护理干预对妇科肿瘤患者腹腔镜手术康复的影响

目的 探讨护理干预对妇科肿瘤患者腹腔镜手术康复的影响.方法 选取浙江省舟山市妇幼保健医院2011年10月～2012年10月行腹腔镜手术的妇科肿瘤患者130例,随机分为干预组和对照组,每组各65例.对干预组患者实施全程个体化护理干预,而对照组患者仅实施常规护理.记录并比较两组患者的疼痛视觉模拟评分（VAS）、术后生理功能恢复情况、术后1年内患者生活质量评分等指标.结果 干预组术后不同时间段疼痛VAS评分均显著低于对照组,差异均有统计学意义（P＜ 0.05）.干预组住院时间（7.16±2.14）d]显著少于对照组（9.92±2.17）d],差异有统计学意义（P＜0.05）.术后1年内干预组患者生活质量评分显著优于对照组,差异有统计学意义（P＜0.05）.结论 对妇科肿瘤患者实施全程个体化护理干预模式可促进患者顺利康复,提高患者生活质量,同时降低复发率,进一步保障了腹腔镜手术的治疗效果.

Effect of nursing intervention on recovery after laparoscopic surgery in gynecological cancer patients

Objective To investigate the effect of nursing intervention on recovery after laparoscopic surgery in gyneco- logical cancer patients. Methods 130 gynecological cancer patients with laparoscopic surgery in Maternal and Child Health Care Hospital of Zhoushan City from October 2011 to October 2012 were selected and randomly divided into the intervention group and the control group, with 65 cases in each group. The intervention group was given whole course of individualized nursing intervention care. The control group was given routine care. The pain visual analogue scale （VAS）, postoperative function recovery, quality of life and disease recurrence within postoperative a year in two groups were recorded and compared. Results The VAS in different time period after surgery of the intervention group were lower than those of the control group, the difference was statistically significant （P 〈 0.05）. The days in hospital （7.16±2.14） d] of the intervention group was less than that of control group （9.92±2.17） d], the difference was statisti- cally significant （P 〈 0.05）. The score of life quality of the intervention group was better than that of control group, the difference was statistically significant （P 〈 0.05）. Conclusion The implementation of whale course of individualized nursing intervention care can promote rehabilitation, increase the postoperative quality of life, reduce the recurrence rate and improve the effect of laparoscopic surgery.