摘要
目的:探讨多层面积极护理配合早期康复训练在妇科腹腔镜手术患者中的应用。方法:选择江西省妇幼保健院妇科2019年8月—2020年8月收治的行妇科腹腔镜手术治疗的65例患者作为研究对象,采用随机摸球法将其分为观察组33例与对照组32例,对照组采用常规护理进行干预,观察组采用早期康复训练联合多层面护理进行干预。比较两组患者干预前后疼痛视觉模拟评分量表(VAS)评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分,比较两组患者术后并发症发生情况与生活质量。结果:观察组术后VAS评分、住院时间、肠鸣音恢复时间、肛门首次排气时间均优于对照组,差异有统计学意义(t=4.44、2.33、8.84、4.03,P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(χ^(2)=4.17,P<0.05);干预后,观察组SDS、SAS评分低于对照组,差异有统计学意义(t=6.34、5.24,P<0.05);干预后,两组患者物质生活评分比较,差异无统计学意义(t=0.94,P>0.05),观察组社会功能、躯体功能、心理功能评分优于对照组,差异有统计学意义(t=2.34、4.52、3.04,P<0.05)。结论:多层面积极护理配合早期康复训练应用于妇科腹腔镜手术患者中,能够缩短患者的康复时间,缓解其术后疼痛及负性情绪,提高患者生活质量。
Objective: To explore the application of multi-level active nursing with early rehabilitation training in gynecological laparoscopic surgery patients. Methods: A total of 65 patients who underwent gynecological laparoscopic surgery in the hospital from August 2019 to August 2020 were selected and randomly divided into the observation group of 33 cases and the control group of 32 cases. The control group used conventional nursing intervention, and the observation group used early rehabilitation training combined with multi-level nursing intervention. The pain visual analogue(VAS) score, the self-rating anxiety scale(SAS) score and the self-rating depression scale(SDS) score were compared between the two groups before and after the intervention. The postoperative complications and quality of life were compared between the two groups. Results: The postoperative VAS score, hospital stay, bowel sound recovery time, and first anal exhaust time in the observation group were better than those in the control group,and the differences were statistically significant(t=4.44, 2.33, 8.84, 4.03, P<0.05). The incidence of complications in the observation group was lower than that in the control group, and the difference was statistically significant(χ^(2)=4.17, P<0.05). After intervention, the SDS and SAS scores of the observation group were lower than those of the control group, and the difference was statistically significant(t=6.34, 5.24, P<0.05). After the intervention, there was no significant difference in material life scores between the two groups(t=0.94, P>0.05). The scores of social function, physical function and psychological function of the observation group were better than those of the control group, and the difference was statistically significant(t=2.34, 4.52, 3.04, P<0.05). Conclusion: Multi-level active nursing combined with early rehabilitation training can shorten the recovery time of patients undergoing gynecological laparoscopic surgery, relieve postoperative pain and negative emotions, and improve the quality of life of patients.
作者
宋文娜
SONG Wen-na(Central Operating Room,Maternal and Child Health Hospital of Jiangxi Province,Nanchang,Jiangxi,330006,China)
出处
《黑龙江医学》
2022年第16期2003-2005,共3页
Heilongjiang Medical Journal
关键词
早期康复训练
多层面积极护理
腹腔镜手术
Early rehabilitation training
Multi-level active nursing
Laparoscopic surgery
