中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2011年
28期
3366-3369
,共4页
马军霞%武艳霜%雷星平%孙芹%廉德花
馬軍霞%武豔霜%雷星平%孫芹%廉德花
마군하%무염상%뢰성평%손근%렴덕화
生殖器肿瘤%女性%腹腔镜%生活质量%干预性研究
生殖器腫瘤%女性%腹腔鏡%生活質量%榦預性研究
생식기종류%녀성%복강경%생활질량%간예성연구
Genital neoplasm%Female%Laparoscopic%Quality of life%Intervention studies
目的 探讨全程护理干预对妇科肿瘤患者腹腔镜手术康复的效果.方法 将115例经腹腔镜手术的妇科肿瘤患者随机分为干预组58例,对照组57例.两组患者遵医嘱实施腹腔镜手术前后常规护理的基础上,即干预组实施术前认知行为干预,术后疼痛干预及出院后随访干预为一体的全程个体化护理干预模式;对照组患者按传统式腹腔镜手术前后常规护理.分别观察比较两组干预效果.结果 干预组术后不同时间段疼痛视觉模拟评分(VAS)明显低于对照组,其中干预组术后72 h VAS评分为(1.35 ±1.02)分,对照组为(2.76±1.20)分,组间比较差异具有统计学意义(t=6.79,P＜0.01);观察组患者住院时间(7.15±2.15)d,对照组患者住院时间为(9.89±2.18)d,组间比较差异具有统计学意义(t =6.79,P＜0.01);观察组术后1年内复发率为1.72％,对照组为14.03％,组间比较差异具有统计学意义(x2 =4.45,P＜0.05).结论 妇科肿瘤患者实施全程个体化护理干预模式,促进了患者早日康复,改善了术后生活质量,提高了腹腔镜手术治疗效果.
目的 探討全程護理榦預對婦科腫瘤患者腹腔鏡手術康複的效果.方法 將115例經腹腔鏡手術的婦科腫瘤患者隨機分為榦預組58例,對照組57例.兩組患者遵醫囑實施腹腔鏡手術前後常規護理的基礎上,即榦預組實施術前認知行為榦預,術後疼痛榦預及齣院後隨訪榦預為一體的全程箇體化護理榦預模式;對照組患者按傳統式腹腔鏡手術前後常規護理.分彆觀察比較兩組榦預效果.結果 榦預組術後不同時間段疼痛視覺模擬評分(VAS)明顯低于對照組,其中榦預組術後72 h VAS評分為(1.35 ±1.02)分,對照組為(2.76±1.20)分,組間比較差異具有統計學意義(t=6.79,P＜0.01);觀察組患者住院時間(7.15±2.15)d,對照組患者住院時間為(9.89±2.18)d,組間比較差異具有統計學意義(t =6.79,P＜0.01);觀察組術後1年內複髮率為1.72％,對照組為14.03％,組間比較差異具有統計學意義(x2 =4.45,P＜0.05).結論 婦科腫瘤患者實施全程箇體化護理榦預模式,促進瞭患者早日康複,改善瞭術後生活質量,提高瞭腹腔鏡手術治療效果.
목적 탐토전정호리간예대부과종류환자복강경수술강복적효과.방법 장115례경복강경수술적부과종류환자수궤분위간예조58례,대조조57례.량조환자준의촉실시복강경수술전후상규호리적기출상,즉간예조실시술전인지행위간예,술후동통간예급출원후수방간예위일체적전정개체화호리간예모식;대조조환자안전통식복강경수술전후상규호리.분별관찰비교량조간예효과.결과 간예조술후불동시간단동통시각모의평분(VAS)명현저우대조조,기중간예조술후72 h VAS평분위(1.35 ±1.02)분,대조조위(2.76±1.20)분,조간비교차이구유통계학의의(t=6.79,P＜0.01);관찰조환자주원시간(7.15±2.15)d,대조조환자주원시간위(9.89±2.18)d,조간비교차이구유통계학의의(t =6.79,P＜0.01);관찰조술후1년내복발솔위1.72％,대조조위14.03％,조간비교차이구유통계학의의(x2 =4.45,P＜0.05).결론 부과종류환자실시전정개체화호리간예모식,촉진료환자조일강복,개선료술후생활질량,제고료복강경수술치료효과.
Objective To investigate effect of global nursing care on rehabilitation effect of gynecologic cancer patients receiving laparoscopic surgery.Methods 115 cases of laparoscopic surgery in gynecologic cancer patients were randomly divided into two groups.the intervention group is 58 and the control group 57.Two groups with the laparoscopic surgery received a same routine care,in the intervention group patients received an intervention care consisted of cognitive behavioral intervention before surgery,postoperative pain,intervention and follow-up intervention after discharge as one of the whole individual nursing intervention model;In the control patients received traditional routine care before and after laparoscopic surgery.Intervention effects were observed in two groups.Results The intervention group at different times after the pain visual analogue scale (VAS) was significantly lower than the control group.72 h VAS in intervention group was ( 1.35 ±1.02),and was (2.76 ± 1.20) in control group,and the difference was significant ( t =6.79,P ＜ 0.01 ) ;days in hospital in intervention group was (7.15 ±2.15)d and (9.89 ±2.18) in control group,and the difference was significant ( t =6.79,P ＜ 0.01 ) ; The recurrence rate in intervention group ( 1.72％ ) was significantly lower than the control group ( 14.03％ ),and the difference was significant ( x2 =4.45,P ＜0.05).Conclusions Whole course of individualized nursing intervention care has promoted rehabilitation,increased the postoperative quality of life and improve the effect of laparoscopic surgery of patients.
