赖江萍

[摘要]目的 研究自主复苏体位干预对妇科腹腔镜患者术后舒适度的影响。方法 选取2018年10月～2019年3月萍乡市人民医院收治的80例妇科腹腔镜手术患者作为研究对象，按照随机数字表法将其分为观察组和对照组，每组各40例。对照组术后予以常规的复苏体位干预，观察组予以自主复苏体位干预。对比两组患者的复苏室滞留时间、下肢血栓形成率、舒适度以及满意度情况。结果 护理干预后，观察组患者的麻醉后监测治疗室（PACU）滞留时间明显短于对照组，差异有统计学意义（P<0.05）;观察者的舒适度评分、满意率均明显高于对照组，下肢血栓发生率低于对照组，差异有统计学意义（P<0.05）。结论 对妇科腹腔镜患者实行自主复苏体位干预能有效缩短患者的麻醉恢复时间，降低下肢血栓发生率，提高患者的舒适度和满意度。

[关键词]自主复苏体位干预;妇科;腹腔镜;舒适度;满意度

[中图分类号] R473.6          [文献标识码] A          [文章编号] 1674-4721（2019）7（a）-0241-03

[Abstract] Objective To study the influence of autonomic resuscitation position intervention on postoperative comfort of gynecological laparoscopic patients. Methods Eighty patients with gynecological laparoscopic patients admitted to Pingxiang People′s Hospital from October 2018 to March 2019 were selected as the study subjects. They were divided into the observation group and control group according to the random number method， 40 cases in each group. The control group was given a routine resuscitation position intervention， and the observation group was given a spontaneous resuscitation position intervention. Resuscitation chamber retention time， lower extremity thrombosis rate， comfort and satisfaction were compared in patients between the two groups. Results After nursing intervention， the retention time of PACU in the observation group was significantly shorter than that in the control group， and the difference was statistically significant （P<0.05）. The comfort score and satisfaction of the observation group were obviously higher than those of the control group， and the incidence of lower limb thrombosis of the observation group was lower than that of the control group， with statistically significant differences （P<0.05）. Conclusion Autonomic resuscitation position intervention in gynecological laparoscopic patients can effectively shorten the recovery time of anesthesia， reduce the incidence of lower limb thrombosis， and improve the comfort and satisfaction of patients.

[Key words] Spontaneous resuscitation postural intervention; Department of gynecology; Laparoscope; Comfort; Satisfaction

婦科腹腔镜手术具有操作简单、创伤小、术后恢复快等优点，在妇科疾病的手术中被广泛应用[1]。妇科腹腔镜手术后会产生颈肩疼痛、肋骨疼痛、腹部疼痛等非切口疼痛，这些疼痛是该手术常见的并发症，一半以上的患者都会出现这些并发症，为患者带来了较大的痛苦，且不利于病情恢复[2-5]。目前临床上通过采用呼吸锻炼、吸氧、鼓励患者下床活动等方式来缓解患者的非切口疼痛[6]。采用哪种体位干预能有效缓解患者的非切口疼痛成为临床护理的关注重点[7]。有研究表明，术后对患者实行有效的体位干预能有效缓解患者术后产生的不适感，促进病情恢复[8]。基于此，为了进一步研究自主复苏体位干预对妇科腹腔镜患者术后舒适度的影响，本研究从本院选取了80例患者进行研究，现报道如下。……