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目的研究临床护理路径模式干预在子宫肌瘤剔除术患者围手术期中的临床应用价值。方法选取2016年1月—2017年4月收治的子宫肌瘤剔除术患者168例,随机分为干预组和对照组各84例。所有患者均行子宫肌瘤剔除术,对照组接受常规护理,干预组接受临床护理路径模式,比较两组临床护理效果及并发症发生率。计量资料采用t检验,计数资料采用χ~2检验,P<0.05为差异有统计学意义。结果干预组抑郁程度、护理满意度、情感职能、生活质量、疾病认识评分[(43.6±8.2)、(90.9±4.1)、(67.9±9.8)、(71.7±14.6)、(75.7±10.2)分]均优于对照组[(65.3±12.4)、(71.3±7.2)、(52.3±6.9)、(61.2±10.2)、(42.6±7.3)分](均P<0.05);干预组围术期并发症发生率(4.8%)低于对照组(11.9%)(P<0.05);干预组术中出血量、住院时间、初次下床时间、手术时间、首次排气时间和术后体温正常时间[(28.7±5.5)ml、(6.5±2.2)d、(5.2±1.6)d、(91.5±7.1)min、(17.8±4.8)h、(22.8±3.8)h]均优于对照组[(34.2±5.7)ml、(11.7±3.7)d、(8.2±1.8)d、(101.7±8.7)min、(34.2±5.7)h、(34.6±7.8)h](均P<0.05)。结论对子宫肌瘤剔除术围手术期患者实行临床护理路径模式干预,可以减轻患者术前焦虑情绪,缩短患者恢复时间,增加护理满意度,减少并发症发生率,促进康复。
Objective To study the clinical value of clinical nursing intervention in the perioperative period of myomectomy patients. Methods 168 cases of myomectomy patients who were admitted from January 2016 to April 2017 were randomly divided into intervention group and control group, 84 cases each. All patients underwent myomectomy, the control group received routine care, and the intervention group received the clinical nursing path pattern. The clinical nursing effects and complication rates were compared between the two groups. Measurement data using t test, count data using χ ~ 2 test, P <0.05 for the difference was statistically significant. Results The scores of depression, nursing satisfaction, emotional function, quality of life and disease awareness scores in the intervention group were significantly lower than those in the intervention group [(43.6 ± 8.2), (90.9 ± 4.1), (67.9 ± 9.8), (71.7 ± 14.6) and (75.7 ± 10.2) ] Were significantly higher than those in the control group [(65.3 ± 12.4), (71.3 ± 7.2), (52.3 ± 6.9), (61.2 ± 10.2), (42.6 ± 7.3) The incidence of complications (4.8%) was lower than that of the control group (11.9%) (P <0.05). The intraoperative blood loss, hospitalization time, initial bed time, operation time, [(28.7 ± 5.5) ml, (6.5 ± 2.2) d, (5.2 ± 1.6) d, (91.5 ± 7.1) min, (17.8 ± 4.8) h, (22.8 ± 3.8) h] 34.2 ± 5.7) ml, (11.7 ± 3.7) d, (8.2 ± 1.8) d, (101.7 ± 8.7) min, (34.2 ± 5.7) h and (34.6 ± 7.8) h respectively (all P <0.05). Conclusion The intervention of clinical nursing intervention for perioperative patients with myomectomy can reduce preoperative anxiety, shorten the recovery time, increase nursing satisfaction, reduce the incidence of complications and promote rehabilitation.