[1]梁艳萍,王晓玲,李 峰,等.风险预警机制护理模式对子宫肌瘤切除术患者术后应激反应及康复效果的影响[J].医学信息,2024,37(17):162-164172.[doi:10.3969/j.issn.1006-1959.2024.17.036]
　LIANG Yan-ping,WANG Xiao-ling,LI Feng,et al.Effect of Risk Early Warning Mechanism Nursing Mode on Postoperative Stress Responseand Rehabilitation Effect of Patients Undergoing Myomectomy[J].Journal of Medical Information,2024,37(17):162-164172.[doi:10.3969/j.issn.1006-1959.2024.17.036]
点击复制

风险预警机制护理模式对子宫肌瘤切除术患者术后应激反应及康复效果的影响()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年17期
页码:
162-164172
栏目:
护理研究
出版日期:
2024-09-01

文章信息/Info

Title:
Effect of Risk Early Warning Mechanism Nursing Mode on Postoperative Stress Responseand Rehabilitation Effect of Patients Undergoing Myomectomy
文章编号:
1006-1959（2024）17-0162-04
作者:
梁艳萍; 王晓玲; 李 峰; 毛海鹃
吉水县人民医院妇产科，江西 吉水 331600
Author(s):
LIANG Yan-ping; WANG Xiao-ling; LI Feng; MAO Hai-juan
Obstetrics and Gynecology Department of Jishui County People’s Hospital,Jishui 331600,Jiangxi,China
关键词:
子宫肌瘤切除术; 风险预警机制; 术后应激反应; 康复效果
Keywords:
Myomectomy; Risk early warning mechanism; Postoperative stress response; Rehabilitation effect
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2024.17.036
文献标志码:
A
摘要:
目的 研究风险预警机制护理模式对子宫肌瘤切除术患者术后应激反应及康复效果的影响。方法 以2020年1月-2022年8月于吉水县人民医院行子宫肌瘤切除术治疗的62例患者为研究对象，采用随机数字表法分为对照组（31例）与观察组（31例）。对照组采用常规护理模式，观察组则应用风险预警机制护理模式，比较两组术后应激反应[空腹血糖（FBG）、血浆皮质醇（Cor）、C反应蛋白（CRP）]、康复情况（术后肛门排气时间、术后下床时间、术后住院时间）、术后并发症及护理满意度。结果 两组术后FBG、Cor、CRP水平均高于术前，但观察组FBG、Cor、CRP水平低于对照组（P＜0.05）；观察组术后肛门排气时间、术后下床时间、术后住院时间短于对照组（P＜0.05）；观察组术后并发症发生率小于对照组（P＜0.05）；观察组护理满意度高于对照组（P＜0.05）。结论 风险预警机制护理模式可有效减轻子宫肌瘤切除术患者的术后应激反应，并缩短其康复时间，降低术后并发症风险，护理满意度佳。
Abstract:
Objective To study the effect of risk early warning mechanism nursing mode on postoperative stress response and rehabilitation effect in patients undergoing myomectomy.Methods A total of 62 patients who underwent myomectomy in Jishui County People’s Hospital from January 2020 to August 2022 were divided into control group (31 patients) and observation group (31 patients) by random number table method. The control group was treated with routine nursing mode, while the observation group was treated with risk early warning mechanism nursing mode. The postoperative stress response [fasting blood glucose (FBG), plasma cortisol (Cor), C-reactive protein (CRP)], rehabilitation (postoperative anal exhaust time, postoperative ambulation time, postoperative hospital stay), postoperative complications and nursing satisfaction were compared between the two groups.Results The levels of FBG, Cor and CRP in the two groups were higher than those before operation, but the levels of FBG, Cor and CRP in the observation group were lower than those in the control group (P<0.05). The postoperative anal exhaust time, postoperative ambulation time and postoperative hospital stay in the observation group were shorter than those in the control group (P<0.05). The incidence of postoperative complications in the observation group was lower than that in the control group (P<0.05). The nursing satisfaction of the observation group was higher than that of the control group (P<0.05).Conclusion The risk early warning mechanism nursing model can effectively reduce the postoperative stress response of patients undergoing myomectomy, shorten their recovery time, reduce the risk of postoperative complications, and have good nursing satisfaction.

参考文献/References:

[1]Rakotomahenina H,Rajaonarison J,Wong L,et al.Myomectomy: technique and current indications[J].Minerva Ginecol,2017,69(4):357-369.[2]Manyonda I,Belli AM,Lumsden MA,et al.Uterine-Artery Embolization or Myomectomy for Uterine Fibroids[J].N Engl J Med,2020,383(5):440-451.[3]江燕,叶仁丽,魏明.子宫肌瘤切除术后临床结局的相关危险因素分析[J].湖南师范大学学报(医学版),2022,19(1):234-237.[4]陈云,江雅,陈妙霞,等.基于风险预警系统理论的护理风险层级管理体系构建及应用[J].现代临床护理,2022,21(4):60-65.[5]马婷,张磊洁.优质护理干预对子宫肌瘤患者行子宫全切除术后心理状态及护理满意的观察[J].贵州医药,2018,42(6):767-768.[6]Ahn JH,Jung YK,Lee JR,et al.Predictive powers of the Modified Early Warning Score and the National Early Warning Score in general ward patients who activated the medical emergency team[J].PLoS One,2020,15(5):e0233078.[7]陈冰洁,赵家宁.强化管理护理模式对腹腔镜子宫肌瘤切除术后患者生活质量的影响[J].中国肿瘤临床与康复,2021,28(6):749-752.[8]叶聪,徐凤娟.加速康复外科临床路径用于腹腔镜全子宫切除术患者的效果[J].中国医药导报,2021,18(24):96-98,131.[9]彭晓琼,钱玮,王政平,等.风险预警护理预防留置导尿患者导尿管相关尿路感染[J].护理学杂志,2018,33(17):51-53.[10]夏涛,汤军,张纯,等.基于前馈控制理念的风险预警在确保手术室护理安全中的应用效果分析[J].川北医学院学报,2021,36(11):1528-1531.[11]江艳珠,吕春香,魏敏,等.舒适护理对腹腔镜子宫肌瘤切除患者术后疼痛及生活质量的影响[J].长春中医药大学学报,2021,37(1):157-159.[12]张春兰,李彩月,张芙萍.快通道外科理念下多维度护理对腹腔镜子宫肌瘤剔除术患者的影响[J].实用临床医药杂志,2020,24(20):119-123.[13]张华蕾.全方位护理干预对子宫肌瘤微创术患者应激指标及康复效果的影响[J].中国药物与临床,2019,19(21):3823-3825.[14]Guan G,Lee CMY,Begg S,et al.The use of early warning system scores in prehospital and emergency department settings to predict clinical deterioration: A systematic review and meta-analysis[J].PLoS One,2022,17(3):e0265559.[15]刘秋瑾,张凯,刘红杰,等.不同血栓风险评估模型预测经宫腔镜子宫肌瘤切除患者术后深静脉血栓形成的临床价值比较[J].新乡医学院学报,2022,39(1):19-24.[16]梁惠霞,林淑媛,范蔚芳,等.子宫肌瘤经腹腔镜剔除术后并发下肢深静脉血栓风险评分系统的建立[J].国际妇产科学杂志,2022,49(4):398-402.[17]汪君芬,夏群伟,陈玉飞,等.阶段性管理干预对行腹腔镜子宫肌瘤切除术患者的影响[J].护士进修杂志,2018,33(11):1021-1024.[18]陶德鹤,李毅,王丽莎,等.舒适护理联合临床护理路径对子宫肌瘤切除术患者术前焦虑及手术应激及术后心身舒适度的影响[J].中国肿瘤临床与康复,2018,25(4):480-483.[19]徐玉芳.腹腔镜子宫肌瘤切除患者围手术期护理的临床效果研究[J].实用医技杂志,2020,27(11):1587-1588.[20]Maftoohian M,Assarroudi A,Stewart JJ,et al.Evaluating the Use of a Modified Early Warning Score in Predicting Serious Adverse Events in Iranian Hospitalized Patients: A Prognostic Study[J].J Emerg Nurs,2020,46(1):72-82.

相似文献/References:

[1]洪青香.舒适护理模式在子宫肌瘤切除患者围术期护理中的应用[J].医学信息,2022,35(17):190.[doi:10.3969/j.issn.1006-1959.2022.17.052]
　HONG Qing-xiang.Application of Comfortable Nursing Mode in Perioperative Nursing of Patients Undergoing Myomectomy[J].Journal of Medical Information,2022,35(17):190.[doi:10.3969/j.issn.1006-1959.2022.17.052]

更新日期/Last Update: 1900-01-01