Perioperative nursing points and intervention effects of laparoscopic-assisted total hysterectomy
腹腔镜辅助下子宫全切术围手术期护理要点及干预效果

摘要

目的 分析探讨腹腔镜辅助下子宫全切术围手术期护理要点及干预效果。方法 选取我院2019年-2021年接收行腹腔镜辅助下子宫全切术患者40例为观察对象，随机将其分为观察组与对照组，其中对照组患者接受围手术期常规护理，观察组患者接受围手术期综合护理，将两组患者术后身体恢复情况、并发症发生情况以及患者对于护理干预方法的满意度进行比较。结果 观察组患者术后的首次下床活动时间、首次排气时间、抗生素使用时间以及住院时间均低于对照组，数据对比差异有统计学意义（P<0.05）；观察组患者术后出现出血、尿潴留、感染、血肿、褥疮等症状例数均低于对照组，数据对比差异有统计学意义（P<0.05）；采用问卷调查形式，对患者进行护理满意度调查，观察组患者对于护理的满意度高于对照组，数据对比差异有统计学意义（P<0.05）。结论 综合性全面护理干预对腹腔镜辅助下子宫全切术围手术期患者的预后改善效果明显，可以提高患者身体功能恢复，降低并发症发生情况，提高患者满意度，值得推广与应用于临床护理中。

Abstract

Objective: To analyze and explore the perioperative nursing points and intervention effects of laparoscopic assisted total hysterectomy.
Methods: 60 patients who received laparoscopic assisted hysterectomy in our hospital from 2019 to 2021 were randomly divided into observation group and control group. The patients in the control group received routine perioperative care, and the patients in the observation group received comprehensive perioperative care. The postoperative physical recovery, complications and patients' satisfaction with nursing intervention methods of the two groups were compared.
Results: the first ambulation time, the first exhaust time, the use time of antibiotics and the hospitalization time of the patients in the observation group were lower than those in the control group, and the data comparison difference was statistically significant (p<0.05); The number of patients with postoperative bleeding, urinary retention, infection, hematoma, bedsore and other symptoms in the observation group was lower than that in the control group, and the difference was statistically significant (p<0.05); The patients in the observation group were more satisfied with nursing than those in the control group, and the difference was statistically significant (p<0.05).
Conclusion  : comprehensive comprehensive nursing intervention can significantly improve the prognosis of patients undergoing laparoscopic assisted total hysterectomy. It can improve the recovery of patients' physical function, reduce the incidence of complications, and improve patients' satisfaction. It is worth popularizing and applying in clinical nursing.