摘要
目的:探究多元化康复健康干预对子宫肌瘤患者术后恢复的临床应用效果。方法:选取2021年2月-2023年3月本院妇科接受腹腔镜手术治疗的子宫肌瘤患者80例,随机抽签法分为对照组和观察组各40例,分别采用常规护理或采用多元化康复健康干预护理,均干预7d;对比两组术后恢复时间、视觉模拟评分(VAS)评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、生活质量功能量表(WHOQOL-BREF)评分和并发症。结果:观察组首次下床时间(11.33±2.89h)、排气时间(16.92±2.08h)、住院时间(5.26±2.02d)和切口拆线时间(14.37±1.06d)均短于对照组(15.26±3.17h、23.39±3.28h、8.59±2.79d、16.33±1.52d);术后3d、7d时两组VAS评分均较术前下降,且观察组(2.58±0.25分、2.02±0.23分)低于对照组(2.98±0.29分、2.56±0.27分);术后7d两组SAS和SDS均降低且观察组(39.26±3.27分、39.49±3.11分)低于对照组(58.36±3.29分、52.36±4.46分),两组WHOQOL-BREF评分均升高且观察组(87.78±3.82分)高于对照组(78.61±4.19分);术后并发症发生率观察组(17.5%)低于对照组(37.5%)(均P<0.05)。结论:子宫肌瘤腹腔镜手术围术期应用多元化康复健康干预,可有效缩短患者术后恢复时间,改善患者术后疼痛和不良心理,提升术后生活质量,降低术后并发症发生。
Objective:To investigate the application effect of the diversified rehabilitation health intervention for the postoperative recovery of patients with uterine fibroids surgery.Methods:80 patients with uterine fibroids who wanted laparoscopic surgery were selected and were divided into control group(n=40)and observation group(n=40)by ran-dom drawing method during February 2021-March 2023.The patients in the control group were given conventional nursing care after surgery for 1 week and the patients in the observation group were given the diversified rehabilitation health intervention nursing care after surgery for 1 week.The postoperative recovery time,the scores of visual analog scale(VAS),self-assessment scale for anxiety(SAS),self-assessment scale for depression(SDS)and WHO quality of life(WHOQOL-BREF),and the complications rate of the patients were compared between the two groups.Results:The time of the first getting out of bed(11.33±2.89 h),the exhaust time(16.92±2.08 h),the duration of hospital stay(5.26±2.02 d)and the time of taking out stitches of incision(14.37±1.06 d)of the patients in the observation group were significantly shorter than those(15.26±3.17h,23.39±3.28h,8.59±2.79d and 16.33±1.52d)of the patients in the control group.The scores of SAS and SDS of the patients in both groups in the postoperative 3d and 7d had decreased significantly,and which(39.26±3.27 points and 39.49±3.11 points)of the patients in the observation group were significantly lower than those(58.36±3.29 points and 52.36±4.46 points)of the patients in the control group.The WHOQOL BREF score of the patients in both groups had increased significantly,and which(87.78±3.82 points)of the patients in the observation group was significantly higher than that(78.61±4.19 points)of the patients in the control group.The incidence of the postoperative complications(17.5%)of the patients in the observation group was significantly lower than that(37.5%)of the patients in the control group(all P<0.05).Conclusion:The applica-tion of
作者
纵波
任娟
赵旋旋
ZONG Bo;REN Juan;ZHAO Xuanxuan(Wanbei Coal Electricity Group General Hospital,Suzhou,Anhui Province,234000)
出处
《中国计划生育学杂志》
2024年第2期343-347,共5页
Chinese Journal of Family Planning
关键词
子宫肌瘤
腹腔镜手术
围术期
多元化康复健康教育
术后恢复
Uterine fibroids
Laparoscopic surgery
Perioperative period
Diversified rehabilitation
Postoperative re-covery
