Predictive nursing care in perioperative nursing care of gynecological hysteroscopic and laparoscopic surgery

国际医药卫生导报 Pub Date : 2017-01-01 DOI:10.3760/CMA.J.ISSN.1007-1245.2017.01.049

Liu Anle

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Abstract

Objective To explore the application effect of predictive nursing care in perioperative nursing care of gynecological hysteroscopic and laparoscopic surgery. Methods 186 patients treated by gynecological hysteroscopic and laparoscopic surgery at our hospital were selected as study objects and were randomly divided into a control group and a study group, 93 cases for each group. The control group were given routine nursing intervention during perioperative period and the study group predictive nursing care. The clinical nursing effects of the two groups were compared and analyzed. Results There were no statistical difference in operation time, anesthesia time, and bleeding volume between these two groups (P>0.05). The anal exhaust time, time for off-bed activity, and hospital saty was evidently shorter in the study group than in the control group, with statistical differences (P<0.05). The incidence of perioperative complications was 3.23% in the study group and 10.75% in the control group, with a statistical difference (P<0.05). The nursing satisfaction degree was 95.69% in the study group and was 69.89% in the control group, with a statistical difference (P<0.05). Conclusion Applying perioperative nursing intervention in patients undertaking gynecological hysteroscopic and laparoscopic surgery can effectively control the postoperative complications, improve the postoperative recovery effect, shorten the hospital stay and improve the relationship between doctors and patients, so it is worth being clinically generalized. Key words: Predictive nursing care; Gynecology; Hysteroscope and laparoscope; Perioperative period

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预见性护理在妇科宫腔镜手术围手术期护理中的应用

目的探讨预见性护理在妇科宫腔镜手术围手术期护理中的应用效果。方法选取我院妇科宫腔镜腹腔镜手术患者186例作为研究对象，随机分为对照组和研究组，每组93例。对照组给予围手术期常规护理干预，研究组给予预测性护理。比较分析两组患者的临床护理效果。结果两组手术时间、麻醉时间、出血量比较，差异均无统计学意义(P < 0.05)。研究组肛门排气时间、下床活动时间、住院时间均明显短于对照组，差异有统计学意义(P<0.05)。研究组围手术期并发症发生率为3.23%，对照组为10.75%，差异有统计学意义(P<0.05)。研究组护理满意度为95.69%，对照组为69.89%，差异有统计学意义(P<0.05)。结论对妇科宫腔镜、腹腔镜手术患者实施围手术期护理干预，可有效控制术后并发症，提高术后恢复效果，缩短住院时间，改善医患关系，值得临床推广。关键词:预见性护理;妇科;宫腔镜、腹腔镜;围手术期处理

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国际医药卫生导报

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