妇儿健康导刊2024,Vol.3Issue(7) :158-161.

基于快速康复外科理念的激励式护理在腹腔镜全子宫切除术患者术后康复中的应用效果

Application effect of motivational nursing based on the concept of rapid recovery surgery in postoperative rehabilitation of patients with laparoscopic total hysterectomy

宋海平 李玲 陈桥英
妇儿健康导刊2024,Vol.3Issue(7) :158-161.

基于快速康复外科理念的激励式护理在腹腔镜全子宫切除术患者术后康复中的应用效果

Application effect of motivational nursing based on the concept of rapid recovery surgery in postoperative rehabilitation of patients with laparoscopic total hysterectomy

宋海平 1李玲 1陈桥英1
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作者信息

  • 1. 广东省肇庆市第二人民医院妇科,广东肇庆 526060
  • 折叠

摘要

目的 探讨基于快速康复外科理念的激励式护理在腹腔镜全子宫切除术患者术后康复中的应用效果.方法 选取 2020 年 7 月至 2023 年 7 月于肇庆市第二人民医院行腹腔镜全子宫切除术的 70 例患者作为研究对象,采用随机数字表法分为对照组(n=35)和试验组(n=35).对照组接受常规护理干预,试验组在对照组基础上接受基于快速康复外科理念的激励式护理干预,比较两组自我效能感、心理状态、术后恢复情况和术后并发症发生情况.结果 干预后,试验组自我效能感量表评分高于对照组,焦虑自评量表、抑郁自评量表评分均低于对照组(P<0.05).试验组术后肠鸣音恢复、肛门排气、排便、下床活动和住院时间均短于对照组(P<0.05).试验组术后并发症总发生率为 5.71%,低于对照组的 22.86%(P<0.05).结论 基于快速康复外科理念的激励式护理在腹腔镜全子宫切除术患者术后康复中的应用效果较好,可改善患者自我效能感和心理状态,促进患者术后康复,减少术后并发症.

Abstract

Objective To explore the application effect of motivational nursing based on the concept of rapid recovery surgery in postoperative rehabilitation of patients with laparoscopic total hysterectomy.Methods A total of 70 patients undergoing laparoscopic total hysterectomy in Zhaoqing Second People's Hospital from July 2020 to July 2023 were selected as the study objects.All the patients were divided into the control group(n=35)and the experimental group(n=35)according to the random number table method.The control group received routine nursing intervention,and the experimental group received the motivational nursing intervention based on the concept of rapid recovery surgery on the basis of the control group.The self-efficacy,mental state,postoperative recovery and the incidence of postoperative complications of the two groups were compared.Results After intervention,the score of general self-efficacy scale in the experimental group was higher than that in the control group,the scores of self-rating anxiety scale and self-rating depression scale in the experimental group were lower than those in the control group(P<0.05).The time of postoperative bowel sound recovery,exhaust,defecation,getting out of bed and hospitalization in the experimental group was shorter than that in the control group(P<0.05).The total incidence of postoperative complications in the experimental group was 5.71%,which was lower than 22.86%in the control group(P<0.05).Conclusion The application effect of motivational nursing based on the concept of rapid recovery surgery in postoperative rehabilitation of patients with laparoscopic total hysterectomy is better,which can improve the self-efficacy and mental state of patients,promote postoperative recovery and reduce postoperative complications.

关键词

快速康复外科理念/激励式护理/腹腔镜全子宫切除术

Key words

The concept of rapid recovery surgery/Motivational nursing/Laparoscopic total hysterectomy

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出版年

2024
妇儿健康导刊
婚姻与家庭杂志社

妇儿健康导刊

ISSN:2097-115X
参考文献量16
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