腹腔镜手术治疗子宫内膜异位症的围术期护理干预价值(1)
摘 要 目的：探讨子宫内膜异位症腹腔镜手术期间的护理干预效果。方法：选取2014年6月—2017年6月收治的子宫内膜异位症患者72例，均行腹腔镜手术治疗。将患者分为对照组36例，给予常规护理；试验组36例，给予综合护理干预，评定两组治疗效果。结果：干预后，试验组的SAS评分和SDS评分明显降低，分别为(24.6±3.7)分和(28.3±3.4)分，对照组分别为(27.6±2.9)分和(30.5±3.1)分，试验组优于对照组(P<0.05)。患者术后并发症发生率为5.6%(2/36)，低于对照组的25.0%(9/36，P<0.05)；护理满意率为97.2%(35/36)，高于对照组的80.6%(29/36，P<0.05)。结论：腹腔镜手术治疗子宫内膜异位症疗效确切，围术期实施综合护理干预能改善患者心理状态，减少术后并发症，值得推广。
关键词 宫内膜异位症；腹腔镜手术；护理干预；并发症
中图分类号：R711.71 文献标志码：A 文章编号：1006-1533(2018)06-0021-03
The value of perioperative nursing intervention in laparoscopy treating endometriosis
JIN Hua HUANG Chunmei(Obstetrics and Gynecology Department of No.155 Central Hospital of People’s Liberation Army， Kaifeng 475003， Henan Province， China)
ABSTRACT Objective： To explore the effect of nursing intervention during laparoscopic operation of endometriosis. Methods： Seventy-two patients with endometriosis admitted from June 2014 to June 2017 were selected and all patients underwent laparoscopic surgery. The patients were divided into a control group with 36 cases who were given routine nursing； an experimental group with 36 cases who were given comprehensive nursing intervention. The effects of the two groups were evaluated. Results： After the intervention， the SAS score and the SDS score in the experimental group were significantly lower(24.6±3.7) and (28.3±3.4)， respectively， and the control group was (27.6 ± 2.9) and (30.5±3.1)， respectively， and the experimental group was better than the control group(P<0.05). The incidence of postoperative complications of the experimental group was 5.6%(2/36)， which was lower than that of the control group(25%(9/36， P<0.05)； the satisfaction rate of nursing of the experimental group was 97.2% (35/36)， which was higher than that of the control group(80.6%(29/36， P<0.05). Conclusion： Laparoscopic surgery has accurate effect in the treatment of endometriosis， comprehensive nursing intervention during the perioperative period can improve the mental state of the patients to reduce the postoperative complications， and it is worthy of wide application.
KEY WORDS endometriosis； laparoscopic surgery； nursing intervention； complication
子宮内膜异位症是妇科常见疾病，多见于育龄期女性，在所有妇科患者中占50%，且发病人数仍不断增加[1]。该疾病不仅危害重，而且复发率高，临床一般通过手术彻底清除病灶，改善患者预后和生活质量。腹腔镜手术具有创伤小、安全性高的优势，目前临床应用普遍。做好围术期护理工作，提高患者的依从性和舒适度，成为护理人员的关注重点。本文探讨围术期综合护理干预的效果。
1 资料与方法
1.1 一般资料
选取2014年6月至2017年6月解放军第一五五中心医院妇产科收治的子宫内膜异位症患者72例，均经B超和腹腔镜检查确诊；实验室检查显示CA125升高；满足腹腔镜手术指征。将患者分为对照组和试验组各36例。对照组中已婚28例，未婚8例；年龄20～45岁，平均(31.4±5.7)岁；病程3～24个月，平均(10.5±2.2)个月。试验组中已婚26例，未婚10例；年龄21～43岁，平均(30.8±4.9)岁；病程4～21个月，平均(12.0±2.7)个月。两组年龄、婚育、病程差异无统计学意义(P>0.05)。排除精神病史、凝血功能障碍、合并其他妇科疾病患者。, 百拇医药(靳华 黄春梅)
关键词 宫内膜异位症；腹腔镜手术；护理干预；并发症
中图分类号：R711.71 文献标志码：A 文章编号：1006-1533(2018)06-0021-03
The value of perioperative nursing intervention in laparoscopy treating endometriosis
JIN Hua HUANG Chunmei(Obstetrics and Gynecology Department of No.155 Central Hospital of People’s Liberation Army， Kaifeng 475003， Henan Province， China)
ABSTRACT Objective： To explore the effect of nursing intervention during laparoscopic operation of endometriosis. Methods： Seventy-two patients with endometriosis admitted from June 2014 to June 2017 were selected and all patients underwent laparoscopic surgery. The patients were divided into a control group with 36 cases who were given routine nursing； an experimental group with 36 cases who were given comprehensive nursing intervention. The effects of the two groups were evaluated. Results： After the intervention， the SAS score and the SDS score in the experimental group were significantly lower(24.6±3.7) and (28.3±3.4)， respectively， and the control group was (27.6 ± 2.9) and (30.5±3.1)， respectively， and the experimental group was better than the control group(P<0.05). The incidence of postoperative complications of the experimental group was 5.6%(2/36)， which was lower than that of the control group(25%(9/36， P<0.05)； the satisfaction rate of nursing of the experimental group was 97.2% (35/36)， which was higher than that of the control group(80.6%(29/36， P<0.05). Conclusion： Laparoscopic surgery has accurate effect in the treatment of endometriosis， comprehensive nursing intervention during the perioperative period can improve the mental state of the patients to reduce the postoperative complications， and it is worthy of wide application.
KEY WORDS endometriosis； laparoscopic surgery； nursing intervention； complication
子宮内膜异位症是妇科常见疾病，多见于育龄期女性，在所有妇科患者中占50%，且发病人数仍不断增加[1]。该疾病不仅危害重，而且复发率高，临床一般通过手术彻底清除病灶，改善患者预后和生活质量。腹腔镜手术具有创伤小、安全性高的优势，目前临床应用普遍。做好围术期护理工作，提高患者的依从性和舒适度，成为护理人员的关注重点。本文探讨围术期综合护理干预的效果。
1 资料与方法
1.1 一般资料
选取2014年6月至2017年6月解放军第一五五中心医院妇产科收治的子宫内膜异位症患者72例，均经B超和腹腔镜检查确诊；实验室检查显示CA125升高；满足腹腔镜手术指征。将患者分为对照组和试验组各36例。对照组中已婚28例，未婚8例；年龄20～45岁，平均(31.4±5.7)岁；病程3～24个月，平均(10.5±2.2)个月。试验组中已婚26例，未婚10例；年龄21～43岁，平均(30.8±4.9)岁；病程4～21个月，平均(12.0±2.7)个月。两组年龄、婚育、病程差异无统计学意义(P>0.05)。排除精神病史、凝血功能障碍、合并其他妇科疾病患者。, 百拇医药(靳华 黄春梅)