摘要
目的探讨子宫肌瘤(UM)腹腔镜手术患者采用正念减压联合阶段性细节化护理的效果。方法选取2020年3月至2022年12月在周口市中心医院进行腹腔镜手术的124例UM患者,以随机数字表法分为干预组(n=62,正念减压联合阶段性细节化护理干预)与对照组(n=62,常规护理干预),比较两组术后恢复情况、心理状况、生活质量、并发症发生情况。结果干预组首次下床时间、进食时间、排气时间、肠鸣音恢复时间、排便时间较对照组更短,差异有统计学意义(P<0.05);干预后,两组贝克焦虑量表(BAI)、贝克抑郁量表(BDI-Ⅱ)评分降低,且干预组BAI评分、BDI-Ⅱ评分低于对照组,差异有统计学意义(P<0.05);干预后,两组世界卫生组织生存质量测定量表简表(WHOQOL-BREF)提高,差异有统计学意义(P<0.05),且干预组WHOQOL-BREF评分高于对照组,差异有统计学意义(P<0.05);干预组并发症发生率(4.84%)低于对照组(16.13%),差异有统计学意义(P<0.05)。结论UM腹腔镜手术患者给予正念减压联合阶段性细节化护理,能够促进患者术后恢复,改善心理状况,提高生活质量,减少并发症发生。
Objective To investigate the effects of mindfulness-based stress reduction combined with stage-specific detailed nursing in patients undergoing laparoscopic surgery for uterine myoma(UF).Methods A total of 124 patients with UF who underwent laparoscopic surgery at Zhoukou Central Hospital from March 2020 to December 2022 were selected and randomly assigned to an intervention group(n=62,mindfulness-based stress reduction combined with stage-specific detailed nursing intervention)and a control group(n=62,routine nursing intervention).Postoperative recovery,psychological status,quality of life,and incidence of complications were compared between the two groups.Results The intervention group had significantly shorter times for first getting out of bed,eating,passing gas,returning to bowel sounds,and having a bowel movement compared to the control group(P<0.05).After intervention,scores on the Beck Anxiety Inventory(BAI)and Beck Depression Inventory(BDI-Ⅱ)decreased in both groups,with the intervention group showing lower BAI and BDI-Ⅱscores than the control group(P<0.05).Post-intervention,scores on the World Health Organization Quality of Life-BREF(WHOQOL-BREF)increased in both groups,with significant differences(P<0.05),and the intervention group had higher WHOQOL-BREF scores than the control group(P<0.05).The incidence of complications in the intervention group(4.84%)was lower than that in the control group(16.13%),with a significant difference(P<0.05).Conclusion Mindfulness-based stress reduction combined with stage-specific detailed nursing for patients undergoing laparoscopic surgery for UF can promote postoperative recovery,improve psychological status,enhance quality of life,and reduce the incidence of complications.
作者
王方方
王秀玲
WANG Fangfang;WANG Xiuling(Department of Gynecology,Zhoukou Central Hospital,Zhoukou Henan 466000,China)
出处
《临床研究》
2024年第12期161-164,共4页
Clinical Research
关键词
子宫肌瘤腹腔镜手术
正念减压
阶段性细节化护理
laparoscopic surgery for uterine myoma
mindfulness-based stress reduction
stage-specific detailed nursing
