腹腔镜治疗早期卵巢癌的围术期护理干预对并发症及生活质量的影响

Influence of perioperative nursing intervention on complications and quality of life in patients with early ovarian cancer treated by laparoscopy

目的探究与分析腹腔镜治疗早期卵巢癌的围术期护理干预对并发症及生活质量的影响。方法选取哈尔滨医科大学附属第一临床医院2014年4月~2016年4月收治的70例接受腹腔镜治疗的早期卵巢癌患者,采取随机数字表法分为常规护理组与护理干预组,每组各35例,对比两组患者手术时间、术中出血量、术后排气时间、尿管置留时间、住院时间、术后并发症发生率、护理前后焦虑抑郁情绪及术后生活质量。结果护理干预组与常规护理组比较,手术时间、术后排气时间、尿管留置时间及住院时间缩短,术中出血量较少,差异有统计学意义(P<0.05)。常规护理组术后不良反应发生率为25.71%,护理干预组术后不良反应发生率为8.57%,护理干预组不良反应发生率明显低于常规护理组,差异有统计学意义(P<0.05)。两组护理后较护理前相比焦虑自评量(SAS)及抑郁自评量表(SDS)评分均降低,护理干预组较常规护理组降低更加显著(P<0.05)。护理干预组与常规护理组比较,躯体功能、角色功能、情感功能、认知功能及社会功能评分均较高,差异有统计学意义(P<0.05)。结论腹腔镜治疗早期卵巢癌的围术期实施护理干预相比于常规护理可明显改善围术期指标,降低并发症发生率,提高术后生活质量。

Objective To explore and analyze the impact of perioperative nursing intervention in laparoscopic treatment for early stageovarian cancer on complications and life quality. Methods 70 cases with early ovarian cancer received laparoscopic treatment in the First Clinical Hospital Affiliated to Harbin Medical University from April 2014 to April2016 were selected. All the patients were divided into two groups according to the random number table: the routine nursing group and nursing intervention group, with 35 cases in each group. The operation time, intraoperative blood loss, postoperative exhaust time, urine tube retention time, length of hospital stay, postoperative complications, the anxiety depression before and after nursing and postoperative life quality of the two groups were compared. Results The operation time, postoperative exhaust time, urine tube indwelling time and the hospitalization time of the nursing intervention group were shorter than those of the conventional nursing group, with statistically significant difference(P <0.05). The postoperative adverse reactions incidence of the conventional nursing group was 25.71%, and that of the intervention group was 8.57%, the postoperative adverse reaction incidence of the nursing intervention group was obviously lower than that of routine nursing group, with statistically significant difference(P < 0.05). The SAS and SDS scores of the two groups were lower than before nursing, and the reduction of the nursing intervention group was more obviouse than that of the routine nursing group(P < 0.05). The physical function, role function, emotional function, cognitive function and social function score of the nursing intervention group were higher than those of the conventional nursing group, with statistically significant difference(P < 0.05). Conclusion The perioperative nursing intervention of laparoscopic treatment in early ovarian cancer can improve perioperative indicators, reduce complications and improve the postoperative quality of life compared with the conventional nursing.