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目的研究对于输卵管异位妊娠腹腔镜手术治疗过程中实施循证护理干预措施的应用效果。方法将该院于2014年3月—2015年3月间收治的28例输卵管异位妊娠患者,划分为常规组,为其提供一般围手术期护理服务措施,于2015年4月—2016年4月收治的28例患者,划分为干预组,运用循证护理服务措施,观察两组患者术后出现并发症情况,了解患者干预前后心理焦虑表现,总结患者对于护理服务满意度评价及术后胃肠道功能恢复、离床活动及住院时间等。结果常规组患者出现术后并发症表现为42.86%,干预组发生率为10.71%,干预组发生率较低(P<0.05)。常规组患者术后肠道蠕动恢复、离床、住院时间等用时均多于干预组(P<0.05)。常规组患者对于临床护理服务满意度为67.86%,干预组满意度为96.43%,干预组满意度较高(P<0.05)。两组患者干预前焦虑评分结果差异无统计学意义(P>0.05);经护理干预后,常规组焦虑评分高于干预组(P<0.05)。结论对于腹腔镜治疗异位妊娠的患者提供循证护理服务,大部分患者术后并发症出现较少,且患者主诉对于护理服务表示满意,干预后心理焦虑情绪得到有效改善,患者术后胃肠道蠕动、离床及住院用时均较短。
Objective To study the application of evidence-based nursing interventions in the treatment of tubal ectopic pregnancy during laparoscopic surgery. Methods 28 patients with tubal ectopic pregnancy who were treated in our hospital from March 2014 to March 2015 were divided into routine group to provide general perioperative nursing service. From April 2015 to April 2016, The 28 patients treated in a month were divided into intervention group, the use of evidence-based care services, the incidence of postoperative complications in both groups were observed to understand the performance of patients before and after psychological anxiety, summing up the patient satisfaction for nursing services and postoperative stomach Intestinal function recovery, bed activities and hospitalization time. Results The incidence of postoperative complications was 42.86% in the conventional group, 10.71% in the intervention group and lower in the intervention group (P <0.05). Conventional group patients with intestinal peristalsis recovery, out of bed, hospitalization time were more than the intervention group (P <0.05). The satisfaction rate of routine nursing service to clinical nursing service was 67.86%, satisfaction rate of intervention group was 96.43%, satisfaction rate of intervention group was higher (P <0.05). There was no significant difference in anxiety score between the two groups before intervention (P> 0.05). After nursing intervention, anxiety score of routine group was higher than that of intervention group (P <0.05). Conclusion Evidence-based nursing service is provided for patients undergoing laparoscopic treatment of ectopic pregnancy. Most patients have fewer postoperative complications, and the patients’ complaints are satisfied with the nursing service. After the intervention, the psychological anxiety is effectively improved. The postoperative gastrointestinal Road peristalsis, out of bed and hospitalization are shorter.