Application of need-oriented nursing in perioperative period of patients undergoing laparoscopic myomectomy
需求导向护理在腹腔镜下子宫肌瘤剔除术患者围手术期中的应用

摘要

目的 就需求导向护理对腹腔镜下子宫肌瘤剔除术患者的临床效果予以观察分析，进一步稳定围手术期疗效。方法 将2020年1月至2022年1月收入本院的70例子宫肌瘤剔除术患者作为研究对象，按护理措施的不同均分为35例/组的对照组、观察组。对照组为常规护理，观察组为需求导向护理，对比治疗成果。结果 从数据可见，观察组围术期指标效果（手术时间、出血量、术后排气、下床时间等）优于对照组，具有统计学意义（P＜0.05）。同时，在术后并发症率上，观察组低于对照组，差异显著（P＜0.05）。最后，在创伤性应激障碍自评量表中，观察组的各项目评分低于对照组，差异显著（P＜0.05）。结论 针对子宫肌瘤剔除术患者，实施需求导向护理，有效性良好，有助于患者的术后恢复，降低对患者的应激创伤，且降低并发症率，具备一定推广、应用价值。

Abstract

Objective To observe and analyze the clinical effect of demand-oriented nursing on patients undergoing laparoscopic myomectomy, and to further stabilize the perioperative efficacy.
Methods 70 patients with myomectomy admitted to our hospital from January 2020 to January 2022 were selected as research objects, and were divided into control group and observation group of 35 cases according to different nursing measures. The control group was treated with routine nursing, while the observation group was treated with demand-oriented nursing.
Results According to the data, the perioperative index effect (operation time, blood loss, postoperative exhaust, getting out of bed time, etc.) in the observation group was better than that in the control group, with statistical significance (P < 0.05). At the same time, the postoperative complication rate of the observation group was lower than that of the control group with significant difference (P < 0.05). Finally, in the self-rating scale of traumatic stress disorder, the score of each item in the observation group was lower than that in the control group, and the difference was significant (P < 0.05).
Conclusion   For the patients with hysteromyomectomy, the implementation of demand-oriented nursing is effective, conducive to the postoperative recovery of patients, reduce the stress and trauma of patients, and reduce the complication rate, which has certain promotion and application value.