需求导向护理对子宫肌瘤患者腹腔镜剔除术后恢复及创伤性应激障碍的影响

Effect of Demand-oriented Nursing on the Recovery and Traumatic Stress Disorder of Patients with Uterine Fibroids after Laparoscopic Extirpation

目的分析子宫肌瘤疾病特点、腹腔镜剔除术期间护理需求,评价需求导向护理对患者术后恢复、创伤性应激障碍等情况的影响。方法选择我院妇科2019年5月至2020年5月收治的子宫肌瘤患者,总计92例。全部患者接受腹腔镜剔除术治疗,依据随机数字表法分组护理。对照组(n=46)患者采取常规护理,观察组(n=46)患者辅助需求导向护理干预。比较两组护理效果,包括恢复情况、创伤性应激障碍情况等。结果术后恢复方面,与对照组比较,观察组患者术后胃肠恢复时间(28.80±1.50)h、首次排气时间(28.50±1.50)h、住院时间(4.50±1.50)d更短,P<0.05;术后创伤性应激障碍以创伤后应激障碍自评量表(PTSDSS)评价,与对照组比较,观察组的社会功能损伤(2.55±0.60)分、回避症状(3.80±0.80)分、主观评定(5.50±1.30)分、警觉性增高(2.99±0.80)分、反复重现体验(4.80±0.90)分评分更低,P<0.05;情绪以焦虑自评量表(SAS)、抑郁自评量表(SDS)评估,与对照组比较,观察组SAS评分[(38.80±3.30)分]、SDS评分[(37.50±2.80)分]更低,P<0.05。结论需求导向护理干预可满足子宫肌瘤患者的护理需求,促进患者腹腔镜剔除术后恢复、减轻创伤性应激障碍、稳定心理。

Objective To analyze the characteristics of uterine fibroids disease,the nursing needs during laparoscopic removal,and to evaluate the impact of demand-oriented nursing on patients'postoperative recovery and traumatic stress disorder.Methods A total of 92 patients with uterine fibroids who were admitted to the Department of Gynecology in our hospital from May 2019 to May 2020 were selected.All patients underwent laparoscopic exclusion treatment,and grouped care according to the random number table method.Patients in the control group(n=46)took routine care,and the patients in the observation group(n=46)assisted demand-oriented nursing intervention.Compare the care effects of two groups,including recovery,traumatic stress disorder,etc.Results In terms of postoperative recovery,compared with the control group,the observation group had shorter gastrointestinal recovery time(28.80±1.50)h,first exhaust time(28.50±1.50)h,and hospitalization time(4.50±1.50)d,P<0.05.Post-traumatic stress disorder was evaluated by the post-traumatic stress disorder self-rating scale(PTSDSS).Compared with the control group,the observation group had social impairment(2.55±0.60)points,avoidance symptoms(3.80±0.80)points,subjective assessment(5.50±1.30)points,increased alertness(2.99±0.80)points,repeated experience(4.80±0.90)points are lower,P<0.05;emotions are based on anxiety evaluation by the Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS),compared with the control group,the observation group SAS score(38.80±3.30)and SDS score(37.50±2.80)were lower,P<0.05.Conclusion Demand-oriented nursing intervention meets the nursing needs of patients with uterine fibroids,promotes the recovery of patients after laparoscopic removal,reduces traumatic stress disorder,and stabilizes their psychology.