薛涵　薛水兰　程丽霞

【摘要】 目的：对比舒适护理和传统护理在腹腔镜子宫肌瘤剔除术中的效果。方法：选取笔者所在医院2013年11月-2016年11月收治的子宫肌瘤剔除术患者78例，按照随机偶数奇数法分为对照组（39例，行传统护理）和试验组（39例，行舒适护理），对两组焦虑、抑郁情绪、环境维度、心理精神维度、社会文化维度、生理维度、总分等舒适度评分进行比较。结果：护理前两组焦虑、抑郁评分比较，差异无统计学意义（P>0.05），护理后试验组低于对照组，差异有统计学意义（P<0.05）；试验组环境维度、心理精神维度、社会文化维度、生理维度、总分等舒适度评分均高于对照组，差异均有统计学意义（P<0.05）。结论：舒适护理对腹腔镜子宫肌瘤剔除术的护理效果优于传统护理，其可显著提升患者舒适度，改善其不良心理，值得临床借鉴和积极推广。

【关键词】 腹腔镜； 子宫肌瘤剔除术； 传统护理； 舒适护理

doi：10.14033/j.cnki.cfmr.2017.31.041 文献标识码 B 文章编号 1674-6805（2017）31-0082-03

【Abstract】 Objective：To compare the effect of comfortable nursing and traditional nursing in laparoscopic myomectomy.Method：78 patients with uterine fibroids in the authors hospital from November 2013 to November 2016 were randomly divided into control group（39 cases，treated by traditional nursing） and experimental group（39 cases，received comfort nursing of the two groups）.Anxiety，depression，psychological dimension，environment dimension，social cultural dimension，physiological dimension，total comfort scores were compared.Result：There were no statistically significant differences of anxiety and depression scores between two groups before treatment（P>0.05）.After nursing，the experimental group was lower than the control group，the difference was statistically significant（P<0.05）.Psychological dimension，environment dimension，social dimension，cultural dimension，comfort score and other physiological scores of experimental group were higher than the control group，the differences were statistically significant（P<0.05）.Conclusion：The effect of comfortable nursing on laparoscopic myomectomy is superior to traditional nursing.It can significantly improve the comfort of patients and improve their unhealthy psychology，which is worthy of clinical reference and promotion.

【Key words 】 Laparoscopy； Myomectomy； Traditional nursing； Comfortable nursing

First-authors address：The 95 Hospital of PLA，Putian 351100，China

子宮肌瘤在临床中又称为子宫平滑肌，其发病率高达20%～30%，其主要指的是女性生殖器官出现的良性肿瘤类型。患者并无特异性临床症状，多以腹部触及肿物、压迫和阴道出血为主，若出现蒂扭转的情况，会导致剧烈疼痛。临床对子宫肌瘤剔除了诸多治疗方法，其中应用最多的是性激素治疗、手术治疗等。近年来医学科技的不断发展与完善，腹腔镜下子宫肌瘤剔除术已经在临床中得到广泛应用，其显著性优势为微创、痛苦小、术后恢复快、并发症发生率低、可有效保留子宫完整性等[1]。但大量临床实践证实[2]，大多数实施 腹腔镜子宫肌瘤剔除术的患者，都存在较严重的恐惧压抑心理。因此，需要积极开展临床护理干预，以确保手术顺利实施，提高生活质量和预后。本文选取我院收治的子宫肌瘤剔除术患者78例作为进行分组研究，现对护理效果作以下报道。