摘要
目的探讨多学科协作结合精益护理在妊娠合并子宫肌瘤围术期中的应用效果。方法选取2018年1月至2020年3月间湖南省妇幼保健院收治的100例妊娠合并子宫肌瘤患者,采用随机数表法分为观察组和常规组,每组50例。常规组患者采用常规基础护理模式,观察组患者在常规护理基础上行多学科协作结合精益护理,比较两组患者术后临床情况、护理舒适度及术后并发症情况。结果观察组患者体温恢复时间、肛门排气时间、恶露排净时间和平均住院时间均低于常规组,差异均有统计学意义(均P<0.05)。观察组患者生理维度、心理维度、社会维度、环境维度及舒适度总分均高于常规组,差异均有统计学意义(均P<0.05)。观察组患者术后并发症总发生率为10.0%,低于常规组的26.0%,差异有统计学意义(P<0.05)。结论对剖宫产术同时行子宫肌瘤剔除术治疗的妊娠合并子宫肌瘤患者采用多学科协作结合精益护理干预,效果较常规基础护理好,可促进患者术后恢复,降低并发症发生率,提高护理舒适度。
Objective To explore the efficacy of perioperative multidisciplinary collaboration combined with fine nursing in pregnant women with uterine myoma.Methods From January 2018 to March2020,100 patients with pregnancy complicated with uterine myomawere selected.Using random number table method,they were categorized into an observation group and a control group with 50 patients in each group.The observation group received multidisciplinary collaboration combined with fine nursing besides conventional nursing and the control group received conventional nursing.The clinical conditions,nursing comfort and postoperative complications were compared between the two groups.Results After the intervention,time to temperature recovery,time to anal exhaust,time to lochia drain and average length of hospital saty were lower in the observation group than the control group(all P<0.05).Physiological,psychological,social,environmental scores and overall score of comfort were significantly higher in the observation group than in the control group(P<0.05).The incidence of postoperative complications was 10.0%in the observation group which was lower than 26.0%of the control group(P<0.05).Conclusion The efficacy of multidisciplinary cooperation combined with lean nursing intervention is better than that of conventional nursing in pregnant women with uterine myoma.It can promote postoperative recovery,reduce the incidence of complications and meanwhile improve comfort.
作者
唐亚美
唐琦媛
刘湾
TANG Ya-mei;TANG Qi-yuan;LIU Wan(Department of Obstetrics,Hunan Maternal and Child Health Hospital,Changsha 410008,China;Department of Obstetrics and Gynecology,Hunan Maternal and Child Health Hospital,Changsha 410008,China)
出处
《中国肿瘤临床与康复》
2021年第7期879-882,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
妊娠合并子宫肌瘤
常规护理
多学科协作
精益护理
Pregnancy with uterine myoma
Conventional nursing
Multidisciplinary collaboration
Fine nursing
作者简介
唐亚美,女,护师,主要从事产科护理专业。
