中医特色护理在子宫肌瘤围术期护理中的应用效果

Effect of traditional Chinese medicine characteristic care in the perioperative care of uterine fibroids

目的探究中医特色护理对围术期子宫肌瘤患者情绪状态、睡眠质量及术后恢复的影响。方法选取2021-02-01-2022-10-31就诊于焦作市妇幼保健院的94例子宫肌瘤患者为研究对象,均接受手术切除治疗,以随机数字表法将患者分为对照组(n=47)和观察组(n=47)。对照组给予围术期常规护理干预,观察组在前者基础上联合中医特色护理,于患者入院开始护理至出院。采用t检验、单因素协方差、重复测量方差及χ2检验,对比2组术后恢复情况(住院时间、首次排气时间、首次排便时间、不良事件发生率)、视觉模拟评分法(VAS)、焦虑自评量表(SAS)、匹兹堡睡眠质量量表(PSQI)评分及满意度。结果观察组首次排便时间(21.04±3.14)h、首次排气时间(16.87±2.57)h、住院时间(5.34±0.97)d短于对照组(28.55±3.26)h、(20.36±2.78)h、(7.22±1.03)d,差异有统计学意义,均P<0.05;观察组不良事件发生率4.26%(2/47)低于对照组19.15%(9/47),差异有统计学意义,P<0.05;术后1d、出院时观察组VAS评分分别为(3.01±0.35)分、(1.86±0.66)分,均低于对照组(3.47±0.50)分、(2.49±0.71)分,差异有统计学意义,P<0.05;出院时观察组SAS、PSQI评分分别为(31.11±3.82)分、(3.68±0.51)分,均低于对照组(40.94±5.03)分、(5.14±0.63)分,差异有统计学意义,P<0.05;观察组总满意度100.00%(47/47)高于对照组82.98%(39/47),差异有统计学意义,P<0.05。结论中医特色护理可改善围术期子宫肌瘤患者的情绪状态,缓解睡眠障碍,减轻术后疼痛,促进预后恢复,从而提高满意度。

Objective To investigate the effects of characteristic tradiational Chinese medicine care on the emotional state,sleep quality and postoperative recovery of patients with perioperative uterine fibroids.Methods Based on random number method,94cases of hysteromyoma in Jiaozuo Maternal and Child Health Hospital from February,2021to October,2022 were selected as the research object,and all of them underwent surgical resection.The patients were divided into control group(n=47)and observation group(n=47).The control group was given routine nursing intervention during perioperative period,while the observation group was combined with traditional Chinese medicine characteristic nursing on the basis of the former,and the patients were cared from admission to discharge.t test,one-way covariance,repeated measurement variance andχ2 test were used to compare the postoperative recovery(hospitalization time,first exhaust time,first defecation time,incidence of adverse events),visual analogue scale(VAS),self-rating anxiety scale(SAS),Pittsburgh Sleep Quality Scale(PSQI)scores and satisfaction between the two groups.Results The first defecation time(21.04±3.14)h,first exhaust time(16.87±2.57)h and hospitalization time(5.34±0.97)d in the observation group were shorter than those in the control group(28.55±3.26)h,(20.36±2.78)h and(7.22±1.03)d,and the difference was statistically significant,P<0.05.The incidence of adverse events in the observation group was 4.26%(2/47)lower than that in the control group 19.15%(9/47),P<0.05;The VAS scores in the observation group were(3.01±0.35)and(1.86±0.66)on the 1st day after operation and at discharge,respectively,which were lower than those in the control group(3.47±0.50)and(2.49±0.71)(P<0.05).At discharge,the scores of SAS and PSQI in the observation group were(31.11±3.82)and(3.68±0.51)respectively,which were lower than those in the control group(40.94±5.03)and(5.14±0.63)(P<0.05).The total satisfaction of the observation group was 100.00%(47/47)higher than that of the control group 82.98%(39/47)(P<0.05).Conclusion Characteristic tradiational Chinese medicine care can improve the emotional state of patients with perioperative uterine fibroid,alleviate sleep disorders,reduce postoperative pain and promote prognostic recovery,thus improving satisfaction.