周素群

[摘要]目的 探讨护理干预对异位妊娠腹腔镜手术患者围术期及术后恢复的作用。方法 選取我院2015年4月24日～2016年4月24日收治的异位妊娠腹腔镜手术患者66例，采用单双号分组法分为对照组和观察组，各33例。对照组患者给予常规护理干预，观察组患者在对照组基础上给予围术期护理干预。比较两组患者的手术相关指标、住院时间、护理前后的焦虑状况和睡眠质量。结果 观察组患者手术时间、肛门排气时间、下床活动时间、住院时间均短于对照组，差异有统计学意义（P<0.05）。护理前，两组患者SAS、PSQI评分结果比较，差异均无统计学意义（P>0.05）；护理后观察组SAS、PSQI评分低于对照组，差异有统计学意义（P<0.05）。结论 给予异位妊娠腹腔镜手术患者围术期护理干预，可缩短手术、肛门排气、下床活动以及住院时间，缓解患者的负面情绪，提高护理质量，促进其术后恢复。

[关键词]围术期护理；异位妊娠；腹腔镜手术；术后恢复

[中图分类号] R473.71 [文献标识码] A [文章编号] 1674-4721（2017）08（c）-0191-03

[Abstract]Objective To explore the effect of nursing intervention on the perioperative and postoperative recovery of patients undergoing ectopic pregnancy laparoscopic surgery.Methods Altogether 66 cases of patients who underwent ectopic pregnancy laparoscopic surgery in our hospital from April 24th 2015 to April 24th 2016 were selected and divided into the control group and the observation group，with 33 cases in each group.Patients in the control group were given routine nursing intervention，while patients in the observation group were given perioperative nursing intervention on the basis of the control group.The operation index，length of hospital stay，the anxiety and quaity of sleep before and after nursing were compared two groups.Results The operation time，anal exhaust time，ambulation time and length of hospital stay in the obaervation group were shorter than those in the control group，and the differences were statistically significant （P<0.05）.Before nursing，there were no significant differences among the scores of SAS and PSQI in two groups （P>0.05）；after nursing，the scores SAS and PSQI in the observation group were lower than those in the control group，and the differences were statistically significant （P<0.05）.Conclusion Application of perioperative nursing intervention in patients with ectopic pregnancy undergoing laparoscopic surgery can shorten the operation time，anal exhaust time，ambulation time and length of hospital stay，relieve patients′negative emotion，improve nursing quality and promote postoperative recovery.

[Key words]Perioperative care；Ectopic pregnancy；Laparoscopic surgery；Postoperative recovery

目前为止，在社会经济高速发展的情况下，妇科疾病的发病率也在不断提高，其中异位妊娠的高发生率对妇女生活质量以及身体健康均存在极大的影响[1]。异位妊娠在妇科中，属于较为严重的急腹症，需要及时就诊。临床常对患者进行腹腔镜手术，手术效果良好，但术后患者不可避免会产生焦虑、失眠等症状，不利于术后恢复[2]。因此，应在腹腔镜手术围术期进行护理干预，以有效缓解患者的心理障碍，改善其睡眠质量[3]。本研究主要分析护理干预对异位妊娠腹腔镜手术患者围术期及术后恢复的作用，现报道如下。

1资料与方法

1.1一般资料

选取2015年4月24日～2016年4月24日我院收治的异位妊娠腹腔镜手术患者66例，根据单双号分组法，将患者分为对照组和观察组，各33例。……