[1]王 艳.综合护理对妇科腹腔镜手术术后疼痛及并发症的影响[J].医学信息,2021,34(13):187-189.[doi:10.3969/j.issn.1006-1959.2021.13.053]
　WANG Yan.The Effect of Comprehensive Nursing on Postoperative Pain and Complications of Gynecological Laparoscopic Surgery[J].Medical Information,2021,34(13):187-189.[doi:10.3969/j.issn.1006-1959.2021.13.053]
点击复制

综合护理对妇科腹腔镜手术术后疼痛及并发症的影响()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年13期
页码:
187-189
栏目:
护理研究
出版日期:
2021-07-01

文章信息/Info

Title:
The Effect of Comprehensive Nursing on Postoperative Pain and Complications of Gynecological Laparoscopic Surgery
文章编号:
1006-1959（2021）13-0187-03
作者:
王 艳
（天津市第三中心医院手术室，天津 300170）
Author(s):
WANG Yan
(Operating Room,Tianjin Third Central Hospital,Tianjin 300170,China)
关键词:
综合护理; 腹腔镜; 应激反应
Keywords:
Comprehensive nursing; Laparoscopy; Stress response
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2021.13.053
文献标志码:
A
摘要:
目的 研究综合护理对妇科腹腔镜手术术后疼痛及并发症的影响。方法 选取2018年7月~2019年7月于我院行妇科腹腔镜手术患者94例为研究对象，根据随机数字表法将患者分为对照组和观察组，每组47例。对照组予以常规护理，观察组予以综合护理干预，比较两组不同时间段（术后8、12、24、48 h）疼痛度评分、舒适度评分（Kolcaba量表）、术后（肛门排气、下床活动、肠鸣音恢复以及住院时间）恢复情况、并发症发生率以及护理满意度。结果 观察组术后8、12、24、48 h疼痛评分均低于对照组，差异有统计学意义（P＜0.05）；观察组舒适度生理、心理、社会文化、环境各维度评分均高于对照组，差异有统计学意义（P＜0.05）；观察组术后肛门排气、下床活动、肠鸣音恢复以及住院时间均短于对照组，差异有统计学意义（P＜0.05）；观察组并发症发生率为6.38%，低于对照组的14.89%，差异有统计学意义（P＜0.05）；观察组护理满意度为95.74%，高于对照组的85.10%，差异有统计学意义（P＜0.05）。结论 综合护理可减轻妇科腹腔镜手术术后疼痛度，提高患者舒适度，促进患者术后恢复，缩短肛门排气、下床活动、肠鸣音恢复以及住院时间，降低并发症发生率，提高护理满意度。
Abstract:
Objective To study the effect of comprehensive nursing care on postoperative pain and complications of gynecological laparoscopic surgery.Methods A total of 94 gynecological patients who underwent laparoscopic surgery in our hospital from July 2018 to July 2019 were selected as the research objects. They were divided into control group and observation group by random number table method, with 47 cases in each group.The control group received routine nursing care, and the observation group implemented comprehensive nursing intervention.Compare the two groups in different time periods (8, 12, 24, 48 h after surgery), pain score, comfort score (Kolcaba scale), postoperative (anal exhaust, getting out of bed, recovery of bowel sounds, and length of stay in hospital) recovery status, complication rate, and care satisfaction.Results The pain scores of the observation group at 8, 12, 24, and 48 h after operation were lower than those of the control group,the difference was statistically significant (P<0.05);The observation group’s comfort degree scores in physical, psychological, social, cultural, and environmental dimensions were higher than those in the control group,the difference was statistically significant(P<0.05);The observation group’s postoperative anal exhaust, getting out of bed, recovery of bowel sounds, and hospitalization time were shorter than those of the control group,the difference was statistically significant (P<0.05);The incidence of complications in the observation group was 6.38%, which was lower than 14.89% in the control group,the difference was statistically significant (P＜0.05);The nursing satisfaction degree of the observation group was 95.74%, which was higher than 85.10% of the control group,the difference was statistically significant (P<0.05).Conclusion Comprehensive nursing care can reduce postoperative pain in gynecological laparoscopic surgery, improve patient comfort, promote postoperative recovery, shorten anal exhaust, get out of bed, recovery of bowel sounds, and hospital stay,reducing the incidence of complications and improve nursing satisfaction.

参考文献/References:

[1]龚瑶,周容,代雪林,等.自制入路通道单孔腹腔镜手术治疗妇科良性疾病60例临床分析[J].中国实用妇科与产科杂志,2019,35(3):78-81. [2]宣蕊英.妇科腹腔镜手术围手术期的疼痛管理[J].上海护理,2014,14(1):48-50. [3]赖运兴.妇科腹腔镜手术围术期综合护理干预效果观察[J].河南外科学杂志,2015,21(6):143-144. [4]林铃,程虹.优质护理干预在腹腔镜术后妇科患者中的应用价值[J].中国煤炭工业医学杂志,2015,18(2):304-307. [5]罗泳红.舒适护理对妇科腹腔镜手术围术期的影响研究[J].临床合理用药,2014,7(6):113-115. [6]张小娟,赵文芳,胡琳.妇科腹腔镜术后非切口疼痛的护理[J].全科护理,2014,12(5):455-456. [7]郭轶敏.舒适护理对腹腔镜下子宫肌瘤剔除术患者的影响[J].内蒙古医学杂志,2015,47(12):1529-1530. [8]陈丽娜．护理干预对妇科腹腔镜术后疼痛的影响[J].护士进修杂志,2015,30(9):851-852. [9]董青.循证护理对预防妇科腹腔镜术后并发症的效果[J].国际护理学杂志,2014,33(10):2652-2654. [10]赵伟,付海涛,尉景兰,等.快速康复外科护理策略对高龄肥胖女性腔镜子宫切除术手术应激和术后康复的影响[J].广东医学,2019,40(17):2483-2486. [11]丁荣英,姜慧萍,陆美英.早期下床活动和膝胸卧位对宫外孕腹腔镜术后非切口疼痛的影响[J].护理与康复,2012,11(5):458-459. [12]朱明洋,王琳蕊.妇科腹腔镜术后患者的个性化疼痛护理管理[J].中国煤炭工业医学杂志,2015,18(2):320-322. [13]董双.疼痛护理干预妇科腹腔镜手术患者术后护理中的应用效果[J].实用临床医药杂志,2015,19(10):155-156. [14]孙美农,王娜卿.体位干预对妇科腹腔镜术后患者非切口疼痛的影响[J].中国病案,2016,17(1):95-96. [15]朱冬林.综合护理措施对下腹部手术史患者妇科腹腔镜手术并发症的意义[J].河北医学,2016,22(12):2100-2102.

相似文献/References:

[1]耿金萍.综合护理对甲状腺良性肿瘤并糖尿病患者手术效果的影响分析[J].医学信息,2018,31(01):163.[doi:10.3969/j.issn.1006-1959.2018.01.064]
　GENG Jin-ping.Analysis of the Effect of Comprehensive Nursing on the Surgical Effect of Thyroid Benign Tumor and Diabetic Patients[J].Medical Information,2018,31(13):163.[doi:10.3969/j.issn.1006-1959.2018.01.064]
[2]王 丹.腹腔镜子宫全切除术与开腹手术的临床效果分析[J].医学信息,2018,31(03):105.[doi:10.3969/j.issn.1006-1959.2018.03.034]
　WANG Dan.Analysis of Clinical Effects between Total Laparoscopic Hysterectomy and Open Hysterectomy[J].Medical Information,2018,31(13):105.[doi:10.3969/j.issn.1006-1959.2018.03.034]
[3]李华桥.腹腔镜联合胃镜行胃间质瘤切除术对胃间质瘤患者 术后康复及并发症的影响分析[J].医学信息,2018,31(05):114.[doi:10.3969/j.issn.1006-1959.2018.05.039]
　LI Hua-qiao.Effect of Laparoscopy Combined with Gastroscopy for Gastric Stromal Tumor Resection on Postoperative Rehabilitation and Complications of Gastric Stromal Tumor Patients[J].Medical Information,2018,31(13):114.[doi:10.3969/j.issn.1006-1959.2018.05.039]
[4]彭 瑛.综合护理干预对输尿管结石URSL术后 治疗效果的影响分析[J].医学信息,2018,31(09):172.[doi:10.3969/j.issn.1006-1959.2018.09.057]
　PENG Ying.Analysis of the Effect of Comprehensive Nursing Intervention on Ureteral Calculi after URSL Procedure[J].Medical Information,2018,31(13):172.[doi:10.3969/j.issn.1006-1959.2018.09.057]
[5]李建勇.腹腔镜下手术治疗卵巢巧克力囊肿研究[J].医学信息,2018,31(12):57.[doi:10.3969/j.issn.1006-1959.2018.12.018]
　LI Jian-yong.Laparoscopic Surgery for Ovarian Chocolate Cysts[J].Medical Information,2018,31(13):57.[doi:10.3969/j.issn.1006-1959.2018.12.018]
[6]夏易曼娜,李虎成.腹腔镜下宫颈癌根治术与传统开腹手术的对比研究[J].医学信息,2018,31(12):115.[doi:10.3969/j.issn.1006-1959.2018.12.036]
　XIA Yi-manna,LI Hu-cheng.Comparative Study of Laparoscopic Radical Resection of Cervical Cancer and Traditional Open Surgery[J].Medical Information,2018,31(13):115.[doi:10.3969/j.issn.1006-1959.2018.12.036]
[7]刘秀娟,刘 辉.子宫内膜异位症相关性不孕的诊断及治疗研究[J].医学信息,2018,31(14):35.[doi:10.3969/j.issn.1006-1959.2018.14.012]
　LIU Xiu-juan,LIU Hui.Diagnosis and Treatment of Endometriosis Related Infertility[J].Medical Information,2018,31(13):35.[doi:10.3969/j.issn.1006-1959.2018.14.012]
[8]闫 军,寇旭东,马 博,等.Hem-o-lok结扎锁和Endoloop套扎在 腹腔镜阑尾切除术中的临床研究[J].医学信息,2018,31(18):83.[doi:10.3969/j.issn.1006-1959.2018.18.025]
　YAN Jun,KOU Xu-dong,MA Bo,et al.Clinical Study of Hem-o-lok Ligation Lock and Endoloop Ligation in Laparoscopic Appendectomy[J].Medical Information,2018,31(13):83.[doi:10.3969/j.issn.1006-1959.2018.18.025]
[9]姚文超,彭继红.腹腔镜下电凝阻断子宫动脉在无生育要求患者子宫肌瘤剔除术中的应用及预后[J].医学信息,2018,31(21):103.[doi:10.3969/j.issn.1006-1959.2018.21.028]
　YAO Wen-chao,PENG Ji-hong.Application and Prognosis of Laparoscopic Electrocoagulation for Uterine Artery Removal in Patients with Uterine Fibroids without Fertility Requirements[J].Medical Information,2018,31(13):103.[doi:10.3969/j.issn.1006-1959.2018.21.028]
[10]林跃韩,许庆文.腹腔镜uncut Roux-en-Y吻合与传统吻合方式的研究进展[J].医学信息,2018,31(22):31.[doi:10.3969/j.Ⅰssn.1006-1959.2018.22.010]
　LIN Yue-han,XU Qing-wen.Research Progress of Laparoscopic uncut Roux-en-Y Anastomosis and Traditional Anastomosis[J].Medical Information,2018,31(13):31.[doi:10.3969/j.Ⅰssn.1006-1959.2018.22.010]

更新日期/Last Update: 1900-01-01