Value of high quality nursing in total hysterectomy for adenomyosis
优质护理在子宫腺肌症行子宫全切术护理中的价值

摘要

目的 分析优质护理用于子宫腺肌症子宫全切术的价值。方法 对2021年6月-2022年6月本科接诊子宫腺肌症子宫全切术病人（n=80）进行随机分组，试验和对照组各80人，前者采取优质护理，后者行常规护理。对比肛门排气时间等指标。结果 关于术中失血量，试验组数据（109.47±15.28）ml，和对照组（164.29±20.57）ml相比更少（P＜0.05）。关于术后下床时间、肛门排气时间和住院时间，试验组数据分别是（31.29±4.19）h、（27.25±4.96）h、（5.14±1.09）d，和对照组（66.48±6.72）h、（43.19±6.14）h、（7.42±1.35）d相比更短（P＜0.05）。对于并发症这项指标，试验组的发生率仅有2.5%，和对照组相数据20.0%比更低（P＜0.05）。满意度：试验组数据97.5%，和对照组数据77.5%相比更高（P＜0.05）。护理纠纷：试验组发生率0.0%，和对照组10.0%相比更低（P＜0.05）。结论 子宫腺肌症子宫全切术用优质护理，并发症发生率更低，病情恢复更为迅速，满意度改善更加明显，护理纠纷发生率降低更为迅速。

Abstract

Objective To analyze the value of high quality nursing in total hysterectomy for adenomyosis.
Methods From June 2021 to June 2022, 80 patients (n=80) with adenomyosis undergoing total hysterectomy were randomly divided into experimental group and control group, with 80 patients in each group. The former received high-quality nursing, while the latter received routine nursing. Compare the anal exhaust time and other indicators.
Results The intraoperative blood loss in the experimental group was (109.47±15.28) ml, which was less than that in the control group (164.29±20.57) ml (P < 0.05). The postoperative ambulation time, anal exhaust time and hospital stay in the experimental group were (31.29±4.19) h, (27.25±4.96) h and (5.14±1.09) d, respectively are shorter than those in the control group (66.48±6.72) h, (43.19±6.14) h, (7.42±1.35) d shorter (P < 0.05). For complications, the incidence rate of the experimental group was only 2.5%, which was lower than that of the control group (20.0%) (P < 0.05). Satisfaction: 97.5% in the experimental group, which was higher than 77.5% in the control group (P < 0.05). Nursing dispute: the incidence of experimental group was 0.0%, which was lower than that of control group 10.0% (P < 0.05).
Conclusion   The high quality nursing for total hysterectomy of adenomyosis has a lower incidence of complications, a faster recovery, a more obvious improvement in satisfaction, and a more rapid reduction in the incidence of nursing disputes.