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围术期综合护理干预对卵巢巧克力囊肿患者焦虑情绪、生活质量和术后疼痛的影响

Effect of perioperative comprehensive nursing intervention on anxiety, quality of life and postoperative pain in ovarian chocolate cysts patients

摘要:

目的 对卵巢巧克力囊肿患者围术期进行综合护理干预,观察其对患者焦虑情绪、生活质量和术后疼痛的影响,探讨综合护理干预的临床价值.方法 选取2013年2月—2014年11月共96例拟行择期腹腔镜手术切除卵巢巧克力囊肿患者作为研究对象,按照随机数字表法随机分为对照组(n=48)和研究组(n=48).对照组患者采用传统护理,研究组采用综合护理干预,比较两组患者焦虑情绪、生活质量、术后疼痛评分.结果 干预前,两组SAS评分及社会功能、心理功能、躯体功能、物质生活、生活质量总分比较差异无统计学意义(P>0.05).干预后,研究组SAS评分为(41.96±3.62)分,低于对照组的(46.85±4.09)分,差异有统计学意义(t=6.203,P<0.001),社会功能、心理功能、躯体功能、物质生活、生活质量总分高于对照组,差异均有统计学意义(P<0.05),术后12、24、48 h疼痛评分低于对照组,差异有统计学意义(P<0.05).结论 卵巢巧克力囊肿围术期综合护理干预效果明显,可缓解患者焦虑情绪,减轻术后疼痛,提高患者生活质量.

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abstracts:

Objective Comprehensive nursing intervention was given to the perioperative ovarian chocolate cyst patients, to observe its impact on anxiety, quality of life and postoperative pain, and to explore the clinical value of comprehensive nursing intervention. Methods A total of 96 cases undergoing laparoscopic resection of ovarian chocolate cysts patients from February 2013 to November 2014 were selected as the research object, and were randomly divided into control group (n=48) and study group (n=48) by random number table method. The control group received conventional nursing, while the study group received comprehensive nursing intervention. The patients' anxiety, quality of life and postoperative pain scores were compared between the two groups. Results Before the intervention, there were no significant difference in self-rating anxiety scale (SAS) score and the scores of social function, psychological function, physical function, material life and quality of life between the two groups (P>0.05). The SAS score of the study group (41.96±3.62) was lower than that of the control group (46.85±4.09) after the intervention, and the difference was statistically significant (t=6.203, P<0.001). The scores of social function, psychological function, physical function, material life and quality of life of the study group were higher than those of the control group after intervention (P<0.05). The pain scores of the study group were lower than those of the control group at 12 h, 24 h and 48 h after the operation (P<0.05). Conclusions The comprehensive nursing intervention of ovarian chocolate cysts during perioperative period is effective, and it can relieve anxiety, alleviate postoperative pain and improve the quality of life.

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作者: 吕丽华 [1]
栏目名称: 研究荟萃
DOI: 10.3760/cma.j.issn.1674-2907.2017.36.022
发布时间: 2017-12-21
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