Altern Ther Health Med. 2024 Apr;30(4):118-123.
The objective of this study is to investigate effective pain management strategies for women undergoing labiaplasty surgery. By focusing on pain relief, patient rehabilitation, and satisfaction improvement, we aim to enhance the overall patient experience and outcomes of this common gynecological plastic surgery.
A total of 126 individuals diagnosed with labia minora hypertrophy and who underwent plastic surgery on their labia minora within the period of July 2020 to July 2023 were chosen as the participants for this study. They were divided into an observation group and a comparison group, each consisting of 63 cases, based on the different nursing methods. The comparison group was treated with routine perioperative nursing after labia minora surgery, and the observation group was treated with perioperative pain nursing management based on the comparison group. Postoperative pain score, comfort score, incision healing time, first urination time, night Pittsburgh Sleep Quality Index (PSQI) score, complications, and satisfaction were compared between the two groups. All data were established in an Excel database, and statistical analysis was performed using SPSS26.0. Statistical methods used include descriptive analysis, t tests, and Chi-square tests.
The mean incision healing time of the observation group was 3.90±0.61 days, and that of the control group was 3.62±0.64 days. The mean incision healing time of the observation group was significantly different from that of the control group (P < .05). VRS scores and PSQI scores were significantly lower in both groups 1 week aftercare compared with 1 day before care, indicating improvements in pain and sleep quality. The improvement degree of VRS score and PSQI score in the observation group was significantly different (P < .05). The number of incision infections, hematoma, flap necrosis, skin scar, delayed healing, and total complication rate were 3 in the observation group and 11 in the comparison group, indicating that the complication rate in the observation group was significantly lower than that in the comparison group. The comparison difference was statistically significant (P < .05). Through the Chi-square test, the nursing satisfaction and perineal aesthetic effect satisfaction of the observation group were significantly higher than those of the comparison group, and the difference was statistically significant (P < .05).
The implementation of perioperative pain nursing management has been shown to effectively alleviate pain in patients diagnosed with labia minora hypertrophy. This approach not only enhances treatment comfort but also significantly reduces the occurrence of postoperative complications. Additionally, it accelerates the healing process of incisions, improves the quality of incision healing, and enhances patient satisfaction with both the aesthetic outcome of the perineal area and the quality of nursing care provided.
本研究旨在探讨行小阴唇整形术的女性有效的疼痛管理策略。通过关注疼痛缓解、患者康复和满意度提高，我们旨在增强这种常见妇科整形手术的整体患者体验和效果。
选择 2020 年 7 月至 2023 年 7 月期间接受小阴唇整形术的 126 名小阴唇下肥大患者作为研究对象。他们根据不同的护理方法分为观察组和对照组，每组 63 例。对照组采用小阴唇手术后常规围手术期护理，观察组在对照组基础上采用围手术期疼痛护理管理。比较两组患者术后疼痛评分、舒适度评分、切口愈合时间、首次排尿时间、夜间匹兹堡睡眠质量指数（PSQI）评分、并发症和满意度。所有数据均建立在 Excel 数据库中，使用 SPSS26.0 进行统计分析。统计方法包括描述性分析、t 检验和卡方检验。
观察组的平均切口愈合时间为 3.90±0.61 天，对照组为 3.62±0.64 天。观察组的平均切口愈合时间明显长于对照组（P <.05）。两组在 1 周随访时的 VRS 评分和 PSQI 评分均明显低于 1 天前，提示疼痛和睡眠质量有所改善。观察组的 VRS 评分和 PSQI 评分改善程度明显优于对照组（P <.05）。观察组切口感染、血肿、皮瓣坏死、皮肤瘢痕、愈合延迟和总并发症发生率分别为 3 例和 11 例，观察组的并发症发生率明显低于对照组，差异有统计学意义（P <.05）。通过卡方检验，观察组的护理满意度和会阴美学效果满意度明显高于对照组，差异有统计学意义（P <.05）。
围手术期疼痛护理管理的实施，能有效减轻小阴唇下肥大患者的疼痛。这种方法不仅提高了治疗舒适度，而且显著降低了术后并发症的发生。此外，它还加速了切口愈合过程，提高了切口愈合质量，提高了患者对会阴区域美学效果和护理服务质量的满意度。
