围手术期综合护理对卵巢子宫内膜异位症腹腔镜手术患者的影响

IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE
Li-Fei Dong, Wei Liu, Li-Yuan Shi, Xiao-Han Liu, Hua-Ping He, Jiao-Jiao Du
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引用次数: 0

摘要

目的评估围手术期护理干预对改善卵巢子宫内膜异位症腹腔镜手术患者预后和满意度的效果:2021年7月至2022年9月,80例子宫内膜异位症患者在石家庄市第四医院接受腹腔镜手术,随机分为常规组(40例)和实验组(40例)。在围手术期,常规组患者接受标准护理干预,实验组患者接受综合护理干预。两组患者在术后临床指标、自评焦虑量表(SAS)和自评抑郁量表(SDS)评分、护理依从性、并发症和护理满意度等方面进行了比较。结果:综合护理与常规护理相比,术后临床指标(下床时间、住院时间)更佳(P均<0.001)。综合护理的 SAS 和 SDS 评分明显低于常规护理。实验组患者的护理依从性明显高于常规组患者(P < .001)。综合护理的并发症发生率明显低于常规护理(P < .001)。综合护理与常规护理相比,护理满意度明显更高(P < .001):对接受腹腔镜手术的卵巢子宫内膜异位症患者进行围手术期综合护理干预,可大大加快患者的康复速度,提高护理依从性,减少患者的负面情绪,提高患者对护理工作的满意度。 这种综合方法能满足患者在恢复期的特殊需求,最大限度地减少术后并发症,加快患者康复,提高整体生活质量。通过整合心理支持、量身定制的疼痛管理策略、早期动员以及对并发症的及时干预,该干预方法为妇科手术中的整体护理树立了标杆。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Effect of Perioperative Comprehensive Nursing on Patients Undergoing Ovary Endometriosis Laparoscopic Surgery.

Objective: To assess the effectiveness of perioperative nursing interventions in improving outcomes and satisfaction for patients undergoing laparoscopic surgery for ovarian endometriosis.

Methods: From July 2021 to September 2022, 80 patients with endometriosis underwent laparoscopic surgery at Shijiazhuang Fourth Hospital and were randomly assigned to the conventional (n=40) and experimental (n=40) groups. During the perioperative period, patients in the conventional group received standard nursing interventions, while patients in the experimental group received comprehensive nursing interventions. The two groups were compared in terms of postoperative clinical indicators, self-rated anxiety scale (SAS) and self-rated depression scale (SDS) scores, nursing compliance, complications, and nursing satisfaction.

Results: comprehensive nursing resulted in better postoperative clinical indices (time to get out of bed, hospital stay) versus routine nursing (all P < .001). The comprehensive nursing led to significantly lower SAS and SDS scores versus routine nursing. The nursing compliance of the patients in the experimental group was significantly higher than that of the patients in the conventional group (P < .001). Comprehensive nursing was associated with a significantly lower incidence of complications versus routine nursing (P < .001). Comprehensive nursing contributed to significantly higher nursing satisfaction versus routine nursing (P < .001).

Conclusion: Comprehensive perioperative nursing interventions for patients with ovarian endometriosis undergoing laparoscopic surgery considerably accelerate patient recovery and enhance nursing compliance, as well as minimize patient negative emotions and improve patient satisfaction with nursing.  The comprehensive approach addresses the specific needs of patients during the recovery period, minimizing postoperative complications, accelerating patient recovery, and improving overall quality of life. By integrating psychological support, tailored strategies for pain management, early mobilization, and prompt intervention for complications, this intervention sets a benchmark for holistic care in gynecological surgery.

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来源期刊
Alternative therapies in health and medicine
Alternative therapies in health and medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
0.90
自引率
0.00%
发文量
219
期刊介绍: Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field. Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.
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