微创法腋臭去除术患者的手术配合以及护理分析

Surgical cooperation and nursing analysis of patients undergoing minimally invasive axillary odor removal surgery

目的研究微创法腋臭去除术患者的手术护理配合以及护理方案。方法于我院微创法腋臭去除术治疗期间实施综合护理前后各随机抽取32例患者中,并作为对照组(实施前,行常规护理)和观察组(实施后,行综合护理),对比两组护理效果。结果观察组依从率(100.00%)较对照组(81.25%)明显提高(P<0.05)。观察组SAS(42.68±4.74)分,SDS(40.69±5.76)分,低于对照组[SAS(54.39±4.60)分,SDS(52.46±4.92)分](P<0.05)。观察组皮肤瘀斑1例(3.13%),皮下积液1例(3.13%),未见切口感染、血肿,合计2例(6.25%),少于对照组[皮肤瘀斑2例(6.25%),皮下积液3例(9.38%),切口感染2例(6.25%),血肿2例(6.25%),合计9例(28.13%)](P<0.05)。观察组满意度(96.88%)高于对照组(71.88%)(P<0.05)。观察组GCQ(76.22±6.39)分,显著优于对照组[GCQ(68.19±4.57)分](P<0.05)。结论对于微创法腋臭去除术患者的手术配合采取综合护理,可以缓解患者不良情绪,预防并发症,提高患者配合度和满意度,具有较高临床价值。

Objective To study the surgical nursing cooperation and nursing plan for patients undergoing minimally invasive axillary odor removal surgery.Method During the treatment of minimally invasive axillary odor removal surgery in our hospital,32 patients were randomly selected before and after comprehensive nursing,and served as the control group(routine nursing before implementation)and the observation group(comprehensive nursing after implementation).The nursing effects of the two groups were compared.Result The compliance rate of the observation group(100.00%)was significantly higher than that of the control group(81.25%)(P<0.05).The SAS(42.68±4.74)and SDS(40.69±5.76)scores of the observation group were lower than those of the control group[SAS(54.39±4.60)and SDS(52.46±4.92)](P<0.05).There was 1 case of skin bruising(3.13%)and 1 case of subcutaneous flfluid accumulation(3.13%)in the observation group,with no incision infection or hematoma observed,totaling 2 cases(6.25%),which was lower than the control group(2 cases of skin bruising(6.25%),3 cases of subcutaneous flfluid accumulation(9.38%),2 cases of incision infection(6.25%),and 2 cases of hematoma(6.25%),totaling 9 cases(28.13%))(P<0.05).The satisfaction rate of the observation group(96.88%)was higher than that of the control group(71.88%)(P<0.05).The observation group had a GCQ score of 76.22±6.39,which was signifificantly better than the control group[GCQ score of 68.19±4.57](P<0.05).Conclusion Comprehensive nursing for the operation cooperation of patients with minimally invasive axillary osmidrosis removal can relieve the patients'bad mood,prevent complications,and improve the cooperation and satisfaction of patients,which has high clinical value.