摘要
目的 探讨渐进式护理干预对老年患者全子宫切除患者术后康复的影响.方法 选取于2012年6月至2013年12月在我院行单纯全子宫切除的老年患者130例作为研究对象,按入院顺序随机分为干预组和对照组各65例.对干预组患者制定详细的活动计划和实施方法并采取相应的护理干预措施,对照组给予常规护理.比较分析2组患者术后不良症状发生情况、胃肠功能和膀胱功能恢复情况以及术后6个月时的生命质量.结果 术后干预组患者头晕、腹痛腹胀、恶心呕吐及腰背酸痛发生率分别为4.6％（3/65）、6.2％（4/65）、13.8％ （9/65）、12.3％（8/65）,与对照组的23.1％（15/65）、26.2％（17/65）、33.8％（22/65）和36.9％（24/65）相比差异均有统计学意义,P＜0.05;干预组与对照组相比,术后肛门排气与排便时间、首次进食时间均明显缩短[（26.4±4.7）、（48.2±9.6）、（30.6±5.9）h比（38.1±5.8）、（86.5±13.3）、（43.7±6.8）h],差异有统计学意义,P＜0.05;干预组患者生理功能和社会功能生命质量均较对照组明显提高,差异有统计学意义,P＜0.05.2组患者在切口拆线时间和术后尿潴留发生率方面比较,差异无统计学意义,P＞0.05.结论 渐进式护理干预措施可促进老年患者全子宫切除术后的康复,提高其生命质量.
Objective To know the influence of progressive nursing interventions on rehabilitation effect in elderly patients undergoing hysterectomy.Methods 130 cases of elderly patients undergoing hysterectomy who visited our hospital during June 2012 to Deember 2013 were selected as study object,and were randomly divided in to the intervention group （n=65） and the control group （n=65）.The intervention group was formulated with mobilization program and method,received commensurate on nursing intervention,the control group was given routine nursing care.The degree of postoperative adverse symptoms occur rate,recovery of gastrointestinal and bladder function,and the quality of life 6 months after surgery were compared between the two groups.Results Compared with control group,the unwell symptom such as dizziness,nausea and vomiting,abdominal pain,abdominal distension and the were decreased obviously in intervention group,respectively as 4.6％,6.2％,13.8％,12.％ vs 23.1％,26.2％,33.8％,36.9％,P＜0.05.The anus exhaust and defecation time,the first meal time were significantly shortened,respectively as （26.4±4.7） h,（48.2±9.6） h,3 （0.6±5.9） h vs （38.1±5.8） h,（86.5±13.3） h,（43.7±6.8） h,P＜0.05.Physiological function （sleep and energy,physical discomfort,the motor function）,and the social function of the quality of life （social support,social life and interpersonal） in Intervention group was increased significantly compared with control group,P＜0.05.Differences in the time of taking stitches and postoperative uroschesis incidence rate of the two groups had no significant,P＞0.05.Conclusion Progressive nursing interventions can improve the rehabilitation and the quality of life of elderly patients undergoing hysterectomy.
出处
《中国实用护理杂志》
2015年第21期1595-1598,共4页
Chinese Journal of Practical Nursing
关键词
老年人
康复
生活质量
护理
子宫切除术
Aged
Rehabilitation
Quality of life
Nursing care
Hysterectomy
