中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
8期
916-919
,共4页
孙秀军%张梅%李政玲%郭延莉%廉德花
孫秀軍%張梅%李政玲%郭延莉%廉德花
손수군%장매%리정령%곽연리%렴덕화
腹腔镜手术%子宫肌瘤%手术配合%舒适护理
腹腔鏡手術%子宮肌瘤%手術配閤%舒適護理
복강경수술%자궁기류%수술배합%서괄호리
Laparoscopic surgery%Hysteromyoma%Operation cooperation%Comfort nursing
目的：探讨对妇科腹腔镜下子宫肌瘤切除术患者实施团队合作舒适护理干预的效果。方法选取择期行子宫肌瘤切除术患者156例，按随机数字表法分为干预组78例和对照组78例。对照组患者遵医嘱实施妇科腹腔镜下子宫肌瘤切除术常规护理配合，干预组患者在此基础上，建立腹腔镜手术团队合作舒适护理小组，实施术前互动式访视、术中舒适护理配合及术后回访为一体的舒适护理配合干预模式。比较两组干预效果。结果干预组患者手术时间为（52.63±7.25） min，术后呼之睁眼时间为（18.62±1.65）min，呼之握拳时间为（22.15±1.32）min，气管拔管时间为（25.37±1.52）min，均低于对照组的（58.72±7.31）min，（23.05±1.72）min，（25.67±1.38）min，（29.62±1.56）min，两组比较差异有统计学意义（ t值分别为5.224，16.415，16.279，17.233；P＜0.01）。干预组术后12，24，48，72 h的疼痛评分分别为（4.32±1.42），（3.29±1.27），（2.37±1.05），（1.25±1.02）分，明显低于对照组的（5.47±1.52），（4.56±1.31），（3.56±1.08），（1.82±1.05）分，两组比较差异有统计学意义（t值分别为4.883，6.147，6.977，3.439；P＜0.05）。干预组首次下床时间（12.35±3.17） h、术后24，48，72 h 睡眠时间[（5.72±2.31），（6.55±1.58），（7.87±1.25）h]、住院时间（7.13±1.28）d均优于对照组的（17.52±3.23）h，（3.59±2.35）h，（5.37±1.63）h，（6.58±1.27）h，（8.67±1.59）d，两组比较差异有统计学意义（ t值分别为10.089，5.709，4.591，6.393，6.663；P＜0.01）；干预组术后并发症发生率为6.41％，对照组为24.36％，两组比较差异有统计学意义（χ2＝9.652，P＜0.05）。结论对妇科腹腔镜下子宫肌瘤切除术患者实施舒适护理配合，提高了手术的顺应性，缩短了手术及麻醉苏醒时间，降低了术后并发症，提高了腹腔镜手术治疗效果。
目的：探討對婦科腹腔鏡下子宮肌瘤切除術患者實施糰隊閤作舒適護理榦預的效果。方法選取擇期行子宮肌瘤切除術患者156例，按隨機數字錶法分為榦預組78例和對照組78例。對照組患者遵醫囑實施婦科腹腔鏡下子宮肌瘤切除術常規護理配閤，榦預組患者在此基礎上，建立腹腔鏡手術糰隊閤作舒適護理小組，實施術前互動式訪視、術中舒適護理配閤及術後迴訪為一體的舒適護理配閤榦預模式。比較兩組榦預效果。結果榦預組患者手術時間為（52.63±7.25） min，術後呼之睜眼時間為（18.62±1.65）min，呼之握拳時間為（22.15±1.32）min，氣管拔管時間為（25.37±1.52）min，均低于對照組的（58.72±7.31）min，（23.05±1.72）min，（25.67±1.38）min，（29.62±1.56）min，兩組比較差異有統計學意義（ t值分彆為5.224，16.415，16.279，17.233；P＜0.01）。榦預組術後12，24，48，72 h的疼痛評分分彆為（4.32±1.42），（3.29±1.27），（2.37±1.05），（1.25±1.02）分，明顯低于對照組的（5.47±1.52），（4.56±1.31），（3.56±1.08），（1.82±1.05）分，兩組比較差異有統計學意義（t值分彆為4.883，6.147，6.977，3.439；P＜0.05）。榦預組首次下床時間（12.35±3.17） h、術後24，48，72 h 睡眠時間[（5.72±2.31），（6.55±1.58），（7.87±1.25）h]、住院時間（7.13±1.28）d均優于對照組的（17.52±3.23）h，（3.59±2.35）h，（5.37±1.63）h，（6.58±1.27）h，（8.67±1.59）d，兩組比較差異有統計學意義（ t值分彆為10.089，5.709，4.591，6.393，6.663；P＜0.01）；榦預組術後併髮癥髮生率為6.41％，對照組為24.36％，兩組比較差異有統計學意義（χ2＝9.652，P＜0.05）。結論對婦科腹腔鏡下子宮肌瘤切除術患者實施舒適護理配閤，提高瞭手術的順應性，縮短瞭手術及痳醉囌醒時間，降低瞭術後併髮癥，提高瞭腹腔鏡手術治療效果。
목적：탐토대부과복강경하자궁기류절제술환자실시단대합작서괄호리간예적효과。방법선취택기행자궁기류절제술환자156례，안수궤수자표법분위간예조78례화대조조78례。대조조환자준의촉실시부과복강경하자궁기류절제술상규호리배합，간예조환자재차기출상，건립복강경수술단대합작서괄호리소조，실시술전호동식방시、술중서괄호리배합급술후회방위일체적서괄호리배합간예모식。비교량조간예효과。결과간예조환자수술시간위（52.63±7.25） min，술후호지정안시간위（18.62±1.65）min，호지악권시간위（22.15±1.32）min，기관발관시간위（25.37±1.52）min，균저우대조조적（58.72±7.31）min，（23.05±1.72）min，（25.67±1.38）min，（29.62±1.56）min，량조비교차이유통계학의의（ t치분별위5.224，16.415，16.279，17.233；P＜0.01）。간예조술후12，24，48，72 h적동통평분분별위（4.32±1.42），（3.29±1.27），（2.37±1.05），（1.25±1.02）분，명현저우대조조적（5.47±1.52），（4.56±1.31），（3.56±1.08），（1.82±1.05）분，량조비교차이유통계학의의（t치분별위4.883，6.147，6.977，3.439；P＜0.05）。간예조수차하상시간（12.35±3.17） h、술후24，48，72 h 수면시간[（5.72±2.31），（6.55±1.58），（7.87±1.25）h]、주원시간（7.13±1.28）d균우우대조조적（17.52±3.23）h，（3.59±2.35）h，（5.37±1.63）h，（6.58±1.27）h，（8.67±1.59）d，량조비교차이유통계학의의（ t치분별위10.089，5.709，4.591，6.393，6.663；P＜0.01）；간예조술후병발증발생솔위6.41％，대조조위24.36％，량조비교차이유통계학의의（χ2＝9.652，P＜0.05）。결론대부과복강경하자궁기류절제술환자실시서괄호리배합，제고료수술적순응성，축단료수술급마취소성시간，강저료술후병발증，제고료복강경수술치료효과。
Objective To investigate the effect of comfort nursing based on teamwork on patients after laparoscopic myomectomy of hysteromyoma .Methods One hundred and fifty-six patients who chose laparoscopic myomectomy of hysteromyoma were randomly divided in the intervention group and the control group, each with 78 cases.The control group received conventional nursing while the intervention group received comfort nursing including preoperative interactive supervision , intranperative comfort nursing and postoperative visits.Effect of nursing was compared between two groups .Results The operation time , called the eye opening after the operation , called the open fist time and the tracheal extubation time was respectively ( 52.63 ±7.25 ) min, (18.62 ±1.65)min, (22.15 ±1.32)min and (25.37 ±1.52)min in the intervention group, shorter than (58.72 ±7.31)min,(23.05 ±1.72)min,(25.67 ±1.38)min and(29.62 ±1.56)min in the control group, and the differences were statistically significant ( t=5.224 ,16.415 ,16.279 ,17.233 , respectively;P<0.01).The pain score 12, 24, 48 and 72 h after operation was respectively (4.32 ±1.42),(3.29 ±1.27), (2.37 ±1.05),(1.25 ±1.02)in the intervention group, lower than(5.47 ±1.52),(4.56 ±1.31),(3.56 ± 1.08),(1.82 ±1.05)in the control group, and the differences were statistically significant (t=4.883,6.147, 6.977 ,3.439 , respectively; P <0.05 ) .The time of first being out of bed was ( 12.35 ±3.17 ) h in the intervention group and ( 17.52 ±3.23 ) h in the control group , with statistically significant difference ( t =10.089,P<0.05).Sleep time 24, 48 and 72 h after surgery as well as hospitalization time was respectively (5.72 ±2.31)h,(6.55 ±1.58)h,(7.87 ±1.25)h and (7.13 ±1.28)d in the intervention group, better than (17.52 ±3.23)h,(3.59 ±2.35)h,(5.37 ±1.63)h,(6.58 ±1.27)h and(8.67 ±1.59)d in the control group, and the differences were statistically significant ( t =5.709,4.591,6.393,6.663, respectively; P <0.01).The incidence of complication was 6.41%in the intervention group, and 24.36%in the control group, with statistically significant difference (χ2 =9.652 ,P<0.05 ) .Conclusions Comfort nursing for patients after laparoscopic myomectomy of hysteromyoma can improve their surgical compliance , shorten operation time and awakening time , reduce postoperative complications and enhance surgical effect .
