全程护理干预在宫外孕患者中的应用效果观察

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目的观察全程护理干预模式对宫外孕患者围手术期心理状况的影响。方法选择2014年3月—2015年3月收治的宫外孕患者72例作为研究对象,患者均经手术治疗,随机分为对照组和观察组各36例。对照组采取常规护理方法,观察组于对照组基础上采取全程护理干预。比较两组患者围手术期不同时刻焦虑自评量表(self-rating anxiety scale,SAS)及抑郁自评量表(self-rating depression scale,SDS)评分,住院时间及满意度评分。计量资料采用t检验,P<0.05为差异有统计学意义。结果麻醉前、术后1 d、出院时观察组SAS评分分别为(46.3±8.5)、(44.2±8.4)、(36.8±7.6)分,均显著低于对照组的(57.8±9.6)、(58.6±10.1)、(45.6±8.2)分,差异均有统计学意义(均P<0.05)。麻醉前、术后1 d、出院时观察组SDS评分分别为(49.6±8.9)、(46.3±8.8)、(41.7±7.8)分,均显著低于对照组的(57.6±8.3)、(56.2±8.6)、(54.2±7.3)分,差异均有统计学意义(均P<0.05)。观察组住院时间及满意度评分分别为(7.9±1.3)d、(9.1±0.5)分,均显著优于对照组的(12.5±1.5)d、(7.6±0.9)分,差异均有统计学意义(均P<0.05)。结论全程护理干预模式应用于宫外孕患者围手术期心理状态干预效果佳,患者满意度评分显著更优,具有重要临床价值。 Objective To observe the effect of full nursing intervention on perioperative psychological status in patients with ectopic pregnancy. Methods Seventy-two patients with ectopic pregnancy who were treated from March 2014 to March 2015 were enrolled in this study. All patients were treated by surgery and were randomly divided into control group and observation group of 36 cases. The control group to take conventional nursing methods, the observation group on the basis of the control group to take full care intervention. The self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores, hospitalization duration and satisfaction score were compared between the two groups. Measurement data using t test, P <0.05 for the difference was statistically significant. Results Before and 1 day after operation, the SAS scores of the observation group were (46.3 ± 8.5), (44.2 ± 8.4) and (36.8 ± 7.6) points, respectively, which were significantly lower than those in the control group (57.8 ± 9.6) and ( 58.6 ± 10.1), (45.6 ± 8.2) points, the differences were statistically significant (all P <0.05). The scores of SDS in the observation group before and after discharge were (49.6 ± 8.9), (46.3 ± 8.8) and (41.7 ± 7.8) days before anesthesia and were significantly lower than those in the control group (57.6 ± 8.3 and 56.2 ± 8.6), (54.2 ± 7.3) points, the differences were statistically significant (P <0.05). The scores of hospital stay and satisfaction in the observation group were (7.9 ± 1.3) d and (9.1 ± 0.5), respectively, which were significantly better than those in the control group (12.5 ± 1.5 and 7.6 ± 0.9), respectively Significance (all P <0.05). Conclusion The application of full nursing intervention in ectopic pregnancy patients with perioperative mental state intervention effect is good, patient satisfaction score was significantly better, and has important clinical value.
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