摘要
目的 探讨人文关怀理念指导下的舒适护理在子宫肌瘤切除术患者护理中的应用效果,以期为临床治疗提供参考。方法 选取2019年6月—2021年12月郑州市妇幼保健院秦岭院区收治的86例子宫肌瘤患者为研究对象。采用随机数字表法将患者分为对照组(43例)和观察组(43例)。予以对照组患者常规护理。观察组患者在对照组护理基础上予以人文关怀理念指导下的舒适护理。比较2组患者术后肛门排气时间、下床活动时间、住院时间。比较2组患者护理前及护理后(出院时)抑郁自评量表(SDS)、焦虑自评量表(SAS)、视觉模拟评分法(VAS)及健康调查简表(SF-36)评分。结果 观察组患者术后肛门排气时间、下床活动时间、住院时间均短于对照组,差异均有统计学意义(P<0.05)。护理前,2组患者SAS、SDS、VAS评分比较,差异无统计学意义(P>0.05)。护理后,2组患者SAS、SDS、VAS评分均低于护理前,且观察组低于对照组,差异均有统计学意义(P<0.05)。护理前,2组患者SF-36中精神健康、生理职能、躯体疼痛、生理功能评分比较,差异无统计学意义(P>0.05)。护理后,2组患者SF-36中精神健康、生理职能、躯体疼痛、生理功能评分均高于护理前,且观察组高于对照组,差异均有统计学意义(P<0.05)。结论 人文关怀理念指导下的舒适护理在子宫肌瘤切除术患者护理中的应用效果确切,可有效缓解患者的临床症状,优化手术相关指标,消除患者不良情绪,减轻患者疼痛程度,改善患者生活质量,值得临床推广应用。
Objective To explore the effect of comfort care intervention guided by humanistic concern in the care of patients undergoing myomectomy,so as to provide a reference for clinical treatment.Methods From June 2019 to December 2021,86 patients with uterine myoma were enrolled in the Women & Infants Hospital of Zhengzhou(Qinling).The patients were randomly assigned to a control group(n=43) and an observation group(n=43).Patients in the control group received routine care and patients in the observation group comfort care guided by humanistic concern based on care in the control group.Time of postoperative passage of gas by anus,time to ambulation,and length of hospital stay were compared between the two groups.The Self-Rating Depression Scale(SDS),Self-Rating Anxiety Scale(SAS),Visual Analogue Scale(VAS),and 36-Item Short Form Health Survey(SF-36) were compared between the two groups before and after care(at discharge).Results The time of postoperative passage of gas by anus,time to ambulation,and length of hospital stay in the observation group were significantly shorter than those in the control group(P<0.05).Before care,there was no significant difference in SAS,SDS,and VAS scores between the two groups(P>0.05).After care,the SAS,SDS,and VAS scores of the two groups were significantly lower than those before care,with the observation group lower than the control group(P<0.05).Before care,there was no significant difference in mental health,physical role functioning,bodily pain,and physical functioning in the SF-36 between the two groups(P>0.05).After care,the scores of mental health,physical role functioning,bodily pain,and physical functioning in the SF-36 in the two groups were significantly higher than those before care,with the observation group higher than the control group(P<0.05).Conclusion Comfort care intervention guided by humanistic concern is effective in the care of patients undergoing myomectomy.It can effectively relieve the clinical symptoms,optimize surgery-related indicators,eliminate adverse emotions,relieve the degree of pain and increase the quality of life of patients.These benefits hold promise for a wider application of this procedure in clinical practice.
作者
钱荃荃
李元元
李静敏
Qian Quanquan;Li Yuanyuan;Li Jingmin(Department of Gynecology,Women&Infants Hospital of Zhengzhou(Qinling),Zhengzhou 450000,China)
出处
《保健医学研究与实践》
2022年第12期155-157,183,共4页
Health Medicine Research and Practice
基金
河南医学科技攻关计划联合共建项目(LHGJ20191724)。
