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目的探究行宫颈环状电切术(LEEP)治疗的宫颈上皮内肿瘤患者引入循证护理干预对其负性情感状况及手术情况的影响。方法选取84例行LEEP治疗的宫颈上皮内肿瘤患者,随机分为研究组和对照组,每组各42例。对照组开展常规护理,研究组则在对照组基础上引入循证护理模式。2组患者在入院时、术前1 d及术后1 d均接受焦虑自评量表(SAS)、抑郁自评量表(SDS)测评,记录2组患者手术时间、术后出血量及创面愈合时间,并比较2组患者的护理满意度情况。结果 2组患者入院时的SAS和SDS评分差异无统计学意义(P均>0.05);术前1 d及术后1 d,研究组患者的SAS和SDS评分均显著低于对照组(P均<0.05)。研究组患者的手术时间短于对照组,术中出血量少于对照组,创面愈合时间短于对照组,差异均有统计学意义(P均<0.05)。研究组护理满意度为98%(41/42),对照组为81%(34/42),2组比较差异有统计学意义(P<0.05)。结论循证护理模式应用于行LEEP治疗的宫颈上皮内肿瘤患者,能有效改善患者的焦虑、抑郁情绪,且能促进手术成功率,值得在临床上进一步推广。
Objective To investigate the effect of the introduction of evidence-based nursing intervention on the negative emotional status and surgical condition in cervical intraepithelial neoplasia patients undergoing cervical ring electrotomy (LEEP). Methods Eighty-four patients with cervical intraepithelial neoplasia treated with LEEP were randomly divided into study group and control group, with 42 cases in each group. Control group to carry out routine care, the study group is based on the introduction of control group evidence-based care model. On the first day before operation and on the first day after operation, both groups were evaluated by SAS and SDS, and the operation time, postoperative blood loss and wound volume were recorded in both groups Healing time, and compared the two groups of patients’ satisfaction with nursing care. Results There was no significant difference in SAS and SDS scores between the two groups (P> 0.05). SAS and SDS scores of the study group were significantly lower than those of the control group on the first day and one day after surgery <0.05). The operation time of the study group was shorter than that of the control group, the amount of bleeding during the operation was less than that of the control group, and the wound healing time was shorter than that of the control group (all P <0.05). The nursing satisfaction of the study group was 98% (41/42), while that of the control group was 81% (34/42). The difference between the two groups was statistically significant (P <0.05). Conclusion Evidence-based nursing model applied to patients with cervical intraepithelial neoplasia treated with LEEP can effectively improve patients’ anxiety and depression, and can promote the success rate of surgery. It is worth further promotion in clinic.