文章摘要

中西医结合护理对育龄期腹腔镜子宫肌瘤剔除术患者焦虑情绪及胃肠功能恢复的影响

作者: 1罗义华, 1张贵清, 1邓尚莉, 1杨双吉, 1单朝霞, 1王莲, 1王宇
1 达州市中西医结合医院妇产科,四川 达州 635000
通讯: 罗义华 Email: 287534165@qq.com
DOI: 10.3978/j.issn.2095-6959.2022.02.025
基金: 四川省中医药管理局青年中医药研究 (2018QN052)。

摘要

目的:观察中西医结合护理对育龄期腹腔镜子宫肌瘤剔除术患者的效果以及对焦虑情绪及胃肠功能恢复的影响。方法:选择2020年3月至2021年3月于达州市中西医结合医院行子宫肌瘤剔除术的90例患者,按照随机数表法分为观察组与对照组,每组45例。对照组采用常规护理方案,观察组采用中西医结合护理,均持续护理至患者出院。比较两组围手术期情况、护理前后焦虑自评量表(Self-rating Anxiety Scale,SAS)评分的变化、术后6、24、48 h时视觉模拟量表(Visual Analogue Scale,VAS)评分变化及护理满意度。结果:与对照组相比,观察组患者肛门排气时间、肠鸣音恢复时间、进食时间、排便时间和住院时间均明显更短(均P<0.05),护理3 d后SAS评分均明显降低(均P<0.05),术后6、24、48 h时观察组患者的VAS评分均更低(均P<0.05),且护理满意度更高(均P<0.05)。结论:中西医结合护理对育龄期腹腔镜子宫肌瘤剔除术患者的应用效果显著,可有效缓解焦虑情绪,早期促进胃肠功能恢复,值得临床推广。
关键词: 子宫肌瘤;育龄期;腹腔镜子宫肌瘤剔除术;中西医结合护理;焦虑;胃肠功能

Effect of integrated traditional Chinese and western medicine nursing on anxiety and recovery of gastrointestinal function of patients undergoing laparoscopic myomectomy in childbearing age

Authors: 1LUO Yihua, 1ZHANG Guiqing, 1DENG Shangli, 1YANG Shuangji, 1SHAN Zhaoxia, 1WANG Lian, 1WANG Yu
1 Department of Obstetrics and Gynecology, Dazhou Hospital of Integrated Traditional Chinese and Western Medicine, Dazhou Sichuan 635000, China

CorrespondingAuthor: LUO Yihua Email: 287534165@qq.com

DOI: 10.3978/j.issn.2095-6959.2022.02.025

Foundation: This work was supported by the Youth Traditional Chinese Medicine Research of Sichuan Administration of Traditional Chinese Medicine, China (2018QN052).

Abstract

Objective: To observe the effect of integrated traditional Chinese and western medicine nursing on patients undergoing laparoscopic myomectomy in childbearing age and the effect on anxiety and gastrointestinal function recovery. Methods: A total of 90 patients underwent hysteromyomectomy in Dazhou Hospital of Integrated Traditional Chinese and Western Medicine from March 2020 to March 2021 were selected. They were randomly divided into an observation group and a control group, with 45 cases in each group. The control group was given routine nursing, and the observation group was given integrated traditional Chinese and western medicine nursing. All patients continued nursing until discharge. The perioperative conditions, the changes of Self-rating Anxiety Scale (SAS) scores before and 3 d after nursing, the changes of Visual Analogue Scale (VAS) scores at 6, 24 and 48 h after surgery, and the nursing satisfaction were compared between the 2 groups. Results: Compared with the control group, the anal exhaust time, bowel sound recovery time, feeding time, defecation time and hospital stay in the observation group were significantly shorter (P<0.05); the SAS score in the observation group was significantly lower than that of the control group at 3 d after nursing (P<0.05); at 6, 24 and 48 h after surgery, the VAS score in the observation group was lower than that of 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 application effect of integrated Chinese and western medicine nursing in patients undergoing laparoscopic myomectomy in childbearing age is remarkable and can effectively relieve anxiety, and promote the recovery of gastrointestinal function in early stage, which is worthy of clinical promotion.
Keywords: uterine fibroid; childbearing age; laparoscopic myomectomy; integrated traditional Chinese and western medicine nursing; anxiety; gastrointestinal function

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