针对性护理提高子宫肌瘤围术期护理效果的临床价值

Clinical Value of Targeted Nursing in Improving Perioperative Nursing Effect of Hysteromyoma

目的探讨对子宫肌瘤患者给予针对性护理干预后获得的围术期护理效果。方法随机选取2022年6月—2023年6月厦门大学附属第一医院杏林分院收治的80例子宫肌瘤患者作为研究对象,以投掷硬币法分为两组,各40例。参照组施以常规护理干预;研究组在参照组基础上施以针对性护理干预。对比两组子宫肌瘤患者治疗指标(手术时间、住院时间、手术出血量)、各级疼痛比例、焦虑自评量表(Self-rating Anxiety Scale,SAS)评分、抑郁自评量表(Self-rating Depression Scale,SDS)评分。结果研究组患者术后排气时间(1.45±0.25)d、术后下床时间(2.25±1.16)d、住院时间(6.32±1.06)d均短于参照组,差异有统计学意义(t=10.011、3.136、11.702,P<0.05);研究组患者疼痛0级比例以及疼痛1级比例高于参照组,疼痛2级比例以及疼痛3级比例低于参照组,差异有统计学意义(P<0.05);护理前,研究组SAS评分、SDS评分同参照组比较,差异无统计学意义(P>0.05);护理后,研究组SAS评分、SDS评分低于参照组,差异有统计学意义(P<0.05)。结论临床对子宫肌瘤患者在给予围术期护理期间,针对性护理方式的合理运用,对于患者治疗指标、疼痛程度以及消极心理的改善,表现出明显促进作用。

Objective To explore the effect of perioperative nursing intervention on patients with uterine fibroids.Methods 80 patients with uterine fibroids admitted to Xinglin Branch of the First Affiliated Hospital of Xiamen University from June 2022 to June 2023 were randomly selected as the research objects.They were divided into the control group and the observation group by coin tossing method,with 40 cases in each group.The control group was given routine nursing intervention.The study group was given targeted nursing intervention on the basis of the reference group.The treatment indicators(operation time,hospitalization time,intraoperative blood loss),the proportion of pain at all levels,Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were compared between the two groups.Results The postoperative exhaust time(1.45±0.25)d,postoperative ambulation time(2.25±1.16)d,hospitalization time(6.32±1.06)d of patients in the study group were shorter than those in the reference group,and the differences were statistically significant(t=10.011,3.136,11.702,P<0.05).The proportion of patients with grade 0 and grade 1 pain in the study group were higher than those in the reference group;the proportion of pain grade 2 and grade 3 in the study group were lower than those in the reference group,and the difference was statistically significant(P<0.05).Before nursing,the scores of SAS and SDS of patients with uterine fibroids in the study group were compared with those in the reference group,and the differences were not statistically significant(P>0.05).After nursing,the SAS score and SDS score of patients with uterine fibroids in the study group were significantly lower than those in the reference group,and the difference was statistically significant(P<0.05).Conclusion During perioperative nursing care,the rational use of targeted care for patients with uterine fibroids can significantly improve the treatment indicators,pain and negative psychological improvement.