摘要
目的探讨手术室量化评估策略应用于早期宫颈癌的临床效果及对术后康复指标的影响。方法选取2018年4月至2020年11月间复旦大学附属妇产科医院收治的184例行早期宫颈癌手术治疗的患者,采用随机数字表法分为观察组和对照组,每组92例。对照组患者采用常规护理,观察组患者在对照组基础上采用以量化评估策略为基础的手术室护理干预,比较两组患者干预后疼痛程度、不良情绪、生活质量和术后康复指标。结果干预后,两组患者疼痛程度和不良心理情绪评分均较干预前下降,且观察组降低更多,差异均有统计学意义(均P<0.05)。干预后,两组患者生活质量评分均较干预前提高,且观察组提高更多,差异均有统计学意义(均P<0.05)。观察组患者术后至清醒时间、至下床活动时间、至排气时间、至进食时间和住院时间均较对照组短,差异均有统计学意义(均P<0.05)。结论以量化评估策略为基础的手术室护理干预能减轻行早期宫颈癌手术治疗的患者的疼痛程度,消除期焦虑抑郁等不良情绪,提高总体生活质量和术后康复指标,加快康复。
Objective To investigate the efficacy of quantitative evaluation of operation room nursing in patients undergoing early cervical cancer surgery and its effect on postoperative rehabilitation indices.Methods A total of 184 patients undergoing early cervical cancer surgery at Obstetrics and Gynecology Hospital Affiliated to Fudan University from April 2018 to November 2020 were enrolled,and were divided an observation group and a control group using random number table method with 92 patients in each group.The observation group received conventional nursing combined with quantitative evaluation of operation room nursing and the control group received conventional nursing.The degree of pain,negative psychological status,quality of life and postoperative rehabilitation indies were compared between the two groups.Results The scores of pain and negative psychological status were alleviated in both groups after treatment,and the reduction was greater in the observation group than in the control group(all P<0.05).The score of quality of life was increased in both groups after intervention,and the improvement was greater in the observation group than in the control group(all P<0.05).Time to wake from anesthesia,time to out-of-bed activities,time to exhaust,time to food intake and length of hospital stay were shorter in the observation group than in the control group(all P<0.05).Conclusion Quantitative evaluation of operation room nursing can effectively alleviate pain degree,ameliorate negative psychological status,improve quality of life and postopera-tive rehabilitation indices,and thus promoting the recovery in patients undergoing early cervical cancer surgery.
作者
王雪梅
刘莉
WANG Xue-mei;LIU Li(Operation Room,Obstetrics and Gynecology Hospital Affiliated to Fudan University,Shanghai 200090,China)
出处
《中国肿瘤临床与康复》
2021年第3期342-345,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
手术室量化评估
早期宫颈肿瘤
术后康复指标
Quantitative evaluation of operation room nursing
Early cervical neoplasms
Postoperative rehabilitation indices
