摘要
目的:研究探讨子宫肌瘤围术期采用临床路径护理模式的效果及对患者生命质量情况的影响。方法:选取2017年1月-2018年1月于笔者所在医院妇产科治疗的121例子宫肌瘤患者为研究对象,随机数表法分为试验组61例和对照组60例,试验组给予子宫肌瘤围术期临床路径护理,对照组予常规护理,比较两组患者护理后临床有效率、血中肾上腺素含量、皮质醇含量及护理前后生命质量情况(生理功能、机体功能、社会功能)。结果:护理后试验组总有效率高于对照组(P<0.05)。术前两组患者血中肾上腺素含量及皮质醇含量差异无统计学意义(P>0.05),术后试验组患者血中肾上腺素及皮质醇含量均低于对照组(P<0.05)。护理前两组患者生理功能、机体功能、社会功能差异无统计学意义(P>0.05),护理后试验组生理功能、机体功能、社会功能得分均高于对照组(P<0.05)。结论:子宫肌瘤围术期患者采用临床路径护理模式可提高临床有效率,降低术后血内肾上腺素、皮质醇含量,提高生命质量。
Objective:To investigate the effect of clinical pathway nursing mode in patients with uterine fibroids during perioperative period and its influence on patients’quality of life.Method:From January 2017 to January 2018,121 patients with uterine fibroids in the Obstetrics and Gynecology Department of author’s hospital were selected as the research object.They were divided into the experimental group 61 cases and the control group 60 cases by the stochastic indicator method.The experimental group used clinical pathway nursing for uterine fibroids perioperative,the control group used the routine nursing care.The clinical effectiveness,content of adrenaline and cortisol content in the blood and the life quality before and after nursing(physiological functions,physical function,social function)in two groups were compared.Result:After nursing,the total effective rate of the experimental group was higher than that of the control group(P<0.05).Before the operation,there was no significant difference in the blood levels of adrenaline and cortisol between the two groups(P>0.05);after the operation,the blood levels of adrenaline and cortisol in the experimental group were lower than those in the control group(P<0.05).Before nursing,there was no significant difference in physiological function,organism function and social function between the two groups(P>0.05).After nursing,the scores of physiological function,organism function and social function of the experimental group were higher than those of the control group(P<0.05).Conclusion:In perioperative period of uterine fibroids,using the clinical pathway nursing mode can improve the clinical efficiency,reduce the content of adrenaline and cortisol in postoperative blood,and improve the quality of life of patients.
作者
梁丽枝
钟宝珠
LIANG Lizhi;ZHONG Baozhu(Guangzhou Baiyun District Hospital of Traditional Chinese Medicine,Guangzhou 510470,China)
出处
《中外医学研究》
2020年第12期81-83,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
子宫肌瘤
围术期
临床路径护理
生命质量
Uterine fibroids
Perioperative period
Clinical pathway nursing
Quality of life
