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主管:陕西省卫生健康委员会
主办:西安心身医学研究所
   西安交通大学第一附属医院
国际标准刊号:ISSN2096—1413
国内统一刊号:CN61—1503/R

综合护理在子宫肌瘤患者围手术期中的应用效果观察

崔彩莉

(子洲县第一人民医院,陕西 榆林,718499)

浏览次数:69次 下载次数:330次

摘要:

目的 探讨子宫肌瘤患者围手术期实施综合护理的应用价值。方法 将我院收治的130例子宫肌瘤患者随机分为研究组与对照组,各65例,对照组实施围术期常规护理,研究组采用围术期综合护理,对两组的临床疗效、心理状态变化、疼痛评分、手术指标、并发症发生率、护理满意度进行分析对比。结果 研究组护理总有效率明显高于对照组(P<0.05)。护理后,两组 HAMA、HAMD评分均降低(P<0.05),研究组HAMA、HAMD评分及术后1、3、5 d 的VAS评分、切口拆线时间、初次排气时间、初次下床时间及术后住院时间优于对照组(P<0.05)。研究组护理满意度明显高于对照组(P<0.05)。结论 子宫肌瘤患者围术 期实施综合护理,可有效改善心理状态,缓解术后疼痛感,安全性高。

关键词:综合护理;缓解疼痛;围手术期;子宫肌瘤

中图分类号:R473.73文献标志码:A文章编号:2096-1413(2017)27-0195-02

    Effect observation of comprehensive nursing in patients with uterine fibroids during perioperative period
    CUI Cai-li
    (The First People``s Hospital of Zizhou County, Yulin 718499, China)

    ABSTRACT: Objective To explore the application value of comprehensive nursing in patients with uterine myoma during perioperative period. Methods One hundred and thirty cases of patients with uterine fibroids in our hospital were enrolled and randomly divided into study group and control group, with 65 cases in each group. The control group accepted routine nursing intervention, while the study group was treated with comprehensive nursing. The clinical efficacy, changes of psychological status, pain score, operation indexes, incidence of complications and nursing satisfaction were compared and analyzed in the two groups. Results The total effective rate of the study group was significantly higher than that of the control group (P<0.05). After treatment, the scores of HAMA and HAMD decreased in both groups (P<0.05); the HAMA,HAMD scores and the VAS score at 1, 3, 5 days, stitches removal time, initial exhaust time, getting out of bed and postoperative hospital stay in the study group were superior to those in the control group (P<0.05); the satisfaction rate of the study group was significantly higher than that of the control group (P<0.05). Conclusion Comprehensive nursing applied in patients with uterine fibroids can effectively improve patients’psychological state, ease the postoperative pain, which has high scfety.
    KEYWORDS: comprehensive nursing; pain relief; perioperative period; uterine fibroids

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