[1]刘洁美.聚焦解决护理模式对腹腔镜卵巢囊肿剥除术患者手术指标及并发症的影响[J].医学信息,2023,36(23):157-160.[doi:10.3969/j.issn.1006-1959.2023.23.040]
 LIU Jie-mei.Effect of Solution Focused Nursing Mode on Operation Indexes and Complications of Patients Undergoing Laparoscopic Ovarian Cystectomy[J].Journal of Medical Information,2023,36(23):157-160.[doi:10.3969/j.issn.1006-1959.2023.23.040]
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聚焦解决护理模式对腹腔镜卵巢囊肿剥除术患者手术指标及并发症的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年23期
页码:
157-160
栏目:
护理研究
出版日期:
2023-12-01

文章信息/Info

Title:
Effect of Solution Focused Nursing Mode on Operation Indexes and Complications of Patients Undergoing Laparoscopic Ovarian Cystectomy
文章编号:
1006-1959(2023)23-0157-04
作者:
刘洁美
(万年县人民医院妇产科,江西 万年 335500)
Author(s):
LIU Jie-mei
(Department of Obstetrics and Gynecology,Wannian County People’s Hospital,Wannian 335500,Jiangxi,China)
关键词:
聚焦解决护理模式腹腔镜卵巢囊肿剥除术VAS评分
Keywords:
Solution focused nursing modeLaparoscopic ovarian cystectomyVAS score
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2023.23.040
文献标志码:
A
摘要:
目的 研究聚焦解决护理模式对腹腔镜卵巢囊肿剥除术患者手术指标及并发症的影响。方法 选取2020年1月-2022年6月我院行腹腔镜卵巢囊肿剥除术的60例患者为研究对象,采用随机数字表法分为对照组和观察组,各组30例。对照组给予常规护理,观察组在对照组基础上给予聚焦解决护理模式,比较两组手术指标、疼痛(VAS)评分、舒适度(Kolcaba)评分、护理满意度以及并发症发生率。结果 观察组术中出血量、肠鸣音恢复时间、下床活动时间、首次排便时间均短于对照组(P<0.05);两组术后4 h VAS评分比较,差异无统计学意义(P>0.05),而观察组术后6、12 h VAS评分均低于对照组(P<0.05);观察组干预后Kolcaba舒适度评分高于对照组(P<0.05);观察组护理满意度为96.67%,高于对照组的83.33%(P<0.05);观察组并发症发生率为6.67%,低于对照组的16.67%(P<0.05)。结论 聚焦解决护理模式可促进腹腔镜卵巢囊肿剥除术患者术后快速恢复,提高舒适度,降低疼痛度,且患者对护理的满意度较高。
Abstract:
Objective To study the effect of solution focused nursing model on operation indicators and complications in patients undergoing laparoscopic ovarian cystectomy.Methods Sixty patients who underwent laparoscopic ovarian cystectomy in our hospital from January 2020 to June 2022 were selected as the research objects. They were divided into control group and observation group by random number table method, with 30 patients in each group. The control group was given routine nursing, and the observation group was given solution focused nursing mode on the basis of the control group. The operation indexes, pain (VAS) score, comfort (Kolcaba) score, nursing satisfaction and complication rate were observed and compared between the two groups.Results The intraoperative blood loss, bowel sound recovery time, ambulation time and first defecation time in the observation group were shorter than those in the control group (P<0.05). There was no significant difference in VAS score between the two groups at 4 h after operation (P>0.05), while the VAS scores of the observation group at 6 and 12 h after operation were lower than those of the control group (P<0.05). After intervention, the Kolcaba comfort score of the observation group was higher than that of the control group (P<0.05). The nursing satisfaction of the observation group was 96.67%, which was higher than 83.33% of the control group (P<0.05). The incidence of complications in the observation group was 6.67%, which was lower than 16.67% in the control group (P<0.05).Conclusion Solution focused nursing mode can promote the rapid recovery of patients after laparoscopic ovarian cystectomy, improve comfort, reduce pain, and patients have higher satisfaction with nursing.

参考文献/References:

[1]安建华.腹腔镜下卵巢囊肿剥除术围术期强化护理的效果分析[J].国际护理学杂志,2019,38(13):2074-2077.[2]王蓓,郭珊,杨爱玲.循证管理护理模式对腹腔镜下卵巢囊肿剥除术患者术后康复和卵巢功能的影响[J].国际护理学杂志,2022,41(10):1843-1846.[3]陈红莲,黄查琼.临床护理路径在卵巢囊肿患者腹腔镜手术中的应用[J].齐鲁护理杂志,2017,23(6):69-71.[4]韩娜娟.快速康复护理在腹腔镜卵巢囊肿剥除术中的应用[J].中国卫生标准管理,2019,10(5):150-151.[5]闫春秀.舒适护理对卵巢肿瘤腹腔镜剥除术患者的影响观察[J].基层医学论坛,2018,22(21):2964-2965.[6]姜国芳.舒适护理在腹腔镜卵巢囊肿剥除术患者中的应用效果评价[J].实用妇科内分泌杂志,2016,3(7):164-165.[7]李丰玲,陶尊晓,刘国红,等.加速康复外科配合经脐单孔腹腔镜对卵巢囊肿剥除术的应用效果评价[J].中国内镜杂志,2018,24(6):53-57.[8]吴芳,董宝梅.腹腔镜治疗卵巢囊肿术后并发症观察及护理[J].现代临床护理,2018,17(12):31-33.[9]王宁.围术期护理改善腹腔镜下卵巢囊肿剥除术患者手术效果及护理满意度分析[J].山西医药杂志,2018,47(2):235-237.[10]李蕊,徐海霞,戴菁.马斯洛层次循证护理在腹腔镜卵巢囊肿剥除术患者中的应用[J].西藏医药,2021,42(4):130-132.[11]林方玉,何海燕,符琼珍.全程无缝隙干预方案对维持性血液透析肿瘤患者遵医行为依从性和舒适度的影响[J].解放军预防医学杂志,2019,37(06):195-196,198.[12]Shaltout MF,Elsheikhah A,Maged AM,et al.A randomized controlled trial of a new technique for laparoscopic management of ovarian endometriosis preventing recurrence and keeping ovarian reserve[J].J Ovarian Res.2019,12(1):66-68.[13]巩晓红.循证护理模式对卵巢囊肿手术患者焦虑抑郁情绪及术后康复效果的影[J].中国药物与临床,2020,20(2):307-308.[14]李颖,何娟,吴清清,等.聚焦解决模式对卵巢癌术后化疗患者心理弹性及自我效能感的影响[J].癌症进展,2020,18(5):530-532.[15]刘红,张丽丽,兰玉冰,等.加速康复外科理念在腹腔镜卵巢囊肿剥除术患者中的应用效果[J].中国肿瘤临床与康复,2020,27(3):295-298.[16]闫丽,胥巧平.基于聚焦解决模式的护理干预对初产孕妇产前焦虑、抑郁及应对方式的影响[J].贵州医药,2020,44(9):1482-1483.[17]Wolters T,Roerink S,Sterenborg RB,et al.The effect of treatment on quality of life in patients with acromegaly:a prospective study[J].European Journal of Endocrinology,2020,182(3):319-331.[18]张白玉,刘丽花.团队合作模式下的针对性护理结合心理护理在卵巢囊肿剥除术中的应用效果[J].河南医学研究,2021,30(35):6698-6701.[19]汪仕敏.快速康复护理应用于腹腔镜卵巢囊肿剥除术患者围术期护理管理中的作用探讨[J].黑龙江中医药,2021,50(6):379-380.[20]冯金燕,陈美莲,白卢霞.聚焦解决护理模式对腹腔镜卵巢囊肿剥除术患者的影响[J].护理实践与研究,2022,19(22):3415-3419.

更新日期/Last Update: 1900-01-01