摘要
目的:探讨需求导向护理在改善腹腔镜子宫肌瘤剔除术患者术后恢复及创伤性应激障碍中的应用价值。方法:选取长沙市妇幼保健院收治2020年6月-2021年6月的140例腹腔镜子宫肌瘤剔除术患者进行研究,按照随机数字表法将患者分为对照组和观察组,对照组(70例)采用常规护理干预,观察组(70例)在对照组的基础上行需求导向护理,比较两组患者的疼痛情况、术后恢复情况、创伤应激障碍评分和护理满意度。结果:干预前,两组患者疼痛程度评分(VAS)比较,差异无统计学意义(P>0.05),干预后,两组VAS评分均较干预前下降,但观察组低于对照组,差异有统计学意义(P<0.05);观察组术后胃肠功能恢复时间、首次排气时间、住院时间均短于对照组,差异均有统计学意义(P<0.05);且干预后观察组患者创伤性应激障碍自评量表中社会功能损伤、主观评定、反复重现体验、回避症状、警觉性增高评分及总评分均低于对照组,差异有统计学意义(P<0.05);观察组患者护理满意显著高于对照组,差异有统计学意义(P<0.05)。结论:针对子宫肌瘤剔除术患者实施需求导向护理可促进患者术后康复,减轻患者应激障碍程度,有推广意义。
Objective:To explore the application value of demand-oriented nursing in improving postoperative recovery and traumatic stress disorder of patients undergoing laparoscopic myomectomy.Methods:A total of 140 patients undergoing laparoscopic myomectomy in Changsha Hospital for Maternal and Child Health Care from June 2020 to June 2021 were selected and investigated.The patients were divided into control group and observation group according to the random number table method.The control group of 70 cases was given routine nursing intervention.The observation group of 70 cases were given demand-oriented nursing on the basis of control group.The pain,postoperative recovery,traumatic stress disorder scores and nursing satisfaction of patients were compared between the two groups.Results:Before the intervention,there was no statistically significant difference in the pain severity score(VAS)of patients between the two groups(P>0.05).After the intervention,the VAS scores of the two groups were lower than those before the intervention,but the observation group was lower than the control group,with statistically significant difference(P<0.05);The postoperative gastrointestinal function recovery time,first exhaust time,and hospitalization time in the observation group were shorter than those in the control group,with statistically significant difference(P<0.05);After the intervention,the scores of social function impairment,subjective assessment,repeated experience,avoidance symptoms,increased vigilance and total scores in the traumatic stress disorder self-rating scale of patients in the observation group were lower than those in the control group,with statistically significant difference(P<0.05);The nursing satisfaction of patients in the observation group was significantly higher than that in the control group,with statistically significant difference(P<0.05).Conclusion:The demand-oriented nursing for patients undergoing myomectomy can promote postoperative recovery and reduce the degree of stress disorder in patients,which is of promotion significance.
作者
黄宁君
Huang Ning-jun(Changsha Hospital for Maternal and Child Health Care,Changsha 410007,Hunan Province,China)
出处
《中国社区医师》
2022年第13期90-92,共3页
Chinese Community Doctors
