需求导向下系统护理对子宫肌瘤患者微创术后舒适度的影响

Effect of demand-oriented downward systematic nursing on comfort of patients with hysteromyoma after minimally invasive surgery

目的探讨需求导向下系统护理对子宫肌瘤患者微创术后舒适度的影响。方法选取2021至2022年行子宫肌瘤微创手术患者60例(其中腹腔镜子宫肌瘤切除术30例,宫腔镜30例),按照数字表法将患者分为对照组和研究组,每组30例。对照组采用系统护理,研究组在对照组基础上采用需求导向下护理。比较2组患者负性情绪评分[焦虑自评量表(SAS)、抑郁自评量表(SDS)评分]、疼痛评分(VAS评分)、睡眠时间、舒适度(生理、心理、环境)、恢复情况(术后胃肠功能恢复时间、首次排气时间、住院时间)、患者的满意率以及并发症。结果护理后,2组患者SAS、SDS评分、VAS评分、恢复情况下降,睡眠时间、生理、心理、环境评分上升(P<0.05)。与对照组比较,研究组患者SAS、SDS评分、VAS评分、恢复情况较低,睡眠时间、生理、心理、环境评分较高(P<0.05)。研究组护理满意度高于对照组(P<0.05);对照组患者并发症总发生率显著高于研究组(P<0.05)。结论需求导向下系统护理可以提高子宫肌瘤患者微创手术后舒适度,在临床工作中值得推广应用。

Objective To explore the effect of demand-oriented downward systematic nursing on the comfort of patients with hysteromyoma after minimally invasive surgery.Methods A total of 60 patients who underwent minimally invasive surgery for hysteromyoma in our hospital from 2021 to 2022,including 30 cases of laparoscopic myomectomy and 30 cases of hysteroscopy.According to the digital table method,the patients were divided into the control group and the study group,with 30 cases each.All patients were managed by systematic nursing,and those in the study group were additionally treated with demand-oriented downward systematic nursing.The negative emotion(the Self-Rating Anxiety Scale[SAS],the Self-Rating Depression Scale[SDS]),pain(the Visual Analogue Scale[VAS]),sleep time,comfort(physiology,psychology,environment),recovery(postoperative gastrointestinal function recovery time,first exhaust time,length of stay),patient’s satisfaction rate and complications were compared between the two groups.Results After nursing,the SAS,SDS and VAS scores,and recovery in the two groups significantly decreased,while the sleep time,physiology,psychology and environment scores significantly increased(P<0.05),which were significantly pronounced in the study group than those of control group(P<0.05).The nursing satisfaction of the study group was significantly higher than that of control group(P<0.05),and the overall incidence of complications was significantly lower (P<0.05).Conclusion The use of demand-oriented downward system nursing for patients with hysteromyoma after minimally invasive surgery can help improve the comfort,which is worthy of promotion and application in clinical work.