文章摘要

快速康复护理在腹腔镜下患侧输卵管开窗妊娠病灶清除术治疗异位妊娠患者中的应用

作者: 1卢宗君, 2吴海葵, 3吴先群
1 三亚市人民医院护理部,海南 三亚 572000
2 三亚市人民医院普外科,海南 三亚 572000
3 三亚市人民医院肿瘤外科,海南 三亚 572000
通讯: 卢宗君 Email: 13005072288@wo.cn
DOI: 10.3978/j.issn.2095-6959.2019.11.026
基金: 海南省自然科学基金(20168302)。

摘要

目的:探讨快速康复护理在腹腔镜下患侧输卵管开窗妊娠病灶清除术治疗异位妊娠患者中的应用。方法:选取2017年10月至2018年10月三亚市人民医院收治的90例行腹腔镜下患侧输卵管开窗妊娠病灶清除术治疗异位妊娠患者为对象,按照入院单双顺序分为对照组(n=45)和观察组(n=45),对照组实施常规护理进行干预,观察组实施快速康复护理进行干预,比较两组手术指标、心理状态[汉密顿焦虑量表(Hamilton Anxiety Scale,HAMA)、汉密顿抑郁量表(Hamilton Depression Scale,HAMD)]、并发症发生率及患者满意度。结果:干预后两组手术时间、术中出血量差异均无统计学意义(P>0.05),观察组术后首次肛门排气时间、尿管拔除时间及住院时间均短于对照组,下床时间早于对照组(P<0.05);干预后观察组HAMA,HAMD评分均显著低于对照组(P<0.05);干预后观察组并发症率为8.89%,显著低于对照组的26.67%(P<0.05);干预后观察组服务态度评分、服务内容评分、人员素质评分及总分均显著高于对照组(P<0.05)。结论:快速康复护理在腹腔镜下患侧输卵管开窗妊娠病灶清除术治疗异位妊娠患者中的应用显著,能够改善其不良情绪,降低并发症发生率,提高患者满意度,促进预后。
关键词: 异位妊娠;输卵管开窗妊娠病灶清除术;快速康复护理

Application of rapid rehabilitation nursing in laparoscopic focal clearance and fenestration for affected side fallopian tube in treatment of ectopic pregnancy patients

Authors: 1LU Zongjun, 2WU Haikui
1 Department of Nursing, Sanya People’s Hospital, Sanya Hainan 572000, China
2 Department of General Surgery, Sanya People’s Hospital, Sanya Hainan 572000, China

CorrespondingAuthor: LU Zongjun Email: 13005072288@wo.cn

DOI: 10.3978/j.issn.2095-6959.2019.11.026

Foundation: This work was supported by the Hainan National Natural Science Foundation, China (20168302).

Abstract

Objective: To investigate the application of rapid rehabilitation nursing in laparoscopic focal clearance and fenestration for affected side fallopian tube in treatment of ectopic pregnancy patients. Methods: A total of 90 patients admitted to our hospital from October 2017 to October 2018 for the treatment of ectopic pregnancy were selected as the objects. They were divided into a control group (n=45) and an observation group (n=45) according to even-odd order of admission. The control group was given routine nursing for intervention, while the observation group was given rapid rehabilitation nursing for intervention. The surgical indexes, psychological status[Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD)], incidence of complications and patients’ satisfaction were compared between the two groups. Results: After intervention, there was no significant difference in operation time or intraoperative blood loss between the two groups (P>0.05). In the observation group, the first time of anal exhaust, the time of urinary tube removal and the time of hospitalization were shorter than the control group, and the time of getting out of bed was earlier than the control group (P<0.05). After intervention, HAMA and HAMD scores of the observation group were significantly lower than those of the control group (P<0.05). After intervention, incidence of complications in the observation group was significantly lower than that in the control group (8.89% vs 26.67%) (P<0.05). After intervention, scores of service attitude, service content and personnel quality, and total score in the observation group were significantly higher than those in the control group (P<0.05). Conclusion: The application of rapid rehabilitation nursing is significant in laparoscopic focal clearance and fenestration for affected side fallopian tube in treatment of ectopic pregnancy patients, which can improve negative emotion, reduce incidence of complications, improve patients’ satisfaction and promote prognosis.
Keywords: ectopic pregnancy; focal clearance and fenestration for fallopian tube; rapid rehabilitation nursing

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