认知干预对宫腔镜治疗子宫异常出血效果的影响

目的评估认知干预对宫腔镜治疗子宫异常出血效果的影响。方法选取2016年1月至2017年12月如皋市人民医院采用宫腔镜治疗子宫异常出血的100例患者为研究对象,并将其随机分为对照组和观察组,每组50例。对照组患者采用舒适护理,观察组患者在对照组基础上给予认知干预。分析和比较两组患者的临床治疗效果,焦虑和抑郁评分,并发症发生率,及患者对护理工作的满意度。结果观察组的临床疗效(显效率与有效率之和)为98.0%,明显高于对照组(82.0%),两组患者的焦虑和抑郁评分均较护理前明显改善,而且观察组的焦虑和抑郁评分均明显低于对照组,其差异均具有统计学意义(P<0.05)。观察组的并发症发生率为2.0%,明显低于对照组(8.0%),其差异均具有统计学意义(P<0.05)。另外,观察组患者对护理工作的满意度为96.0%,明显高于对照组(76.0%),其差异具有统计学意义(P<0.05)。结论将认知干预应用于护理工作中能够提高临床疗效,明显改善子宫异常出血患者心理状态,降低并发症发生率,提高患者对护理工作的满意度。

Effects of cognitive intervention on the treatment effect of abnormal uterine bleeding by hysteroscopy

Objective To evaluate the effects of cognitive intervention on the treatment effect of abnormal uterine bleeding by hysteroscopy.Methods A total of 100 patients with abnormal uterine bleeding were enrolled in this study,who were treated by hysteroscopy at Rugao People′s Hospital from January 2016 to December 2017.All the patients were randomly divided into the control group(receiving comfortable nursing care)and the observation group(receiving cognitive intervention on the basis of the control group),with 50 patients in each group.The clinical efficacy,scores of anxiety and depression,incidence of complication and patients′satisfaction were compared between the two groups.Results The clinical efficacy in the observation group(98.0%)was significantly higher than that in the control group(88.0%),with statistically significant differences(P<0.05).The scores of anxiety and depression in both group were significantly improved after nursing care by comparison with those before nursing and the scores of anxiety and depression in the observation group were significantly lower than those of the control group,with statistically significant differences(P<0.05).In addition,the incidence of complication in the observation group(2.0%)was significantly lower than that of the control group(8.0%),with statistically significant differences(P<0.05).The patients′satisfaction in the observation group(96.0%)was significantly higher than that in the control group(76.0%),with statistically significant differences(P<0.05).Conclusions The application of cognitive intervention in nursing can significantly improve the psychological status,clinical efficacy and satisfaction of patients with abnormal uterine bleeding and decrease the incidence of complication.