论文部分内容阅读
目的探讨围术期护理干预对妇科肿瘤患者术后下肢静脉血栓和心理状况的影响。方法选取2012年1月至2016年6月间成都市第七人民医院收治的63例妇科肿瘤患者,采用随机数字表法分为研究组和对照组,研究组32例,对照组31例。研究组患者在常规护理基础上给予围术期护理,对照组患者采用常规护理。采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评价两组患者术前术后焦虑和抑郁情绪,记录患者术后下肢疼痛、肿胀和浅静脉曲张发生及采用B超测定是否出现栓子,采用生活质量量表对两组患者术后生活质量进行评价。结果手术前,两组患者焦虑、抑郁评分比较差异无统计学意义(P>0.05),手术后,研究组患者焦虑和抑郁情绪评分为(40.66±3.49)分和(40.74±3.48)分,显著低于对照组的(46.33±4.02)分和(45.93±4.03)分,差异均有统计学意义(均P<0.05)。护理干预前,两组患者生活质量比较差异无统计学意义(P>0.05),干预后,研究组患者生活质量评分较对照组高,差异有统计学意义(P<0.05)。对照组患者出现疼痛、肿胀、浅静脉曲张和B超测定出栓子,均高于研究组患者,差异有统计学意义(P<0.05)。结论围术期护理干预可以显著降低妇科肿瘤患者术后静脉血栓发生率,改善其心理状况,提高生活质量,值得临床推广。
Objective To investigate the effect of perioperative nursing intervention on postoperative venous thrombosis and psychological status of patients with gynecologic cancer. Methods Sixty-three cases of gynecologic oncology patients admitted to the Seventh People’s Hospital of Chengdu from January 2012 to June 2016 were divided into study group and control group by random number table. There were 32 cases in study group and 31 cases in control group. Patients in the study group were given perioperative nursing care based on routine nursing care while patients in the control group were treated with routine nursing care. Anxiety and depression were evaluated using anxiety self-rating scale (SAS) and depression self-rating scale (SDS). Postoperative pain, swelling and superficial varicosis of the lower extremities were recorded. Emboli, using quality of life scale after the two groups of patients to evaluate the quality of life. Results Before operation, there was no significant difference between the two groups in anxiety and depression scores (P> 0.05). After the operation, the anxiety and depression scores of the study group were (40.66 ± 3.49) points and (40.74 ± 3.48) points, respectively (46.33 ± 4.02) and (45.93 ± 4.03) points lower than the control group, the difference was statistically significant (all P <0.05). Before intervention, there was no significant difference in quality of life between the two groups (P> 0.05). After intervention, the quality of life of the study group was higher than that of the control group (P <0.05). Patients in the control group had pain, swelling, superficial varicose veins and emboli detected by B ultrasound, which were significantly higher than those in the study group (P <0.05). Conclusion Perioperative nursing intervention can significantly reduce the incidence of postoperative venous thrombosis in gynecologic oncology patients, improve their psychological status and improve their quality of life, which deserves clinical promotion.