Operating Room, Zhuji Maternal and Child Health Hospital of Zhejiang Province, Zhuji, China.
Department of Critical Care Medicine, Zhuji People's Hospital of Zhejiang Province, Zhuji, China.
Ann Palliat Med. 2021 Apr;10(4):4593-4600. doi: 10.21037/apm-21-692.
The purpose of this study was to explore the value of comprehensive nursing intervention in the perioperative period of ruptured bleeding of ectopic pregnancy.
From January 2015 to January 2020, 164 patients with rupture and bleeding of ectopic pregnancy who needed laparoscopic treatment in the department of gynecology at our hospital were selected and randomly divided into the basic nursing group and the comprehensive nursing group, with 82 cases each. During the perioperative period, comprehensive nursing intervention or basic nursing intervention were performed, and the nursing effects of the two nursing interventions were compared.
The disappearance time of abdominal pain, the time to get out of bed, and the length of hospitalization in the comprehensive nursing group were significantly shorter than those in the basic nursing group (P<0.05). After surgery, blood sugar levels, aldosterone, cortisol, C-reactive protein (CRP), and IL-6 in the two groups were significantly higher than those before surgery (P<0.05), but there was no statistically significant difference between the groups (P>0.05). After the operation, the proportion of patients with Visual Analogue Scale (VAS) scores of 7-10 in the comprehensive nursing group was significantly lower than that in the basic nursing group (P<0.05). Before the intervention, the Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD) scores of the two groups were compared, and the difference was not statistically significant (P>0.05). After the intervention, the HAMA and HAMD scores of the comprehensive nursing group were significantly lower than those of the basic nursing group (P<0.05). The fallopian tube recanalization rate of patients in the comprehensive care group was significantly higher than that of the basic care group (P<0.05), and the complication rate was significantly lower than that of the basic care group (P<0.05).
In summary, a comprehensive nursing program during the perioperative period can improve the treatment effect and significantly shorten the recovery time of patients, which is worthy of clinical promotion.
本研究旨在探讨综合护理干预在异位妊娠破裂出血围手术期的价值。
选取 2015 年 1 月至 2020 年 1 月我院妇科因腹腔镜治疗需要的 164 例异位妊娠破裂出血患者，随机分为基础护理组和综合护理组，各 82 例。围手术期分别进行综合护理干预和基础护理干预，比较两种护理干预的护理效果。
综合护理组的腹痛消失时间、下床时间和住院时间均明显短于基础护理组（P<0.05）。两组术后血糖、醛固酮、皮质醇、C 反应蛋白（CRP）和白细胞介素-6（IL-6）均明显高于术前（P<0.05），但组间比较无统计学差异（P>0.05）。术后综合护理组 VAS 评分 7-10 分的患者比例明显低于基础护理组（P<0.05）。干预前，两组汉密尔顿焦虑量表（HAMA）和汉密尔顿抑郁量表（HAMD）评分比较，差异无统计学意义（P>0.05）。干预后，综合护理组 HAMA 和 HAMD 评分明显低于基础护理组（P<0.05）。综合护理组患者的输卵管再通率明显高于基础护理组（P<0.05），并发症发生率明显低于基础护理组（P<0.05）。
综上所述，围手术期综合护理方案可提高治疗效果，显著缩短患者康复时间，值得临床推广。
