myomectomy,with significant nursing effect.Meanwhile,it can also eliminate adverse emotions,speed up postoperative recovery,and gain the recognition and trust of patients,which is worthy of clinical application.