张宿迪 李早红

[摘要] 目的 探討和分析手术室护士对子宫肌瘤患者实施围术期舒适护理的方法和效果。 方法 方便选取2017年1—12月收治的214例子宫肌瘤切除术（剔除术）患者，用抽签法随机分为对照组和观察组，对照组患者采用一般护理，观察组患者在常规护理基础上实施围手术期舒适护理方法，比较两组患者心率、血压差异和舒适度、对治疗满意度的差异。结果 观察组患者心率（75±3）次/min，收缩压（116.7±4.7）mmHg，舒张压（80.6±4.9）mmHg，对照组心率（82±4）次/min，收缩压（126.9±5.8）mmHg，舒张压（87.6±5.3）mmHg，观察组心率低于对照组（t=14.48，P<0.05），收缩压低于对照组（t=14.13，P<0.05），舒张压低于对照组（t=110.03，P<0.05）。舒适度6个指标的评分均低于对照组；满意率96.26%高于对照组85.98%，差异有统计学意义（χ2=6.99，P<0.05）。结论 围术期手术室护士对子宫肌瘤患者实施舒适护理是十分必要的，可以增加患者和对医疗护理行为的满意度，减少术后不良反应，促进医患关系，值得在临床上广泛使用。

[关键词] 子宫肌瘤；舒适护理；手术室；围手术期

[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2018）08（b）-0126-03

Application of Operating Room Nurses in Perioperative Comfort Nursing for Patients with Uterine Fibroids

ZHANG Su-di， LI Zao-hong

Department of Obstetrics and Gynecology， Xiamen Maternal and Child Health Hospital， Xiamen， Fujian Province， 361000 China

[Abstract] Objective To explore and analyze the methods and effects of perioperative comfort nursing for patients with uterine fibroids in operating room nurses. Methods A total of 214 patients with uterine fibroids who had been treated from January 2017 to December 2017 were convenient selected and randomly divided into a control group and an observation group. The patients in the control group received general care， and the patients in the observation group received routine care. Based on the implementation of perioperative comfort nursing methods， the differences in heart rate， blood pressure difference and comfort， and satisfaction with treatment were compared between the two groups. Results The heart rate of the observation group was（75±3） times/min， systolic blood pressure （116.7±4.7） mmHg， diastolic blood pressure （80.6±4.9） mmHg， heart rate of contrast group （82±4）times/min， and systolic blood pressure （126.9±5.8）mmHg， diastolic blood pressure （87.6±5.3） mmHg， heart rate of the observation group was lower than that of the control group （t=14.48， P<0.05）， systolic blood pressure was lower than the control group （t=14.13， P<0.05）， diastolic blood pressure was lower than the control group （t=110.03， P<0.05）. The scores of the six indicators of comfort were lower than those of the control group； the satisfaction rate of 96.26% was higher than the control group of 85.98%， and the difference was statistically significant（χ2=6.99， P<0.05）. Conclusion It is very necessary for perioperative nursing nurses to provide comfortable care for patients with uterine fibroids. It can increase patients' satisfaction with medical care behaviors， reduce postoperative adverse reactions， and promote the relationship between doctors and patients. It is worthy of extensive clinical use.

[Key words] Uterine fibroids； Comfort care； Operating room； Perioperative period

子宫肌瘤就是指子宫平滑肌细胞增生而形成的肿瘤，好发于育龄妇女，是较常见的良性肿瘤。子宫肌瘤多表现为子宫异常出血，时间不规律，且没有周期可循，可能会导致患者出现贫血的症状。子宫肌瘤目前大多数采用子宫肌瘤切除术和子宫切除术进行治疗[1]。虽然子宫肌瘤是良性肿瘤，但仍会使患者产生疾病预后和对手术过程的忧虑，出现较大的生理和心理负担[2]。因此，在手术过程中对患者实行舒适护理是极其必要的。该研究通过对比2017年1—12月收治的214例子宫肌瘤手术患者的舒适护理与一般护理的效果，分析舒适护理在围术期施行的必要性及手术室护士在舒适护理中的重要作用，现报道如下。

1 资料与方法

1.1 一般资料

方便选择在该院进行子宫肌瘤切除术的患者共计214例，用抽签法随机分为两组，观察组接受手术室护士在围术期的舒适护理，对照组采用一般护理手段。……