首页|"互联网+"术前访视在择期妇科手术患者围手术期中的应用

"互联网+"术前访视在择期妇科手术患者围手术期中的应用

扫码查看
目的 探讨基于"互联网+"的术前访视在择期妇科手术患者围手术期中的应用效果,以期为择期妇科手术患者护理干预提供参考.方法 选取2022年1-3月广东省佛山市顺德区第五人民医院收治的300例择期行手术治疗的妇科患者作为研究对象,采用随机数字表法分为研究组和对照组,每组150例.对照组患者采用常规术前访视干预,研究组患者在对照组基础上采用"互联网+"术前访视干预.比较2组患者围手术期指标、心理状态、术后疼痛程度、自我护理能力、自我效能感水平及护理依从性等.结果 2组患者干预前汉密尔顿焦虑量表(HAMA)评分比较,差异无统计学意义(P>0.05);2组患者干预后HAMA评分均低于干预前,且研究组低于对照组,差异均有统计学意义(P<0.05).研究组患者第1次排气时间、住院时间均短于对照组,术后VAS评分低于对照组,匹兹堡睡眠质量指数(PSQI)评分低于对照组,差异均有统计学意义(P<0.05).2组患者干预前自我护理能力量表(ESCA)及一般自我效能感量表(GSES)评分比较,差异均无统计学意义(P>0.05);2组患者干预后ESCA及GSES评分均高于干预前,且研究组均高于对照组,差异均有统计学意义(P<0.05).研究组患者的护理依从率为92.67%(139/150),高于对照组的82.00%(123/150),差异有统计学意义(x2=7.714,P=0.005).研究组患者的护理满意度为96.67%(145/150),高于对照组的90.67%(136/150),差异有统计学意义(x2=4.551,P=0.033).结论 基于"互联网+"的术前访视应用于妇科疾病择期手术患者,有助于改善患者心理状态,提高患者自我护理能力,及时准确掌握疾病术后恢复相关知识,缓解术后疼痛,缩短住院时间,提高睡眠质量,值得在临床上进一步推广应用.
"Internet Plus"preoperative visit in the perioperative period of elective gynecological surgery patients
Objective To explore the application effectiveness of the"Internet Plus"preoperative visit in the perioperative pe-riod of elective gynecological surgery patients,in order to provide evidence for nursing intervention of elective gynecological surgery patients.Methods A total of 300 gynecological patients who underwent elective surgery from January to March 2022 at Foshan,Shunde Fifth People's Hospital were selected as the study participants.They were randomly allocated into a study group and a control group,with 150 cases in each group.The control group received routine preoperative visit inter-vention,while the study group received"Internet Plus"preoperative visit intervention based on the control group.The peri-operative indicators,psychological status,postoperative pain level,self-care ability,self-efficacy level,and nursing compli-ance of the two groups were compared.Results No significant difference was found in the Hamilton Anxiety Scale(HAMA)scores before intervention between the two groups(P>0.05).After intervention,the HAMA scores of both groups were lower than before intervention,and the study group was lower than the control group,with significant differences(P<0.05).The study group had shorter time to first flatus and length of hospital stay,lower postoperative Visual Analog Scale(VAS)scores,and lower Pittsburgh Sleep Quality Index(PSQI)scores than the control group,with significant differences(P<0.05).There was no signifi-cant difference in the self-care ability scale(ESCA)and general self-efficacy scale(GSES)scores before intervention between the two groups(P>0.05).After intervention,the ESCA and GSES scores of both groups were significantly higher than before interven-tion,and the study group was significantly higher than the control group(P<0.05).The nursing compliance rate of the study group was significantly higher than the control group[92.67%(139/150)vs.82.00%(123/150);x2=7.714,P=0.005].The degree of satisfaction with nursing of the study group was 96.67%(145/150),which was significantly higher than the control group's 90.67%(136/150;x2=4.551,P=0.033).Conclusion The application of"Internet Plus"preoperative visits in elective gynecological surgery patients can help promote patients'psychological status,enhance their self-care ability,timely and accurately grasp postoperative recovery-related knowledge,alleviate postoperative pain,shorten the length of hospital stay,and raise sleep quality,holding promise for a wider application clinically.

Internet PlusPreoperative visitGynecological surgeryElective surgeryPerioperative periodSelf-care abili-tySleep quality

张碧、区敏玲、刘彩颜、邓燕嫦、廖玉婷、张文

展开 >

广东省佛山市顺德区第五人民医院/佛山市顺德区龙江医院麻醉科手术室,广东佛山 528318

互联网+ 术前访视 妇科手术 择期手术 围手术期 自我护理能力 睡眠质量

广东省佛山市卫生健康局医学科研项目

20220173

2024

保健医学研究与实践
西南大学

保健医学研究与实践

CSTPCD
影响因子:0.512
ISSN:1673-873X
年,卷(期):2024.21(2)
  • 29