陈颖

[摘要]目的 探討循证护理干预对卵巢囊肿腹腔镜手术患者术后疼痛及康复的影响。方法 选取2017年10月～2019年9月于我院腹腔镜手术的卵巢囊肿86例患者，按随机数字表法分为两组，每组各43例。对照组给予常规护理，观察组采用循证护理。比较两组的术后疼痛、康复指标及并发症发生情况。结果 干预前两组视觉模拟量表（VAS）评分比较，差异无统计学意义（P>0.05）;观察组干预后的VAS评分为（3.76±0.86）分，低于对照组的（4.47±0.69）分，差异有统计学意义（P<0.05）;观察组干预后的胃肠功能恢复时间为（11.25±2.41）h、离床活动时间为（13.81±2.66）h、住院时间为（6.86±1.43）d，短于对照组的（15.54±2.28）h、（19.05±2.37）h、（9.60±1.78）d，差异均有统计学意义（P<0.05）。观察组干预后的并发症总发生率为4.65%，低于对照组的20.93%，差异有统计学意义（P<0.05）。结论 循证护理可有效改善卵巢囊肿腹腔镜手术患者术后疼痛，加快康复进程，降低并发症发生风险，值得推广应用。

[关键词]卵巢囊肿;腹腔镜;循证护理;术后疼痛;康复指标;并发症

[中图分类号] R473.6          [文献标识码] A          [文章编号] 1674-4721（2020）9（b）-0247-03

Effect of evidence-based nursing on postoperative pain and rehabilitation of patients with ovarian cyst undergoing laparoscopic surgery

CHEN Ying

Department of Obstetrics and Gynecology， Yingkou Central Hospital， Liaoning Province， Yingkou   115003， China

[Abstract] Objective To explore the effect of evidence-based nursing intervention on postoperative pain and rehabilitation of patients with ovarian cyst undergoing laparoscopic surgery. Methods From October 2017 to September 2019， 86 patients with ovarian cyst who underwent laparoscopic surgery in our hospital were selected and divided into two groups， 43 cases in each group. The control group was given routine nursing and the observation group was given evidence-based nursing. The postoperative pain， rehabilitation index and complications were compared between the two groups. Results There was no significant difference in the visual analogue scale （VAS） score between the two groups before intervention （P>0.05）. After intervention， the VAS score in the observation group was （3.76±0.86） points， which was lower than （4.47±0.69） points in the control group， with statistical difference （P<0.05）. The gastrointestinal function recovery time was （11.25±2.41） h， the time of leaving bed was （13.81±2.66） h， and hospital stay was （6.86±1.43） d in the observation group， which were shorter than those of the control group of （15.54±2.28） h， （19.05±2.37） h， （9.60±1.78） d， with significant differences （P<0.05）. The total incidence of complications in the observation group was 4.65%， which was lower than 20.93% in the control group， with statistical difference （P<0.05）. Conclusion Evidence based nursing can effectively improve the postoperative pain of patients with ovarian cyst undergoing laparoscopic surgery， speed up the rehabilitation process and reduce the risk of complications， It′s worth spreading.

[Key words] Ovarian cyst; Laparoscopy; Evidence-based nursing; Postoperative pain; Rehabilitation; Complications

卵巢囊肿是女性生殖器官常见肿瘤，发病原因多与日常饮食、感染、激素、生活环境等相关，近年来其发病率逐渐上升，威胁女性身心健康[1]。随着微创技术的发展，腹腔镜以其创伤小、并发症少等优势在治疗卵巢囊肿中获得广泛运用[2]。但患者受疾病、疼痛、手术创伤等影响，易产生烦躁、焦虑等心理应激，加之手术本身存在并发症发生风险，加重病情，不利于预后[3-4]。加强围术期护理干预，减少手术对机体产生的刺激，对减轻术后疼痛，加快康复进程尤为重要。常规护理仅满足患者基本需求，在控制并发症，减轻疼痛方面效果欠佳。循证护理将患者个性化需求、临床经验及科研结论相结合，以获取实证依据，为患者提供科学、严谨、有效的护理服务[5]。本研究将循证护理干预用于卵巢囊肿腹腔镜手术患者，旨在观察其对患者术后疼痛及康复的影响，现报道如下。