探究情境代入式的床旁体验护理模式在子宫肌瘤手术患者中的应用

Exploring the application of situation-substituting bedside experience nursing model in patients undergoing uterine fibroids surgery

目的探究情境代入式的床旁体验护理模式在子宫肌瘤手术患者中的应用效果。方法选取100例行子宫肌瘤手术患者,采取随机数字表法分为对照组与观察组,各50例。对照组根据本科室规定并结合患者具体病情表现给予有针对性的基础护理,观察组加用情境代入式的床旁体验护理模式。对比两组临床指标及护理前后负性情绪。结果观察组首次下床时间、首次排气时间及伤口拆线时间均短于对照组,并发症发生率为16.00%,低于对照组的4.00%,差异有统计学意义(P<0.05)。护理前,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05);护理后,两组SAS、SDS评分均降低,且观察组低于对照组,差异有统计学意义(P<0.05)。结论情境代入式的床旁体验护理模式可缩短子宫肌瘤手术后康复时间,降低术后并发症发生率,改善了负性情绪,具有临床应用价值。

Objective To explore the application effect of bedside experience nursing mode of situational substitution in patients with uterine fibroids surgery.Methods 100 patients undergoing hysteromyoma operation were randomly divided into control group and observation group with 50 cases in each group.The control group was given targeted basic nursing according to the regulations of the department and combined with the specific disease manifestations of patients,while the observation group was added with the bedside experience nursing mode of situational substitution.Clinical indicators and negative emotions before and after nursing were compared between the two groups.Results The time to get out of bed for the first time,the time to exhaust gas for the first time and the time to remove stitches for the wound in the observation group were shorter than those in the control group,and the incidence of complications was 16.00%,lower than that in the control group(4.00%),with statistical significance(P<0.05).Before nursing,there was no significant difference in the scores of self-rating Anxiety Scale(SAS)and self-rating Depression Scale(SDS)between the two groups(P>0.05).After nursing,SAS and SDS scores of the two groups were decreased,and the observation group was lower than the control group,the difference was statistically significant(P<0.05).Conclusion The bedside experience nursing mode of situational insertion can shorten the recovery time after hysteromyoma surgery,reduce the incidence of postoperative complications,improve negative emotions,and has clinical application value.