腹腔镜下子宫全切术的手术室护理配合分析

2024-01-21孙李会

婚育与健康 2023年24期

孙李会

【摘要】目的：探究腹腔镜下子宫全切术的手术室护理配合效果。方法：回顾性分析2021年3月—2022年11月本院收治的72例患者临床资料。按照护理配合模式分组，共两组，各36例，分别行常规护理配合（usual care，UC）与手术室护理配合（operating room nursing，ORN），表示为UC组与ORN组，对比两组配合效果。结果：ORN组焦虑、抑郁、失眠评分，低于UC组（P<0.05）；术中心率、平均动脉压以及术后3dC反应蛋白，低于UC组，术中体温高于UC组（P<0.05）；首次排气、进食、下床时间以及疼痛持续时间、住院时间短于UC组（P<0.05）；护理风险发生率2.78%，低于UC组16.67%（P>0.05）。结论：手术室护理配合对患者应激程度减轻，康复速度加快，护理风险预防存在积极影响。

【关键词】腹腔镜；子宫全切术；手术室护理；心理应激

Analysis of nursing coordination in operating room of total hysterectomy under laparoscope

SUN Lihui

Operating Room， Anhui Maternal and Child Health Hospital， Hefei， Anhui 230088， China

【Abstract】Objective： To explore the effect of nursing coordination in the operating room of total hysterectomy under laparoscope. Methods： Clinical data of 72 patients admitted to our hospital from March 2021 to November 2022 were retrospectively analyzed. They were divided into 2 groups with 36 patients in each group according to the nursing coordination mode. usual care （UC） group and operating room nursing （ORN） group were respectively represented as UC group and ORN group， and the coordination effects of the two groups were compared. Results： Anxiety， depression and insomnia scores of ORN group were lower than that of UC group （P<0.05）； the operative center rate， mean arterial pressure and postoperative 3 dC reactive protein were lower than that of UC group， and the intraoperative body temperature was higher than that of UC group （P<0.05）； The first exhaust， feeding， getting out of bed time， pain duration and hospital stay were shorter than UC group （P<0.05）. The incidence of nursing risk was 2.78% lower than that of UC group （16.67%， P>0.05）. Conclusion： Nursing cooperation in operating room has positive effects on stress reduction， recovery speed and nursing risk prevention.

【Key Words】Laparoscopy； Total hysterectomy； Operating room nursing； Psychological stress

子宫全切术是子宫及其附件病变外科治疗常用方法，主要是通过子宫体与子宫颈切除方式消除病灶，降低疾病对患者健康的影响，减少其病死率，提高其日常生活能力与质量[1]。子宫作为女性生殖系统重要器官，在胎儿孕育、内分泌平衡调节、盆底支持、免疫功能状态维护等多方面发挥着至关重要的作用，其切除可能为患者带来严重生理与心理应激[2]。随着内镜技术的推广使用，子宫全切术具备了微创特征。相对于传统子宫全切术而言，基于腹腔镜应用下的手术患者腹部切口减小、手术用时缩短、术中出血量减少、术后住院时间缩短等[3]。然而腹腔镜子宫全切术优势要想得到充分发挥，离不开护理配合。以往基于常规下的护理服务较为被动，机械化程度较高，护理配合效果有限。因此，有必要加强临床护理研究，以丰富其内涵，提高其能力，改进其质量。