功能康复操训练对妇产科腹腔镜术后患者非切口疼痛的影响

The Effect of Functional Rehabilitation Exercise Training on Non-Incision Pain in Patients Undergoing Laparoscopic Surgery in Obstetrics and Gynecology

目的探讨功能康复操训练对妇产科腹腔镜术后患者非切口疼痛的影响。方法采用方便抽样的方法抽取腹腔镜手术治疗的183例患者作为研究对象,采用投硬币的方法分为观察组83例,对照组100例,对照组采用常规护理,观察组在对照组的基础上采用功能康复操训练,比较倾向性评分匹配(PSM)前后患者的一般资料、疼痛得分、发生率、时间、部位、下床活动时间、排气时间和患者满意度。结果PSM前后观察组术后12h(PSM前)、24h、48h、72h的非切口疼痛得分、疼痛发生率、疼痛时间、下床活动时间和排气时间明显低于对照组(P均<0.05),观察组很满意的发生率高于对照组(P<0.05)。结论功能康复操训练能有效缓解妇产科腹腔镜术后患者非切口疼痛程度,降低疼痛发生率及疼痛时间,缩短患者术后下床活动时间及排气时间,促进了患者术后早期康复,提高了围术期护理质量,患者满意度增强,值得推广。

Objective Exploring the effect of functional rehabilitation exercise training on non-incision pain in patients undergoing laparoscopic surgery in obstetrics and gynecology.Methods 183 patients who underwent laparoscopic surgery in the obstetrics were chosen as the study subjects using a convenient sampling method,and were randomly divided into experimental group with 83 cases and control group with 100 cases using the method of coin toss.The control group received routine nursing care,while the experimental group received functional rehabilitation exercise training on the basis of the control group.The general information,pain scores,pain incidence,pain time,pain location,time to bed activity,exhaust time,and patient satisfaction of two groups were compared before and after propensity score matching(PSM).Results The non-incision pain scores,pain incidence,pain time,and time to get out of bed activity of the experimental group before and after PSM were significantly lower than those of the control group at 12 hours(before PSM),24 hours,48 hours and 72 hours postoperatively(P<0.05).The patient satisfaction of the experimental group was higher than that in the control group(P<0.05).Conclusion Functional rehabilitation exercise training can effectively alleviate the degree of non-incision pain in patients after laparoscopic surgery in obstetrics and gynecology,reduce the incidence and duration of pain,shorten the time for patients to get out of bed and exhaust,promote early postoperative recovery,improve the quality of perioperative care,enhance patient satisfaction,and is worth promoting.