梁燕平

[摘要]目的 探讨团队合作舒适护理模式在腹腔镜子宫肌瘤剔除术患者中的应用效果。方法 选取2017年10月～2018年10月我院收治的60例子宫肌瘤患者作为研究对象，按照随机数字表法分为对照组（n=30）与观察组（n=30）。观察组采用团队合作舒适护理方法，对照组采用常规护理方法。比较两组术后并发症总发生率、生存质量测定量表简表（WHOQOL-BREF）、手術情况、住院时间。结果 干预前两组WHOQOL-BREF评分比较，差异无统计学意义（P>0.05）;干预后两组WHOQOL-BREF评分高于干预前，且观察组干预后WHOQOL-BREF评分高于对照组，差异均有统计学意义（P<0.05）;观察组术后并发症总发生率低于对照组，差异有统计学意义（P<0.05）;观察组的手术时间、术后肛门排气时间、术后卧床时间及住院时间短于对照组，差异均有统计学意义（P<0.05）;观察组术中出血量少于对照组，差异有统计学意义（P<0.05）。结论 团队合作舒适护理模式在腹腔镜子宫肌瘤剔除术患者效果显著，可降低术后总并发症发生率，提高生存质量，缩短手术时间，值得临床推广。

[关键词]护理;腹腔镜子宫肌瘤剔除术;生存质量测定量表简表;视觉模拟量表

[中图分类号] R473.73          [文献标识码] A          [文章编号] 1674-4721（2020）6（b）-0219-03

[Abstract] Objective To explore the application effect of team cooperation comfortable nursing mode in patients with laparoscopic myomectomy. Methods A total of 60 patients with uterine fibroids admitted to our hospital from October 2017 to October 2018 were selected as the study subjects， and were divided into the control group （n=30） and the observation group （n=30） according to the random number table method. The observation group was treated with team work comfort nursing method， while the control group was treated with routine nursing method. The incidence of postoperative complications， summary of quality of life measurement scale（WHO QOL-BREF）， operation and length of stay were compared between the two groups. Results There was no significant difference in who WHO QOL-BREF score between the two groups before intervention （P>0.05）. The WHO QOL-BREF scores of the two groups after intervention were higher than those before intervention， and the WHO QOL-BREF score of the observation group after intervention was higher than that of the control group， with statistical differences （P<0.05）. The total incidence of postoperative complications in the observation group was lower than that in the control group， and the difference was statistically significant （P<0.05）. The operation time， postoperative anal exhaust time， postoperative bed time and hospital stay in the observation group were shorter than those in the control group， with statistical differences （P<0.05）. The amount of intraoperative blood loss in the observation group was less than that in the control group， and the difference was statistically significant （P<0.05）. Conclusion The model of team cooperation and comfortable nursing has a significant effect in patients with laparoscopic myomectomy， which can reduce the incidence of postoperative complications， improve the quality of life， reduce postoperative pain and shorten the operation time. It is worth clinical promoting.

综上所述，团队合作舒适护理模式在腹腔镜子宫肌瘤剔除术患者中效果显著，可降低术后并发症发生，提高生存质量，缩短手术时间，值得临床推广。

[参考文献]

[1]张静霞.舒适护理在腹腔镜子宫肌瘤切除术患者中的应用效果[J].中国医药导报，2017，14（26）：138-141.

[2]子宫肌瘤的诊治中国专家共识专家组.子宫肌瘤的诊治中国专家共识[J].中华妇产科杂志，2017，52（12）：793.

[3]张华.舒适护理模式在子宫肌瘤切除病人围术期护理中的应用[J].护理研究，2018，32（6）：969-970.

[4]薛卫红.综合专案护理在子宫肌瘤术后患者中的应用[J].中华现代护理杂志，2017，23（36）：4650.

[5]段红伟，高明明，蔺建华，等.感染相关因子与慢性阻塞性肺疾病表型的关系研究[J].中华医院感染学杂志，2018， 28（22）：3385-3388.

[6]马婷，张磊洁.优质护理干预对子宫肌瘤患者行子宫全切除术后心理状态及护理满意的观察[J].贵州医药，2018， 42（6）：767-768.

[7]Bean EM，Cutner A，Holland T，et al.Laparoscopic myomectomy：a single centre retrospective review of 514 patients[J].J Minim Invasive Gynecol，2017，24（3）：485-493.

[8]唐婉，郭宪民，牛亮，等.快速康复外科理念应用于腹腔镜子宫肌瘤切除患者围手术期护理中的临床效果[J].贵州医药，2018，42（6）：122-123.

[9]Mallick R，Odejinmi F.Pushing the boundaries of laparoscopic myomectomy：a comparative analysis of peri-operative outcomes in 323 women undergoing laparoscopic myomectomy in a tertiary referral centre[J].Gynecol Surg，2017， 14（1）：22.

[10]]马丽娴，刘滔，唐莉.临床路径护理干预对子宫肌瘤患者围术期护理效果及并发症预防分析[J].实用临床医药杂志，2017，21（8）：152-155.

[11]Yang H，Li XC，Yao C，et al.Proportion of uterine malignant tumors in patients with laparoscopic myomectomy：a national multicenter study in China[J].Chin Med J，2017，130（22）：2661-2665.

[12]丁冬霞.腹腔镜子宫肌瘤切除术术后创伤性应激障碍的护理干预[J].实用临床医药杂志，2017，21（8）：207-208.

[13]汪君芬，夏群伟，陈玉飞，等.阶段性管理干预对行腹腔镜子宫肌瘤切除术患者的影响[J].护士进修杂志，2018， 33（11）：1021-1024.

[14]Liu Y，Ran W，Shen Y，et al.High-intensity focused ultrasound and laparoscopic myomectomy in the treatment of uterine fibroids：a comparative study[J].BJOG，2017，124（S3）：36-39.

[15]陳宏，赵小红，汪莎等.音乐干预时长对子宫肌瘤患者术前焦虑情绪的影响[J].护理学杂志，2018，33（13）：65-67.

（收稿日期：2019-09-29  本文编辑：崔建中）