摘要
目的探讨基于量化评估策略的手术室护理在行腹腔镜下全子宫切除术患者术后康复中的应用价值。方法回顾性分析2021年1月至2022年3月在常州市妇幼保健院行腹腔镜下全子宫切除术的80例患者的一般资料,依照护理方法的差异将患者分为对照组和观察组,各40例。对照组施行常规护理,观察组施行量化评估策略的手术室护理。比较2组的创伤性反应、性激素水平、疼痛程度及生活质量,并比较2组的术后并发症发生率。结果术后半个月及1个月,观察组的血清总抗氧化能力和雌二醇水平均高于同期对照组,肌红蛋白、缺血修饰白蛋白、黄体生成素和卵泡刺激素水平均低于同期对照组(P均<0.05);2组的上述指标水平均优于同组术前(P均<0.05)。观察组在术后1 d及3 d的视觉模拟评分法评分均较同期对照组低,在术后1个月及6个月的健康状况调查简表评分均较同期对照组高(P均<0.05);2组的上述指标评分均优于同组术前(P均<0.05)。观察组的术后并发症总发生率(7.50%)低于对照组(25.00%,P<0.05)。结论对行腹腔镜下全子宫切除术患者施以基于量化评估策略的手术室护理,可改善其创伤性反应及性激素水平,减轻其术后疼痛,提升其生活质量,并减少术后并发症。
Objective To explore the application value of operating room nursing based on quantitative evaluation strategy in the postoperative rehabilitation of patients undergoing total laparoscopic hysterectomy.Methods A retrospective analysis was conducted on the general data of 80 patients who underwent total laparoscopic hysterectomy at Changzhou Maternal and Child Health Hospital from January 2021 to March 2022.According to the differences in nursing methods,the patients were divided into a control group and an observation group,each with 40 patients.The control group received routine nursing,while the observation group received operating room nursing based on quantitative evaluation strategy.The trauma response,sex hormone levels,pain intensity,quality of life,as well as the incidence of postoperative complications were compared between the two groups.Results At half a month and 1 month after surgery,the serum total antioxidant capacity and estradiol level in the observation group were higher than those in the control group,and the levels of myoglobin,ischemia-modified albumin,luteinizing hormone,and follicle-stimulating hormone were lower than those in the control group(all P<0.05).The levels of the above indicators in both groups were better than those before surgery(all P<0.05).The Visual Analogue Scale scores of the observation group were lower than those of the control group at 1 and 3 days after surgery,and the Short Form-36 Health Survey scores were higher than those of the control group at 1 and 6 months after surgery(all P<0.05).The scores of the above indicators in both groups were better than those before surgery(all P<0.05).The total incidence of postoperative complications in the observation group was lower than that in the control group(7.50%vs.25.00%,P<0.05).Conclusion Operating room nursing based on quantitative evaluation strategy for patients undergoing total laparoscopic hysterectomy can improve their trauma response and sex hormone levels,alleviate their postoperative pain,improve their quality of
作者
符章敏
羌琰
FU Zhangmin;QIANG Yan(Changzhou Maternal and Child Health Hospital,Changzhou,Jiangsu,213000,China)
出处
《中西医结合护理（中英文）》
2023年第10期9-12,共4页
Journal of Clinical Nursing in Practice
关键词
腹腔镜下全子宫切除术
量化评估策略
手术室护理
术后康复
total laparoscopic hysterectomy
quantitative evaluation strategy
operating room nursing
postoperative rehabilitation
