围手术期优质护理配合心理护理对子宫脱垂合并肠疝患者的效果观察

Effect of perioperative high-quality nursing combined with psychological nursing based on patients with uterine prolapse and enterocele

目的观察围手术期优质护理配合心理护理对子宫脱垂合并肠疝患者的应用效果。方法选取2017年2月至2020年7月阜阳市妇女儿童医院收治的子宫脱垂合并肠疝患者60例作为研究对象,所有患者均接受阴式子宫切除术联合阴道前后壁修补术,随机分为2组,每组患者30例。对照组接受围手术期常规护理方案,观察组则在对照组的基础上接受围手术期优质护理配合心理护理方案。比较2组患者干预前后的子宫脱垂情况、与发病机制相关的氧化应激因子以及生活质量影响情况。结果观察组优质护理干预后的子宫脱垂测量点表现优于对照组(P<0.05);观察组干预后转化生长因子-β1、基质金属蛋白酶-2及基质金属蛋白酶组织抑制因子-2较对照组有改善(P<0.05);观察组在干预后及出院3个月的生活质量评分优于对照组(P<0.05)。结论给予子宫脱垂合并肠疝患者围手术期优质护理配合心理护理的应用具有显著的临床疗效,不仅有效改善患者的子宫脱垂情况及氧化应激水平,还可提高患者的生活质量。

Objective To observe the application effect of perioperative high quality nursing combined with psychological nursing on patients with uterine prolapse and enterocele.Methods The 60 patients with uterine prolapse and enterocele admitted to our hospital from February 2017 to July 2020,were selected as the research objects in this study.All patients were given treatment with vaginal hysterectomy and colporrhaphia anterior-posterior,and they were divided into the control group(n=30)and the observation group(n=30).The control group was given routine perioperative nursing,while the observation group was given perioperative high-quality nursing combined with psychological nursing based on the control group.The status of uterine prolapse and oxidative stress factors related to pathogenesis and the influence of quality of life in two groups were compared before and after intervention.Results The measurement points of uterine prolapse in the observation group after quality nursing intervention were better than those in the control group(P<0.05).Compared with control group,TGF-β1,matrix metalloproteinase-2 and tissue inhibitor of matrix metalloproteinase-2 in observation group were improved after intervention(P<0.05).The quality of life score of the observation group was better than that of the control group after intervention and 3 months after discharge(P<0.05).Conclusion The application of perioperative high-quality nursing combined with psychological nursing based on patients with uterine prolapse and enterocele,which has a significant clinical efficacy.It can improve the situation of pelvic organ prolapse and oxidative stress level of patients,and the quality of life has been improved,too.