田晓庆

【摘 要】目的：探讨人文关怀护理在子宫肌瘤切除患者中的应用效果以及对患者心理状态的影响。方法：共收集70例子宫肌瘤患者的临床资料，随机将患者分设为两组并实施不同的护理方案：35例给予常规护理，设为对照组；35例给予人文关怀护理，设为观察组，比较两组护理干预前后负性情绪评分、术后恢复情况以及护理满意度。结果：护理干预后，两组SAS、SDS评分均下降，观察组低于对照组（P<0.05）；与对照组相比，观察组术后排气时间、下床活动时间和住院时间均缩短（P<0.05）；观察组总满意度高于对照组（P<0.05）。結论：对子宫肌瘤切除患者实施人文关怀护理能显著改善患者的负性情绪，促进患者术后康复，提高护理质量。

【关键词】子宫肌瘤；宫腔镜手术；护理；人文关怀

The effect of humanistic care on the nursing quality and psychological state of patients undergoing hysteromyomectomy

Tian Xiaoqing

419 Hospital of Nuclear Industry， Shaoguan City， Guangdong Province， Guangdong Shaoguan 512026， China

【Abstract】Objective： To explore the application effect of humanistic care in patients with hysteromyomectomy and its influence on the psychological state of patients. Methods： Collected the clinical data of 70 patients with uterine fibroids， randomly divided the patients into two groups and implemented different nursing plans： 35 patients were given routine care and set as a control group； 35 patients were given humane care and set as an observation group ， Compare the negative emotion scores， postoperative recovery and nursing satisfaction between the two groups before and after nursing intervention. Results： After the nursing intervention， the SAS and SDS scores of the two groups decreased， and the observation group was lower than the control group（P<0.05）； compared with the control group， the postoperative exhaust time， the time of getting out of bed， and the length of stay in the observation group were all Shorten（P<0.05）； the total satisfaction of the observation group is higher than that of the control group（P<0.05）.Conclusion： The implementation of humanistic care for patients with hysteromyomectomy can significantly improve the patients’ negative emotions， promote postoperative recovery， and improve the quality of care.

【Key？Words】Uterine fibroids； Hysteroscopic surgery； Nursing； Humanistic care

子宫肌瘤是妇科临床常见的良性肿瘤，对于肿瘤体积小、无症状者，一般定期随访即可，无需特殊干预。但对于肿瘤体积较大、出现临床症状或影响妊娠的子宫肌瘤，临床主张进行手术切除治疗[1]。宫腔镜手术是利用宫腔镜通过人体自然通道进入宫腔对病灶组织进行检查或切除的手术，适用于宫颈和黏膜下子宫肌瘤的切除。虽然宫腔镜手术具有微创、痛苦小、患者术后恢复快等优势，但其作为特殊的应激源，仍给患者带来一系列生理和心理上的应激改变[2]。科学的临床护理干预能够有效降低手术带来的应激反应，从而帮助患者平稳地渡过术后康复期，减少不良刺激对患者的影响[3]。本次研究将人文关怀护理应用于子宫肌瘤切除手术患者的临床护理工作当中，收到较好效果，具体报道如下。……