摘要
目的评估分析循证护理对子宫肌瘤切除术患者的干预效果。方法选取2019年6月—2020年6月该院妇科共收治122例子宫肌瘤切除术患者,根据双色球分组法将患者分组,循证组61例围术期采用循证护理,常规组61例围术期采用常规护理,对比两组护理效果。结果循证组术后指标(首次排气时间、首次下床时间、尿管拔除时间、平均住院时间)优于常规组,差异有统计学意义(t=22.996、15.046、24.515、12.384,P<0.05)。循证组术后并发症发生率为4.9%小于常规组18.0%,差异有统计学意义(χ^(2)=5.164,P<0.05)。循证组的手术认知情况(病情认知、手术认知、术后康复、注意事项)优于常规组,差异有统计学意义(t=17.846、20.765、15.969、14.691,P<0.05)。两组护理前的SAS评分、SDS评分以及SRSS评分对比,差异无统计学意义(P>0.05);两组护理后的SAS评分、SDS评分以及SRSS评分有明显改善,循证组护理后的SAS评分、SDS评分以及SRSS评分明显优于常规组,差异有统计学意义(t=15.850、11.660、13.348,P<0.05)。结论在子宫肌瘤切除术中应用循证护理,可有效改善患者的术后康复情况,可减少术后并发症的发生,可改善患者的心理健康水平,可提高患者的睡眠质量,具有显著效果。
Objective To evaluate and analyze the intervention effect of evidence-based nursing on patients undergoing myomectomy.Methods From June 2019 to June 2020,a total of 122 cases of hysteromyomectomy patients were admitted to the department of gynecology in the hospital.The patients were divided into groups according to the two-color ball grouping method.61 cases in the evidence-based group received evidence-based care during the perioperative period,and 61 cases in the conventional group received conventional care during the perioperative period.Compared the nursing effect of the two groups.Results The evidence-based group's postoperative indicators(first exhaust time,first time to get out of bed,catheter removal time,average length of stay)were better than the conventional group,the difference were statistically significant(t=22.996,15.046,24.515,12.384,P<0.05).The postoperative complication rate in the evidence-based group was 4.9%less than that in the conventional group 18.0%,the difference was statistically significant(χ^(2)=5.164,P<0.05).The cognition of surgery(condition cognition,surgery cognition,postoperative rehabilitation,precautions)of the evidence-based group was better than that of the conventional group,the difference were statistically significant(t=17.846,20.765,15.969,14.691,P<0.05).There was no significant difference in SAS score,SDS score and SRSS score before nursing between the two groups,the difference was not statistically significant(P>0.05);the SAS scores,SDS scores and SRSS scores of the two groups after nursing were significantly improved.The SAS scores,SDS scores and SRSS scores of the evidence-based group were significantly better than those of the conventional group,the difference were statistically significant(t=15.850,11.660,13.348,P<0.05).Conclusion The application of evidence-based nursing in hysteromyomectomy can effectively improve the patient's postoperative recovery,reduce the occurrence of postoperative complications,improve the patient's mental health,and improve the patient
作者
师小欠
SHI Xiaoqian(Department of Gynecology,Liangshan County People's Hospital,Jining,Shandong Province,272600 China)
出处
《系统医学》
2021年第17期152-155,共4页
Systems Medicine
关键词
循证护理
常规护理
围术期
子宫肌瘤切除术
并发症发生率
心理健康
Evidence-based nursing
Routine nursing
Perioperative period
Hysteromyomectomy
Incidence of complications
Mental health
