摘要
目的探讨妇科腹腔镜手术前患者焦虑的相关因素并制定实施相应的护理对策。方法对腹腔镜下行子宫及附件手术的 4 1例患者采用问卷的调查方法 ,并针对每位患者手术前不同的护理问题进行相应的护理干预。选择 1988～ 1992年同期同种疾病的 4 1例开腹手术做对照 ,进行手术时间、术中出血量和住院时间的比较。结果与开腹手术相比 ,腹腔镜的手术时间短、术中出血少、住院时间短 ;对于妇科腹腔镜手术 ,患者术前的情绪接近或达到了焦虑状态 ,焦虑的主要相关因素是 :害怕疼痛 ,不了解手术和麻醉 ,担心疾病复发和影响以后工作 ,不了解病因等。结论与开腹手术相比 ,腹腔镜手术具有一定的优越性 ;护理人员可以按照Maslow的基本需要层次论排列术前患者的护理问题的优先次序 ,根据Peplau的人际间关系模式制定实施相应的护理对策 。
Objectives To study the factors relating to anxiety of gynecological patients before laparoscopic operation, and carry out nursing countermeasure . Methods 41 cases patient treated with appendix and uterine operations by using laparoscopy, and analyzed with questionnaire, operation time, bleed amount during operation, hospitalization, postoperative hospitalization are compared between 41 cases selected from those patients who had the same disease during the period of 1988～1992, but were treated by abdominal operations and the laparoscopic ones. Results Compared with the abdominal operations, laparoscopic ones have several advantages: such as less operations bleeding, shorter operation time and hospitalization. Before operations the patients have been on the edge of or reach anxiety. The major reasons are afraid of pain, lack of knowledge about operation and anesthesia and so on. Conclusions Laparoscopic operation is superior to abdominal one .The nurse can arrange the patient’s nursing problem with Maslow’s Theory of Human Motivation, and carry out nursing countermeasure according to Peplau’s Interpersonal Relations Model, so that the patient can recover quickly.
出处
《护士进修杂志》
北大核心
2003年第6期488-491,共4页
Journal of Nurses Training
关键词
腹腔镜
焦虑
护理
Laparoscopy Anxiety Nursing
