全程护理干预对妇科肿瘤患者腹腔镜手术效果的影响

目的探讨全程护理干预对妇科肿瘤患者腹腔镜手术康复的效果。方法将115例经腹腔镜手术的妇科肿瘤患者随机分为干预组58例，对照组57例。两组患者遵医嘱实施腹腔镜手术前后常规护理的基础上，即干预组实施术前认知行为干预，术后疼痛干预及出院后随访干预为一体的全程个体化护理干预模式；对照组患者按传统式腹腔镜手术前后常规护理。分别观察比较两组干预效果。结果干预组术后不同时间段疼痛视觉模拟评分（VAS）明显低于对照组，其中干预组术后72h VAS评分为（1．35±1．02）分，对照组为（2．76±1．20）分，组间比较差异具有统计学意义（t=6．79，P〈0．01）；观察组患者住院时间（7．15±2．15）d，对照组患者住院时间为（9．89±2．18）d，组间比较差异具有统计学意义（t=6．79，P〈0．01）；观察组术后1年内复发率为1．72％，对照组为14．03％，组间比较差异具有统计学意义（χ^2=4．45，P〈0．05）。结论妇科肿瘤患者实施全程个体化护理干预模式，促进了患者早日康复，改善了术后生活质量，提高了腹腔镜手术治疗效果。

Effect of global nursing care on gynecologic cancer patients receiving laparoscopic surgery

Objective To investigate effect of global nursing care on rehabilitation effect of gynecologic cancer patients receiving laparoscopic surgery.Methods 115 cases of laparoscopic surgery in gynecologic cancer patients were randomly divided into two groups.the intervention group is 58 and the control group 57.Two groups with the laparoscopic surgery received a same routine care,in the intervention group patients received an intervention care consisted of cognitive behavioral intervention before surgery,postoperative pain,intervention and follow-up intervention after discharge as one of the whole individual nursing intervention model;In the control patients received traditional routine care before and after laparoscopic surgery.Intervention effects were observed in two groups.Results The intervention group at different times after the pain visual analogue scale (VAS) was significantly lower than the control group.72 h VAS in intervention group was ( 1.35 ±1.02),and was (2.76 ± 1.20) in control group,and the difference was significant ( t =6.79,P ＜ 0.01 ) ;days in hospital in intervention group was (7.15 ±2.15)d and (9.89 ±2.18) in control group,and the difference was significant ( t =6.79,P ＜ 0.01 ) ; The recurrence rate in intervention group ( 1.72％ ) was significantly lower than the control group ( 14.03％ ),and the difference was significant ( x2 =4.45,P ＜0.05).Conclusions Whole course of individualized nursing intervention care has promoted rehabilitation,increased the postoperative quality of life and improve the effect of laparoscopic surgery of patients.