循证护理对子宫肌瘤腹腔镜手术患者焦虑、抑郁情绪及康复效果的影响

Effect of evidence-based nursing on anxiety,depression,and rehabilitation of patients underwent laparoscopic surgery for uterine fibroids

目的探讨循证护理对子宫肌瘤腹腔镜手术患者焦虑、抑郁情绪及康复效果的影响。方法选取2019年8月—2021年11月在驻马店市某医院行腹腔镜手术的88例子宫肌瘤患者为研究对象,采用随机数字表法分为对照组与观察组,每组44例。对照组患者采用常规护理,观察组患者采用循证护理。比较2组患者干预前后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分,术后康复情况及并发症发生情况。结果2组患者干预后SAS、SDS评分均低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05)。观察组患者术后首次排气时间、首次下床活动时间、疼痛持续时间及住院时间均短于对照组,差异均有统计学意义(P<0.05)。观察组患者并发症发生率为6.82%(3/44),低于对照组的22.73%(10/44),差异有统计学意义(χ^(2)=4.423,P=0.035)。结论循证护理有助于减轻子宫肌瘤腹腔镜手术患者焦虑、抑郁情绪,降低并发症发生风险,促进术后康复。

Objective To explore the effect of evidence-based nursing on anxiety,depression,and rehabilitation of patients who underwent laparoscopic surgery for uterine fibroids.Methods A total of 88 patients with uterine fibroids who underwent laparoscopic surgery in a hospital in Zhumadian from August 2019 to November 2021 were selected and randomly divided into the control group(n=44)and observation group(n=44).Patients in the control group received routine care,and patients in the observation group evidence-based care.The scores of the Self-rating Anxiety Scale(SAS)score,Self-rating Depression Scale(SDS)score,postoperative rehabilitation,and complications before and after the intervention were compared between the two groups.Results The SAS and SDS scores of the two groups after the intervention were lower than those before the intervention,and the observation group was lower than the control group,with statistically significant differences(P<0.05).The time to first flatus,time to first ambulation,duration of pain,and hospital stay in the observation group were shorter than those in the control group,with statistically significant differences(P<0.05).The incidence rate of complications in the observation group was 6.82%(3/44),which was lower than that in the control group 22.73%(10/44),and the difference was statistically significant(χ^(2)=4.423,P=0.035).Conclusion Evidence-based nursing is conducive to reducing anxiety and depression,lowering the risk of complications and promoting postoperative rehabilitation in patients underwent laparoscopic surgery for uterine fibroids.