围术期综合护理在腹腔镜手术治疗宫外孕患者中的作用(1)
【摘要】 目的：探討围术期综合护理在腹腔镜手术治疗的宫外孕患者中的作用。方法：选取笔者所在医院2018年1月-2019年5月收治的78例行腹腔镜手术治疗的宫外孕患者，按照随机数字法分为两组，对照组39例予以常规护理，研究组39例予以围术期综合护理。比较两组患者术后下床活动时间、胃肠功能恢复正常时间、住院时间、汉密尔顿抑郁量表(HAMD)评分、汉密尔顿焦虑量表(HAMA)评分、自我护理能力测定表(ESCA)评分及并发症发生情况。结果：研究组术后下床活动时间、胃肠功能恢复正常时间、住院时间均优于对照组，差异均有统计学意义(P<0.05)。干预前两组HAMD评分及HAMA评分比较差异无统计学意义(P>0.05)，干预后两组评分均低于干预前，且研究组低于对照组，差异均有统计学意义(P<0.05)。干预前两组ESCA评分比较差异无统计学意义(P>0.05)，干预后两组ESCA评分均高于干预前，且研究组高于对照组，差异均有统计学意义(P<0.05)。研究组并发症发生率(7.69%)低于对照组(35.90%)，差异有统计学意义(P<0.05)。结论：围术期综合护理在行腹腔镜手术治疗的宫外孕患者中应用，可促进患者术后恢复，改善患者不良情绪，提高自护能力，降低并发症风险。
【关键词】 宫外孕 围术期综合护理 腹腔镜手术 心理状态
[Abstract] Objective： To explore the role of comprehensive perioperative nursing in patients with ectopic pregnancy treated by laparoscopic surgery. Method： A total of 78 extrauterine pregnancy treated in our hospital from January 2018 to May 2019 were selected and divided into two groups according to the random number method. 39 cases in the control group were given routine nursing， 39 cases in the study group were given comprehensive perioperative nursing. The time of getting out of bed， the time of recovery of gastrointestinal function， hospitalization time， Hamilton depression scale (HAMD)， Hamilton anxiety scale (HAMA)， self-care ability scale (ESCA) and complications were compared between the two groups. Result： The time of getting out of bed， recovery of gastrointestinal function and hospitalization in the study group were better than those in the control group (P<0.05). There were no significant differences in HAMD score and HAMA score between the two groups before intervention (P>0.05). After intervention， HAMD score and HAMA score of the two groups were significantly lower than those before intervention， and the indexes in research group were lower than those in the control group (P<0.05). There were no significant differences in ESCA scores between the two groups before intervention (P>0.05). After the intervention， the scores of ESCA were higher than those of the control group， and the differences were statistically significant (P<0.05). The complication rate of the study group (7.69%) was lower than that of the control group (35.90%)， the difference was statistically significant (P<0.05). Conclusion： The application of perioperative comprehensive nursing in patients with ectopic pregnancy undergoing laparoscopic surgery can promote the recovery of patients， improve patients’ bad mood， improve self-care ability and reduce the risk of complications., http://www.100md.com(肖建珍)
【关键词】 宫外孕 围术期综合护理 腹腔镜手术 心理状态
[Abstract] Objective： To explore the role of comprehensive perioperative nursing in patients with ectopic pregnancy treated by laparoscopic surgery. Method： A total of 78 extrauterine pregnancy treated in our hospital from January 2018 to May 2019 were selected and divided into two groups according to the random number method. 39 cases in the control group were given routine nursing， 39 cases in the study group were given comprehensive perioperative nursing. The time of getting out of bed， the time of recovery of gastrointestinal function， hospitalization time， Hamilton depression scale (HAMD)， Hamilton anxiety scale (HAMA)， self-care ability scale (ESCA) and complications were compared between the two groups. Result： The time of getting out of bed， recovery of gastrointestinal function and hospitalization in the study group were better than those in the control group (P<0.05). There were no significant differences in HAMD score and HAMA score between the two groups before intervention (P>0.05). After intervention， HAMD score and HAMA score of the two groups were significantly lower than those before intervention， and the indexes in research group were lower than those in the control group (P<0.05). There were no significant differences in ESCA scores between the two groups before intervention (P>0.05). After the intervention， the scores of ESCA were higher than those of the control group， and the differences were statistically significant (P<0.05). The complication rate of the study group (7.69%) was lower than that of the control group (35.90%)， the difference was statistically significant (P<0.05). Conclusion： The application of perioperative comprehensive nursing in patients with ectopic pregnancy undergoing laparoscopic surgery can promote the recovery of patients， improve patients’ bad mood， improve self-care ability and reduce the risk of complications., http://www.100md.com(肖建珍)
参见：首页 > 医疗版 > 疾病专题 > 妇产科 > 异常妊娠 > 输卵管妊娠(宫外孕)