精细化护理干预在弥漫性子宫平滑肌瘤宫腔镜手术患者中的应用效果

Application effect of refined nursing intervention in patients with diffuse uterine leiomyomatosis undergoing hysteroscopic surgery

目的探究精细化护理干预在弥漫性子宫平滑肌瘤(DUL)宫腔镜手术患者中的应用效果。方法按随机硬币投掷法将接受宫腔镜手术治疗的63例DUL患者分为对照组(n=29)和观察组(n=34)。对照组给予围术期常规护理,观察组在此基础上开展精细化护理干预。比较两组的护理效果。结果观察组的手术准备时间、手术耗时和术后麻醉苏醒时间短于对照组,术中失血量少于对照组(P<0.05)。观察组的排气时间、肠鸣音恢复时间、腹胀消失时间、首次进食时间、下床活动时间及住院时间均短于对照组(P<0.05)。干预后,观察组的Herth希望指数量表(HHI)评分高于对照组,焦虑自评量表(SAS)评分低于对照组(P<0.05)。观察组的护理满意度评分高于对照组(P<0.05);术后6个月,观察组的子宫肌瘤症状评分低于对照组(P<0.05)。结论精细化护理干预在DUL宫腔镜手术患者中的应用效果显著。

Objective To explore the application effect of refined nursing intervention in patients with diffuse uterine leiomyomatosis(DUL)undergoing hysteroscopic surgery.Methods Sixty-three DUL patients undergoing hysteroscopic surgery were divided into control group(n=29)and observation group(n=34)by random coin toss method.The control group was given perioperative routine nursing,and the observation group was given refined nursing intervention on this basis.The nursing effects of the two groups were compared.Results The operation preparation time,operation time and postoperative anesthesia recovery time in the observation group were shorter than those in the control group,and the intraoperative blood loss was less than that in the control group(P<0.05).The exhaust time,recovery time of intestinal sound,abdominal distension disappearance time,first feeding time,time of getting out of bed and hospitalization time in the observation group were shorter than those in the control group(P<0.05).After intervention,the Herth Hope Index(HHI)score of the observation group was higher than that of the control group,and the Self-Rating Anxiety Scale(SAS)score was lower than that of the control group(P<0.05).The nursing satisfaction score of the observation group was higher than that of the control group(P<0.05);at 6 months after surgery,the uterine fibroid symptom score of the observation group was lower than that of the control group(P<0.05).Conclusion The refined nursing intervention in patients with DUL undergoing hysteroscopic surgery has significant application effect.