摘要
目的:观察子宫肌瘤腹腔镜切除术患者接受普适化-个体化相双轨护理的效果。方法:选取2021年1月至2022年12月厦门市第五医院行腹腔镜切除术的子宫肌瘤患者98例作为研究对象,按照随机抽签法分为对照组和观察组,每组49例。对照组给予常规护理,观察组给予普适化-个体化相双轨护理。比较2组术后康复情况、并发症发生情况及护理前后睡眠质量、心理状态变化。结果:观察组术后下床活动时间、肛门排气时间、肠鸣音恢复时间及首次排便时间均短于对照组(均P<0.05)。护理后,2组匹兹堡睡眠质量指数(PSQI)量表、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均较本组护理前降低(均P<0.05),且观察组均明显低于对照组(均P<0.05)。观察组并发症发生率2.04%(1/49),对照组并发症发生率16.33%(8/49),观察组并发症发生率低于对照组(P<0.05)。结论:普适化-个体化相双轨护理能改善子宫肌瘤腹腔镜切除术患者睡眠质量,减轻负面情绪,降低并发症发生风险,加快患者术后康复速度。
Objective:To analyze the effect of universal-individual dual-track nursing care for patients undergoing laparoscopic myomectomy for uterine fibroids.Methods:A total of 98 patients with laparoscopic myomectomy in the Xiamen No.5 Hospital 2021 to December 2022 were divided into a control group(n=49,routine nursing care)and an observation group(n=49,universal-individual dual-track nursing care).Postoperative recovery indicators,complication rates,sleep quality,and psychological status were compared between the two groups.Results:The observation group demonstrated shorter times to ambulation,bowel sounds,first flatus,and first defecation compared to the control group(all P<0.05).Post-nursing,both Pittsburgh Sleep Quality Index(PSQI),Self-Rating Anxiety Scale(SAS),and Self-Rating Depression Scale(SDS)scores decreased in both groups,with the observation group showing significantly lower scores than the control group(P<0.05).The complication rate in the observation group was 2.04%(1/49),significantly lower than the 16.33%(8/49)in the control group(P<0.05).Conclusion:Universal-individual dual-track nursing can improve sleep quality,reduce negative emotions,reduce the risk of complications,and accelerate the postoperative recovery of patients undergoing laparoscopic myomectomy,and the clinical effect is good.
作者
郑秀丽
许新春
ZHENG Xiuli;XU Xinchun(Department of Obstetrics and Gynecology,Songbai Hospital,Xiamen Social Welfare Center,Xiamen 361100,China;Quality Management Department,Xiamen No.5 Hospital,Xiamen 361101,China)
出处
《世界睡眠医学杂志》
2024年第9期1978-1981,共4页
World Journal of Sleep Medicine
关键词
子宫肌瘤切除术
腹腔镜
护理研究
手术后医护
个体化
睡眠
Laparoscopic myomectomy
Dual-track nursing
Postoperative care
Individualized care
Sleep quality
