体位和活动指导对妇科腹腔镜术后患者胃肠功能恢复的影响
Effect of Position and Activity Guidance on Recovery of Gastrointestinal Function in Patients Undergoing Gynecological Laparoscopic Operation
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摘要: 目的 探讨体位和活动指导对妇科腹腔镜术后患者胃肠功能恢复的影响.方法 将130例妇科腹腔镜手术患者随机分为观察组和对照组各65例, 对照组采用常规护理, 观察组在常规护理的基础给予体位和活动指导.比较分析2组患者临床疗效、胃肠道功能恢复及生活质量.结果 观察组临床有效率为89.23%, 对照组为75.38%, 观察组明显高于对照组, 差异具有统计学意义 (P<0.05) .观察组腹胀程度轻于对照组, 肠鸣音恢复时间和肛门排气时间均小于对照组, 食欲不振和便秘发生率均低于对照组, 差异均有统计学意义 (P<0.05) .干预后生活质量各项指标比较, 观察组均明显高于对照组, 差异有统计学意义 (P<0.05) .结论 对于妇科腹腔镜手术患者, 术后采取科学、适宜的体位以及活动指导, 可以减少患者腹胀的发生, 促进胃肠蠕动功能的恢复, 提高患者的生活质量, 值得进行临床广泛推广应用.Abstract: Objective To investigate the effect of position and activity guidance on the recovery of gastrointestinal function of patients undergoing gynecological laparoscopic surgery.Methods One hundred and thirty patients undergoing gynecological laparoscopic surgery were randomly divided into observation group and control group, 65 cases in each group.The control group used routine nursing, the observation group was given position and activity guidance based on the conventional care.The clinical curative effect, recovery of gastrointestinal function and quality of life were compared between the two groups.Results The clinical effective rate in observation group was 89.23%, it was significantly higher than that of the control group (75.38%) , the difference was statistically significant (P<0.05) . The degree of abdominal distention in observation group were milder than that of the control group, the recovery time of bowel sound and anal exhaust time were less than that of the control group, the incidence of appetite and constipation was lower than that of the control group, the differenceswere statistically significant (P <0.05) .After intervention, the quality of life of the observation group were significantly higher than that of the control group, the difference was statistically Statistically significance (P <0.05) .Conclusion The patients undergoing gynecologic laparoscopic surgery taking a scientific and proper position and activity guidance, can reduce the occurrence of abdominal distension, promote the recovery of gastrointestinal peristaltic function, improve the quality of life of patients.It is worth of clinical application.
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Key words:
- Functional exercise /
- Position intervention /
- Gynecology /
- Laparoscopy /
- Gastrointestinal function
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