时间管理护理程序对腹腔镜子宫肌瘤手术患者术后恢复及舒适度的影响

Effect of Time Management Nursing Procedure on Postoperative Recovery and Comfort of Patients Undergoing Lapa⁃roscopic Myomectomy

目的:探讨时间管理护理程序在腹腔镜子宫肌瘤手术(LM)患者中的应用效果。方法:选择2020年7月-2022年2月南阳市中心医院行LM的96例患者,采用随机数表法将其分为两组,每组各48例。对照组患者行常规护理,观察组患者在对照组基础上实施时间管理护理程序。对比两组患者术后恢复、舒适度、并发症、生活质量及护理满意度。两组患者均持续随访1个月。结果:观察组患者术后肠鸣音恢复、腹胀消失、排气、首次下床活动及住院时间均短于对照组,差异有统计学意义(t=3.514、12.472、18.433、7.585、8.245,P<0.05);观察组患者Kolcaba舒适状况量表(GCQ)中的生理、心理、精神、社会文化和环境维度评分均高于对照组,差异有统计学意义(t=4.760、7.230、4.185、3.370,P<0.05);观察组患者并发症发生率(4.17%)低于对照组(16.67%),差异有统计学意义(t=4.019,P<0.05);观察组患者护理后生活质量综合评定问卷(GQOLI-74)中的心理、躯体、社会功能及物质生活维度评分均高于对照组,差异有统计学意义(t=6.122、5.152、5.276、8.556,P<0.05);观察组患者护理满意度(95.83%)高于对照组(87.50%),差异有统计学意义(t=4.019,P<0.05)。结论:时间管理护理程序能够减少LM患者术后并发症的发生,加快恢复速度,改善生活质量,提升护理舒适度与满意度。

Objective:To explore the application effect of time management nursing procedure in laparoscopic myomectomy(LM)patients.Methods:96 patients with LM in the hospital from July,2020 to February,2022 were randomly divided into two groups,with 48 patients in each group.The control group received routine nursing,while the observation group implemented time management nursing procedures on the basis of the control group.The recovery,comfort,complications,quality of life and nursing satisfaction of the two groups were compared.Both groups were followed up for 1 month.Results:The recovery of bowel sounds,the disappearance of abdominal distension,the exhaust,the first activity of getting out of bed and the time of hospitalization in the observation group were shorter than those in the control group,with statistically significant difference(t=3.514,12.472,18.433,7.585,8.245;P<0.05).The scores of physical,psychological,spiritual,socio-cultural and environmental dimensions in the Kolaba Comfort Scale(GCQ)in the observation group were higher than those in the control group,with statistically significant differenc(t=4.760,7.230,4.185,3.370;P<0.05).The incidence of complications in the observation group was 4.17%,which was lower than that in the control group(16.67%),with statistically significant difference(t=4.019,P<0.05).The scores of psychological,physical,social function and material life dimensions in the comprehensive assessment questionnaire of quality of life after nursing(GQOLI-74)in the observation group higher than those in the control group(t=6.122,5.152,5.276,8.556;P<0.05).The nursing satisfaction of the observation group(95.83%)was higher than that of the control group(87.50%),with statistically significant difference(t=4.019,P<0.05).Conclusion:The time management nursing procedure can reduce the occurrence of postoperative complications in patients with LM,accelerate the recovery rate,improve the quality of life,and improve nursing comfort and satisfaction.